RESUMEN
The results of 100 consecutive fine-needle punctures carried out in an otological practice are reviewed, discussed and compared with the literature. 93% diagnostic aspirates with negative predictive value of 0.97 and positive predictive value of 0.93 in histologically verified aspirates were obtained. It is concluded that fine-needle aspiration cytology is a very suitable method of investigation also in specialist practice.
Asunto(s)
Biopsia con Aguja , Enfermedades Otorrinolaringológicas/patología , Biopsia con Aguja/instrumentación , Estudios de Evaluación como Asunto , Reacciones Falso Negativas , Humanos , Estudios ProspectivosRESUMEN
Dermatoplasty for the treatment of epistaxis caused by HHT has become well established. A modification of Saunders' (1960) original dermatoplastic technique is described, which permits the nasolabial incision to be avoided. This retrospective study of the long-term effect on epistaxis caused by HHT demonstrates, in contrast to those with a short period of observation, that epistaxis can be partially controlled by means of dermatoplasty and, further, that it is impossible to eliminate completely the need for blood transfusion. In two of the patients it was found that newly formed telangiectases had occurred in the transplant 15 and 18 years post-operatively.
Asunto(s)
Epistaxis/cirugía , Trasplante de Piel , Telangiectasia Hemorrágica Hereditaria/complicaciones , Adulto , Anciano , Transfusión Sanguínea , Epistaxis/etiología , Femenino , Humanos , Masculino , Métodos , Persona de Mediana Edad , Periodo Posoperatorio , Estudios Retrospectivos , Telangiectasia Hemorrágica Hereditaria/cirugíaRESUMEN
A woman with substantiated well-preserved premorbid cochlear function developed right-sided anacusis due to a perilymph fistula twice at an interval of 20 months. The fistula was presumably a sequel to previous operative damage to the stapes footplate. On both occasions she was treated surgically with a good result.