| 1. |
- Hanner, P, et al.
(författare)
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Clinical observations of effects on central nervous system in patients with acute facial palsy.
- 1987
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Ingår i: Archives of otolaryngology--head & neck surgery. - 0886-4470. ; 113:5, s. 516-20
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Tidskriftsartikel (refereegranskat)abstract
- Twenty-eight consecutive patients with acute unilateral facial palsy were examined with special reference to clinical signs of central nervous system involvement. The clinical investigation in the acute stage of the disease showed that only seven patients had solitary facial nerve dysfunction, while the remaining patients had evidence of more widespread disease involvement. The most frequent finding was a trigeminal dysfunction of the paretic side, as shown by paresthesia and sensibility disturbance corresponding to the sensoritrigeminal area, as well as a dysfunction of the trigeminal component of the corneal reflex of the paretic side. Three patients showed migrating symptoms that were suggestive of a brain-stem disorder. In addition, four patients had an optic neuropathy, while an abnormal brain-stem audiometry response was demonstrated in five patients. The outcome of acute facial palsy one to two years after onset, however, could not be predicted from the clinical central nervous system signs. The degree of the palsy in the acute stage of the disease still seemed to be one of the most important prognostic factors. It is concluded that acute facial palsy is not a single entity, but rather a feature of different neurologic conditions.
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| 2. |
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| 3. |
- Söderberg, Ove, 1942-
(författare)
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Transmyringeal middle ear ventilation : an experimental approach to evaluation of its benefits and consequences
- 1985
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- A prerequisite for a functioning middle ear is an air-filled middle ear cavity. Aeration of the middle ear cavity is controlled by the Eustachian tube. Dysfunction of the Eustachian tube has long been acknowledged as a significant etiological factor in disorders of the middle ear, especially middle ear effusions. Artificial ventilation of the middle ear through the tympanic membrane has been practised for almost two centuries, but with varying degrees of success. In 1954, Armstrong reintroduced the method of inserting a transmyringeal tympanostomy tube into the ear drum. Since that time this ventilatory device has gained wide popularity and several types of tube have been designed. However, an increasing number of clinical reports have shown treatment with tympanostomy tubes to be followed by complications such as tympanosclerosis, atrophy, persistent perforations and cholesteatomas.In the present thesis, experiments were outlined in which the tympanostomy tube - tympanic membrane interaction was studied and in which tympanostomy tubes were also applied in a well-defined type of otitis media. Furthermore, alternative transmyringeal ventilatory procedures such as myringotomies with a delayed healing time were investigated. The results were evaluated with morphological and microbiological methods.Repeated tympanostomy tube insertions in ears of healthy rats caused a remarkable thickening (about 30-fold) of the tympanic membrane of the tubulated quadrants, but even the untouched quadrants were affected. The thickened areas were characterized mainly by an increase in dense connective tissue which also contained sclerotic plaques. The structural changes in the tympanic membrane were still present 3 months after the final ventilation episode.Cleavage of the rat soft palate caused an immediate accumulation of effusion material in the tympanic cavity due to disturbance of Eustachian tube function. The fluid turned purulent within one to two weeks. The microbial flora of the middle ear cavity correlated well with that of the nasopharynx, indicating an ascending infection. Insertion of a tympanostomy tube could prevent the accumulation of effusion material in the meso- and hypotympanon and significantly suppress bacterial growth in the middle ear cavity.Thermal energy-inflicted myringotomies were tested as an alternative method for establishing transmyringeal ventilation. Myringotomies performed either with a CCL-laser or by diathermy showed a delayed healing pattern, most probably due to widespread destruction of the outer keratinized squamous epithelium and damage to the vascular supply. Upon comparison, laser myringotomies appeared more favourable due to their longer closure times, whereas the perforations accomplished by diathermy were often complicated by otorrhea and showed more advanced structural changes.
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| 4. |
- Boniver, R, et al.
(författare)
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Medico-legal in ORL
- 1988
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Ingår i: Acta Oto-Rhino-Laryngologica Belgica. - 0001-6497. ; 42:6, s. 722-771
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Tidskriftsartikel (refereegranskat)
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| 5. |
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| 6. |
- Cervin, Anders, et al.
(författare)
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Relations between blood flow and mucociliary activity in the rabbit maxillary sinus
- 1988
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Ingår i: Acta Oto-Laryngologica. - : Informa UK Limited. - 1651-2251 .- 0001-6489. ; 105:3-4, s. 350-356
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Tidskriftsartikel (refereegranskat)abstract
- The effects of two sympathomimetic drugs on mucociliary activity and mucosal blood flow in the rabbit maxillary sinus were investigated by using a photo-electric technique (mucociliary activity) and laser Doppler flowmetry (blood flow). The responses produced were compared with effects of ligation of the external carotid artery. The alpha 1-agonist phenylpropanolamine (0.1-100 micrograms/kg) had no effect on the mucociliary activity, whereas the blood flow was reduced by 33.8 +/- 8.9% (mean +/- SE) when the dose was 100 micrograms/kg. The alpha 2-agonist xylometazoline (0.01-10.0 micrograms/kg) reduced mucociliary wave frequency by 21.6 +/- 4.6% (mean +/- SE) (maximum) for the dose 10 micrograms/kg. The blood flow was reduced by xylometazoline in the interval 1.0 to 10.0 micrograms/kg, with a maximum decrease of 65.8 +/- 2.6% (mean +/- SE) for the dose of 10 micrograms/kg. Ligature of the external carotid artery reduced blood flow by 76.0 +/- 4.6% (mean +/- SE), but did not significantly influence the mucociliary wave frequency. It is concluded that the decrease in mucociliary activity induced by alpha 2-adrenoceptor agonists is not due to a reduced blood flow.
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| 7. |
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| 8. |
- Enbom, Håkan, et al.
(författare)
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Presentation of a posturographic test with loading of the proprioceptive system
- 1988
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Ingår i: Acta Oto-Laryngologica, Supplement. - 0365-5237. ; 455, s. 58-61
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Postural control is maintained by sensory feedback from visual, vestibular and somatosensory receptors. Recently several methods for evaluating postural control have been devised, utilizing an imposed perturbation. Most of these methods use stimuli which simultaneously affect more than one of the sensory feedback loops. In the present paper a posturographic technique is presented with specific loading of the proprioceptive system, using a computer controlled vibratory stimulus and computerized analysis of the results.
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| 9. |
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| 10. |
- Grenner, Jan, et al.
(författare)
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Action potential threshold elevation in the guinea-pig as a function of impact noise exposure energy
- 1988
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Ingår i: Audiology. - : Informa UK Limited. - 0020-6091. ; 27:6, s. 356-366
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Tidskriftsartikel (refereegranskat)abstract
- Eighteen groups of guinea pigs were exposed to a simulated impact noise for periods of 1.5-24 h. The peak level was kept constant at 131.5 dB and the repetition rate was varied to give seven different equivalent levels (Leq) between 96 and 117 dB. The auditory thresholds were assessed by electrocochleography after 1 month and compared with those of a control group. Significant damage occurred even at the lowest exposure energy used. When the total exposure energy was expressed on a decibel scale, the threshold elevation (1-10 kHz) increased 1.07 dB for each decibel increase in the exposure energy, regardless of the combination of Leq and exposure time. The results of the study thus support the equal-energy hypothesis under these conditions.
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