Ni-Ankh-Sekhmet: first rhinologist in history.

Ni-Ankh-Sekhmet has always been referred to as the first rhinologist in history. Translations of the hieroglyphics depicted on all the illustrations accompanying previous publications do not substantiate this claim. The research presented is a result of an investigation of the original monument related to the doctor at its present location in the Egyptian Museum, Cairo. The research proves that Ni-Ankh-Sekhmet was the first rhinologist in history.

Prescription of binaural hearing aids in the United Kingdom: a knowledge, attitude and practice (KAP) study.

The purpose of this questionnaire study was to evaluate the existing knowledge of binaural hearing and the attitudes and practices of prescribing bilateral hearing aids amongst otolaryngologists in the United Kingdom. Of the 950 questionnaires sent to the current members of the British Association of Otolaryngologists and Head and Neck Surgeons (BAO-HNS), there were 591 respondents (62 per cent). The true response rate with completed questionnaires was 59 per cent. Eighty-one per cent of the respondents were aware of the importance of binaural hearing and had a positive attitude towards binaural fitting. The practice of bilateral hearing aid prescriptions was found to be poor amongst all grades on the NHS (less than 10 per cent of all hearing aid prescriptions). This practice in the private sector was variable, dependent largely on patient preference and affordability. The practice of binaural prescription was higher for patients in the paediatric age group than amongst adults. Two common indications for hearing aid prescriptions for unilateral deafness were otitis media with effusion in children (23 per cent of respondents) and for tinnitus masking in adults (12 per cent of respondents). Many otolaryngologists believed that there was not enough evidence to support bilateral bone-anchored hearing aid implantation and bilateral cochlear implantation. Ninety-four per cent of the respondents believed that binaural hearing was as important as binocular vision.

Carhart's notch: a finding in otitis media with effusion.

INTRODUCTION: Carhart's notch (CN) is a false depression of bone conduction (BC) thresholds at 2-4 kHz initially described in cases of stapes fixation. This study was designed to estimate the incidence and assess the clinical significance of CN in cases of otitis media with effusion (OME) in children. PATIENTS AND METHODS: Clinical records of 50 patients of OME that showed CN were analysed, retrospectively. First 24 were identified as seen in outpatients and 26 were found out of 100 consecutive cases of OME. The criteria of CN were a minimum 10 dB depression in BC at any frequency 500-4000 Hz. RESULTS: Fifty patients showed CN, with mean age of 8.8 years. All had myringotomies with or without insertion of grommets. The CN ranged from 10 to 20 dB in the majority and up to 30 dB in few cases. In 85 ears studied, the affected frequencies comprised of 2000 Hz in 80 (94%), 4000 Hz in 4 and 1000 Hz in one ear. Pre-operative tympanograms were of type B in 68 (80%), type C in 16 (18.8%) and type A in one ear. Middle ear fluid was thick glue in 57 (67%), serous in 5 (5.8%), and no fluid found in 23 (27%) cases. Oedematous, granular or polypoidal appearances of middle ear mucosa were noted in 57 (67%) of the ears. A normal mucosa was seen in 17 (20%), and no details were available in 11 (13%) ears. Post-operative audiograms showed improvements of BC thresholds in 72 (84.7%) of the ears. CONCLUSION: Our results show 26% incidence of CN in paediatric cases of OME, with evidence of thick fluid and abnormal middle ear mucosa in about two-thirds of cases. This suggests that CN may be of prognostic value for myringotomy outcomes. Statistically there is a significant correlation between presence of fluid on myringotomy and CN, and type of tympanogram and post-operative BC threshold improvement. There is no predictive value of CN in terms of character of the middle ear fluid. Studies with larger numbers may be required to determine this with more certainty. It can help clinically, however, in pre-operative assessment of these cases. It is our opinion that BC should be an essential part of routine audiometry in all cases of OME.

Histochemical, immunohistological and scanning electron microscope analysis of tissue retained on spontaneously extruded ventilation tubes.

The aim of this study was to analyse the tissue surrounding prematurely extruded ventilation tubes (grommets). Thirty-one ventilation tubes, including 21 Shah and six Shepherd tubes, that had been extruded naturally into the ear canal were examined. After formalin fixation, material adhering to the tubes was retrieved and processed to paraffin wax. Five tubes were processed for scanning electron microscope (SEM) analysis. Sections were stained using histochemical methods for collagen, keratin and keratohyaline. In addition, the presence of collagen (type I and III), keratin, vimentin, fibronectin, tenascin, factor VIII-related antigen, CD31 and CD45 was tested for by immunohistochemistry. Results showed that all specimens consisted of an acellular fibrous material, oriented in concentric rings parallel to the tube surface that was often associated with small collections of CD45+ inflammatory cells. Two specimens contained collagen that was detectable by histochemical and immunohistological methods. Twelve specimens contained identifiable desquamated epithelial cells containing keratin and keratohyaline. Only one specimen stained positively for connective tissue markers (vimentin, fibrous fibronectin, tenascin) or showed the presence of vascular epithelium. SEM revealed adherent clusters or sheets of plate-like structures, consistent with the presence of epithelial squames, on three of the five ventilation tubes examined. It is concluded that tissue retained on extruded grommets consists of orthokeratinitizing epithelium infiltrated by inflammatory cells, a finding that is consistent with the theory that tube extrusion occurs as a result of squamous epithelial proliferation, medial migration, differentiation and desquamation.

History of nasal snare / História do polipótomo nasal

The author discours on the history of the nasal snare

History of removal of nasal polyps

Nasal polyps wqere know in antiquity and descriptions of the various methods were mentioned by early medical writers. The Ancient Egyptians knew about them. Hippocrates described 5 types with special treatment for each. Cautery and application of caustics were used. Knives were used early on and described by Galen. Over the years different designs of forceps were employed to pull them out. Snares were introduced in the 19th Century. Galvanic electricity was applied; cocaine and adenaline were in common use in the latter part of the 19th Century. Katakura (1794) in Japan and Siging (1617) in China were the first to record removal of nasal polyps in their respective countries