ABSTRACT
Cooling the nape of the neck is said to induce reflex constriction of the mucosal vessels of the nose, but there is no general agreement in the literature on the benefit of an ice pack as an adjuvant treatment of epistaxis. We investigated this effect by rhinomanometry, and the results provided theoretical support for this well tried therapy.
Subject(s)
Airway Resistance/physiology , Cryotherapy , Epistaxis/therapy , Nasal Mucosa/blood supply , Adolescent , Adult , Epistaxis/physiopathology , Female , Humans , Male , Middle Aged , Muscle, Smooth, Vascular/innervation , Spinal Nerve Roots/physiopathologyABSTRACT
About 30 cases of a persistent stapedial artery have been described in the literature so far. It is usually associated with other malformations, suggesting an inhibition of normal embryonic development. For the first time, it was possible to demonstrate this using high-resolution computed tomography.
Subject(s)
Arteries/abnormalities , Hearing Disorders/etiology , Stapes/blood supply , Adult , Female , Humans , Stapes/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
Acute and chronic ear infection can lead to intracranial complications, brain abscess and meningitis being the most serious. The clinical picture, diagnosis and therapeutic guidelines are discussed. The important role of interdisciplinary management is emphasised by a case report.
Subject(s)
Brain Abscess/pathology , Otitis Media/complications , Adult , Basilar Artery/pathology , Brain Abscess/surgery , Brain Stem/pathology , Cerebral Ventricles/pathology , Cholesteatoma/pathology , Humans , Intracranial Aneurysm/pathology , Labyrinth Diseases/pathology , Male , Meningitis/pathology , Meningitis/surgery , Postoperative Complications/pathology , Pseudomonas Infections/complications , Recurrence , Staphylococcal Infections/complications , Tomography, X-Ray ComputedABSTRACT
In the course of the use of carrier- bounded radioactive substances for the treatment of the vocal cord carcinoma, 113 patients with a vocal cord carcinoma were treated with radium contact irradiation after thyroid cartilage windowing at the ENT University Clinic Essen. The period of study extended from 1972 to 1983. 88,6% of the patients with vocal cord carcinoma, who showed a typical localisation for radium contact irradiation, became recurrence-free. About 88,0% of the patients, who were led through an irradiation treatment of extended indication, became recurrence-free. A normal vocal function was achieved in 71,7% of all cases.
Subject(s)
Brachytherapy , Carcinoma, Squamous Cell/radiotherapy , Laryngeal Neoplasms/radiotherapy , Radium/administration & dosage , Vocal Cords , Evaluation Studies as Topic , Female , Follow-Up Studies , Humans , Male , Middle Aged , Neoplasm Recurrence, Local , Time FactorsABSTRACT
Acute and chronic ear infection can lead to intracranial involvement. We report on a case in which two typical cerebral complications followed a chronic otitis media. It seemed that there was no causal relationship between brain abscess and meningitis. The meningitis itself was complicated by rupture of an infectious intracranial aneurysm with fatal outcome. We have not been able to find a similar case in the literature. Clinical picture and therapeutic management are discussed.
Subject(s)
Aneurysm, Infected/surgery , Brain Abscess/surgery , Intracranial Aneurysm/surgery , Otitis Media/complications , Postoperative Complications/surgery , Pseudomonas Infections/complications , Pseudomonas aeruginosa , Tomography, X-Ray Computed , Adult , Aneurysm, Infected/diagnostic imaging , Aneurysm, Infected/pathology , Basilar Artery/pathology , Brain Abscess/diagnostic imaging , Brain Abscess/pathology , Cholesteatoma/surgery , Humans , Intracranial Aneurysm/diagnostic imaging , Intracranial Aneurysm/pathology , Male , Mastoid/surgery , Otitis Media/surgery , Postoperative Complications/diagnostic imaging , Postoperative Complications/pathology , Pseudomonas Infections/surgery , Reoperation , Subarachnoid Hemorrhage/diagnostic imaging , Subarachnoid Hemorrhage/pathology , Subarachnoid Hemorrhage/surgeryABSTRACT
There is no objective correlate for a reduction of the absolute threshold of excitability of the vestibular organ during subliminal rotation by the exposition of transient light stimuli, i.e. an intermodal vestibulo-optical transformation, which is supposed to be possible in aesthesiophysiology. Only on rotation at a speed near the limit threshold value, pseudomotions of the exposed lighting point will occur. However, these are the consequences of an eye movement reflex, of fixation or cervical reflexes, i.e. a phenomenal event, and not an exteroceptive measure for the identification of subliminar vestibular stimuli.
Subject(s)
Electronystagmography/instrumentation , Reflex, Vestibulo-Ocular , Vestibular Function Tests/instrumentation , Acceleration , Adolescent , Adult , Child , Humans , Orientation/physiology , Signal Processing, Computer-Assisted/instrumentation , Vestibule, Labyrinth/physiologyABSTRACT
Follow up of 45 patients who had undergone a surgical voice rehabilitation by Asai's or Staffieri's method showed clearly that the main problem of such operations is not the restoration of a good voice but the guarantee of a normal swallow. The low position of the tracheo-pharyngeal fistula in Staffieri's operation is particularly disadvantageous and often requires surgical closure of the neoglottis. A strict pre-operative assessment is indicated before all operative methods for voice rehabilitation. Oesophageal speech remains the best voice after laryngectomy and operative reconstruction is relegated to second place.
Subject(s)
Larynx, Artificial/methods , Speech, Alaryngeal , Aged , Evaluation Studies as Topic , Female , Follow-Up Studies , Humans , Male , Speech, Alaryngeal/instrumentation , Speech, Alaryngeal/methods , Speech, Esophageal , Time FactorsABSTRACT
The results of chemotherapy for T3 and T4 squamous cell carcinoma of the oropharynx treated by chemotherapy, surgery and irradiation (n = 19), or by surgery plus irradiation (n = 28) were analysed. The two groups were similar as regards site and extent of the tumour, but the first group had a much worse prognosis. The selection of the patients, the method and results of therapy are described. The probable reasons for the failure of the chemotherapy are discussed.
Subject(s)
Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Carcinoma, Squamous Cell/drug therapy , Oropharyngeal Neoplasms/drug therapy , Pharyngeal Neoplasms/drug therapy , Carcinoma, Squamous Cell/pathology , Combined Modality Therapy , Female , Humans , Male , Neoplasm Staging , Oropharyngeal Neoplasms/pathologySubject(s)
Cough/etiology , Puberty , Adolescent , Child , Cough/psychology , Cough/therapy , Female , Humans , Male , Tic Disorders/diagnosisABSTRACT
A case of retrograde internal jugular thrombophlebitis in a 59-year old male patient is described following catheterization of the superior vena cava through the basilic vein.
