Jugular tinnitus

Fourteen patients suffering from pulsating tinnitus arising form the internal jugular vein relieved by slight external pressure on the neck, were treated surgically by compression of the sigmoid sinus with free temporalis muscle in the mastoid bone. This procedure relieved the tinnitus in 9 cases, among them 5 developed temporary increase in the intracranial tension that was relieved medically. The remaining 5 cases had improvement in the tinnitus to a tolerable level

Surgery in Stertor and sleep apnoea due to adenoids in the first three years of life

In this study, 14 children below 3 years of age suffering from stertor, snoring and OSA were studied and treated medically and surgically. They were divided into two groups [A and B] according to the presence or absence of multiple cervical lymph node enlargement. Adenotonsillectomy was done in group A and adenoidectomy was done in group B. Indications of either operation is suggested according to the soft palatal appearance in the X-ray. Both sides bulging of the soft palate indicated adenotonsillectomy. Nasal side bulging alone is an indication for adenoidectomy alone. The study showed that multiple cervical lymphadenopathy has no direct relation to OSA development or management