[An analysis on SCL-90 of pharyngeal paraesthesia].

OBJECTIVE: To explore the mental health of the patients who suffered from pharyngeal paraesthesia, and investigate the effect of mental factors during the happening, development, therapy and turnover of the disease. METHOD: The Symptom Checklist 90 (SCL-90) was used to collect information,and all the data was dealed with SPSS 12.0. RESULT: (1) The total score of SCL-90 of pharyngeal paraesthesia was higher than the norm, and the score of positive items and average score of positive symptom were both significantly higher than the norm; (2) There was no differences between pharyngeal paraesthesia and the norm in terror factor while significant differences in the others; (3) There was no difference between male and female patients who suffered from pharyngeal paraesthesia. CONCLUSION: Compared with the normal, patients who suffered from pharyngeal paraesthesia had obvious mental symptoms, such as somatization, anxiety, depression et al.

[Clinical manifestation and laryngoscopic characteristics of laryngeal tuberculosis].

OBJECTIVE: To evaluate the clinical manifestations of laryngeal tuberculosis and its laryngoscopic characteristics. METHOD: Clinical analysis of 36 laryngeal tuberculosis cases confirmed pathologically was carried out retrospectively. RESULTS: The patients' ages ranged from 19 to 78 years old (median 39.5 years old). The male to female ratio was 1.8 to 1. The most frequent chief complaint was hoarseness (83.3%). The true vocal cord and the false vocal cord were usually found involved by fibrolaryngoscope observations. The lesions appearances were mainly the proliferation such as nodules or granules. The laryngostroboscopy demonstrated that the wave of the mucosa and vibration of the involved vocal cords were markedly reduced or disappeared. Among 24 patients with multiple lesions in the larynx, 19 (79.2%) had active pulmonary tuberculosis,while 9 (75.0%) had normal lung status among 12 patients with single lesions in the throat. All the patients received a full course of antituberculosis treatment. The results of the antituberculous medication was satisfactory in all 26 cases patients who can be followed up, while 10 cases were lost for the follow-up. CONCLUSIONS: The local clinical manifestations of laryngeal tuberculosis is nonspecific, while the whole manifestation is not apparent. The lesions commonly involve the true vocal cord and the false vocal cord. It can even occur without pulmonary tuberculosis.

[Postoperative rupture of carotid artery in head and neck neoplasms].

OBJECTIVE: To explore the treatment of neoplasms in head and neck invaded the carotid artery. METHODS: Four cases with postoperative rupture of carotid artery invaded by the head and neck cancer were reviewed. The tumours were taken off from the carotid arteries and the carotid artery remained. RESULT: Rupture of carotid artery occurred in 4 patients within one week after radical neck dissection. One patient died because of its rupture again after repair. The other three survived after ligating the artery. CONCLUSION: The carotid artery involved by tumour of head and neck should be prepared for resection before operation. If the artery was obviously invaded by the tumour, both the tumour and artery should be resected together. Once the rupture of the artery occurred after operation, the artery must be ligated instead of being repaired.