ABSTRACT
The technique of long-term middle ear ventilation using a tympanotomy technique is presented. This has proved successful in the management of persistent middle ear effusion despite numerous previous short- and intermediate-term tympanic membrane ventilation tubes. The technique is particularly appropriate in the presence of severe tympanosclerosis as a result of previous tympanostomy tubes, posterior tympanic membrane collapse and adhesion, and atelectasis.
Subject(s)
Middle Ear Ventilation/methods , Otitis Media with Effusion/surgery , Tympanic Membrane/surgery , Adolescent , Child , Child, Preschool , Chronic Disease , Humans , Postoperative Complications , Reoperation , Time Factors , Treatment OutcomeABSTRACT
Four case reports of relapsing polychondritis, (RP), are presented, together with a literature review and management suggestions. There are approximately 211 reported cases in world literature making RP an uncommon condition associated with high morbidity and mortality rates. The key to the management of RP is based on accurate and early diagnosis though the ideal medical regimen has yet to be elucidated.
Subject(s)
Polychondritis, Relapsing/pathology , Aged , Aged, 80 and over , Azathioprine/therapeutic use , Drug Therapy, Combination , Female , Humans , Male , Middle Aged , Polychondritis, Relapsing/drug therapy , Prednisolone/therapeutic useABSTRACT
Eleven patients who had undergone pharyngolaryngectomy and who had poor or no speech were studied to find out why. An absent oesophageal stripping wave and the presence of a 'sump effect' are described. It is concluded that these are two positive anatomical factors mitigating against the acquisition of oesophageal speech in pharyngolaryngectomized patients.
