| 1. |
- Blomstedt, Patric
(författare)
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Tracheostomy in ancient Egypt
- 2014
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Ingår i: Journal of Laryngology and Otology. - 0022-2151 .- 1748-5460. ; 128:8, s. 665-668
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Forskningsöversikt (refereegranskat)abstract
- It has often been reported that the ancient Egyptians performed tracheostomies. An analysis of this claim demonstrates it to be founded on only two depictions from the Protodynastic period (thirty-first century BC). These depictions are difficult to reconcile with tracheostomy from an anatomical point of view and can more easily be explained as human sacrifices. Considering that Egyptian surgery included only minor procedures even at its zenith during later dynastic periods, it is difficult to imagine that they would have developed such an advanced procedure at such an early date.
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| 2. |
- Korres, S., et al.
(författare)
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Prognosis of patients with idiopathic sudden hearing loss : role of vestibular assessment
- 2011
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Ingår i: Journal of Laryngology and Otology. - : Cambridge University Press. - 0022-2151 .- 1748-5460. ; 125:3, s. 251-257
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To evaluate the correlation between caloric and vestibular evoked myogenic potential test results, initial audiogram data, and early hearing recovery, in patients with idiopathic sudden hearing loss.Materials and methods: One hundred and four patients with unilateral idiopathic sudden hearing loss underwent complete neurotological evaluation. Results for vestibular evoked myogenic potential and caloric testing were compared with patients' initial and final audiograms.Results: Overall, abnormal vestibular evoked myogenic potential responses occurred in 28.8 per cent of patients, whereas abnormal caloric test results occurred in 50 per cent. A statistically significant relationship was found between the type of inner ear lesion and the incidence of profound hearing loss. Moreover, a negative correlation was found between the extent of the inner ear lesion and the likelihood of early recovery.Conclusion: In patients with idiopathic sudden hearing loss, the extent of the inner ear lesion tends to correlate with the severity of cochlear damage. Vestibular assessment may be valuable in predicting the final outcome.
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| 3. |
- Manchaiah, Vinaya K. C., et al.
(författare)
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The patient journey of adults with sudden-onset acquired hearing impairment : a pilot study
- 2012
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Ingår i: Journal of Laryngology and Otology. - : Cambridge University Press (CUP). - 0022-2151 .- 1748-5460. ; 126:5, s. 475-481
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Tidskriftsartikel (refereegranskat)abstract
- Objective: A previous study examined the patient journey of adults with gradual-onset acquired hearing impairment. This study examined the same for adults with sudden-onset acquired hearing impairment, and assessed differences. less thanbrgreater than less thanbrgreater thanStudy design: Data were collected from 16 audiologists, using the Ida Institute template, and from four adults with sudden-onset acquired hearing impairment, through semi-structured interviews. Data were analysed using thematic analysis and presented using a process mapping model. less thanbrgreater than less thanbrgreater thanResults: A patient journey template for sudden-onset acquired hearing impairment was developed based on the professionals and patients perspectives. The main difference between these two groups perspectives was seen in the self-evaluation phase: some stages within this phase were recognised by the patients but not by the professionals. The main difference between the current and the previous study was the absence of a pre-awareness phase in the journey described by patients with sudden-onset acquired hearing impairment, compared with that described by patients with gradual-onset acquired hearing impairment. less thanbrgreater than less thanbrgreater thanConclusion: Patient journey templates could be useful counselling tools for ear and hearing healthcare specialists. However, such templates should be used only as a baseline; it is important to take a detailed case history to understand each patients unique experience, including the psychosocial impact of hearing impairment.
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| 4. |
- Sjögreen, Lotta, 1954, et al.
(författare)
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Facial palsy in individuals with thalidomide embryopathy: frequency and characteristics
- 2012
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Ingår i: Journal of Laryngology and Otology. - : Cambridge University Press (CUP). - 0022-2151. ; 126:9, s. 902-906
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Tidskriftsartikel (refereegranskat)abstract
- Background: Earlier studies have shown that individuals with thalidomide embryopathy can have skeletal deformities, ear and eye aberrations, and facial palsy. This study aimed to survey the frequency and characteristics of facial palsy in this group of individuals. Participants: Thirty-one individuals with thalidomide embryopathy (age range, 45-47 years) and 25 healthy adults (age range, 41-56 years; mean age +/- standard deviation, 49 +/- 4.2 years). Main outcome measures: Voluntary facial movements, lip force and three-dimensional lip motion analysis. Results and conclusion: Four of the thalidomide embryopathy individuals (13 per cent) had congenital facial palsy. All four had eye aberrations, three had ear anomalies and one had a limb anomaly. Individuals with thalidomide embryopathy without a clinical diagnosis of facial impairment had significantly weaker lips and more restricted lip mobility than healthy controls. This study contributes to the overall lcnowledge of thalidomide embryopathy by adding a description of how facial expression can be affected in this condition.
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| 5. |
- Thunberg, Ulrica, 1967-, et al.
(författare)
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Anterior rhinoscopy and middle meatal culture in acute rhinosinusitis
- 2013
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Ingår i: Journal of Laryngology and Otology. - : Cambridge University Press. - 0022-2151 .- 1748-5460. ; 127:11, s. 1088-1092
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To assess the use of bacterial culture findings for middle meatal samples obtained via anterior rhinoscopy, in the diagnosis of adults with acute rhinosinusitis.Materials and methods: Microbial cultures were prepared for 30 adult patients with acute rhinosinusitis and suspected bacterial involvement, using samples from the nasopharynx, and from the nasal middle meatus obtained via anterior rhinoscopy. Findings for the ipsilateral maxillary antrum were used as a reference.Results: Seventeen patients had a bacterial infection as verified by a positive culture from the maxillary antrum. Middle meatal samples had a similar sensitivity but a better specificity, positive predictive value and negative predictive value, compared with nasopharyngeal samples, although predictive values were not statistically significant at a 95 per cent confidence level.Conclusion: Anterior rhinoscopy with culture of middle meatal samples can be recommended as a diagnostic procedure for acute rhinosinusitis. The results can also guide the decision on antibiotic treatment.
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| 6. |
- Westerberg, J, et al.
(författare)
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Ten-year myringoplasty series: does the cause of perforation affect the success rate?
- 2011
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Ingår i: JOURNAL OF LARYNGOLOGY AND OTOLOGY. - : Cambridge University Press. - 0022-2151 .- 1748-5460. ; 125:2, s. 126-132
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To present the results of primary myringoplasty procedures together with the perforation cause, perforation size and site, surgeons experience, and surgical method, and to investigate how these factors relate to graft take rates. Study design: Retrospective chart review of 243 consecutive patients undergoing primary myringoplasty with temporalis fascia underlay over a 10-year period from 1994 to 2004. Results: The overall graft take rate was 95 per cent. The retroauricular approach resulted in a 97 per cent graft take rate, whereas a significantly lower rate (77 per cent) was seen for surgery conducted via the endaural approach, or via an ear speculum. There was no relationship between other factors and tympanic membrane healing. Conclusion: No association was found between perforation cause and graft take rate. The underlay technique is safe and reliable, and the retroauricular approach is preferable as it enables good surgical access and has better results.
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