Pyramidenspitzeneiterung,Labyrinthitis, Meningitis,Sinusthrombose

Ohne ZusammenfassungHerrn Prof.Zange zum 60. Geburtstag.     

Allergy,immunology, psychosomatic,hypo- and hypertonus

Zusammenfassung Es wird der Einfluß seelischer oder psychischer Faktoren auf die Entstehung der Menièreschen Krankheit untersucht. Eine Wechselwirkung zwischen psychischen und physiologischen Faktoren wird angenommen.Die Konzentration von Immunglobulin E (IgE) erwies sich bei 28 Patienten mit fortgeschrittener Menièrescher Krankheit als normal. Die Blutanalysen von IgE Antikörpern (RAST) gegen 6 häufig vorkommende Allergene waren ebenfalls bei allen Patienten negativ. Die Ergebnisse zeigen, daß die akute Form der Überempfindlichkeitsreaktion in der Mehrzahl der Fälle ohne Bedeutung ist.Eine Hyperosmolarität wurde im Serum bei 34% der Patienten mit Menièrescher Krankheit festgestellt. Die Ursache der leicht erhöhten Serumosmolarität ließ sich noch nicht ermitteln. Sie mag der Ausdruck dafür sein, daß die Menièresche Krankheit ein Leiden ist, das den gesamten Organismus betrifft.

     

Neuroanatomie der Nn. opticus,trigeminus, facialis,glossopharyngeus, vagus,accessorius und hypoglossus

Ohne Zusammenfassung     

Nasalance,nasality, voice,and articulation after uvulopalatopharyngoplasty

OBJECTIVES/HYPOTHESIS: The main purpose of the study was to determine the impact of uvulopalatopharyngoplasty (UPPP) on nasalance and nasality. It was hypothesized that nasalance would change from the presurgical to the postsurgical condition because the surgical protocol involves removal of palatal tissue. An additional objective of the study was to provide objective and subjective data about changes in voice and articulation after UPPP. Because the surgical procedure of UPPP does not involve laryngeal tissue, it was hypothesized that the voice characteristics remain relatively stable. Because of removal of effective velar length, articulation problems of the uvular /R/ can occur in the Dutch language. STUDY DESIGN: Prospective study in which 26 men were studied before (1 week before UPPP) and after (3 weeks after UPPP) surgery. METHODS: The Nasometer was used to obtain nasalance scores. The mirror-fogging test, a perceptual evaluation of each subject's readings, and the Gutzmann and the Bzoch hypernasality tests were used for the assessment of nasality. For the assessment of articulation, a phonetic analysis was performed. Voice assessment included a perceptual rating of the voice and a determination of fundamental frequency. RESULTS: No significant differences were found between the conditions before and after surgery regarding nasalance (except for the vowel /i/), nasality, and voice. Regarding articulation, only 1 patient showed a derhotacized /R/. CONCLUSIONS: The findings of the study indicate that UPPP does not have an impact on nasality, voice, and articulation. Regarding nasalance, no significant nasalance change occurred after UPPP, except for the high vowel /i/.     

Office endoscopy--when, why, what, and how

Comprehensive diagnostic nasal endoscopy is a relatively recent advance in the office practice of rhinology. The examination is performed most commonly with 4.0-mm telescopes (0 and 30 degrees) and 2.7-mm telescopes (30 and 70 degrees). Nasal endoscopy provides the rhinologist with unparalleled visualization with brilliant illumination of the nasal cavity which permits more accurate diagnosis of nasal conditions. It also serves as an excellent teaching tool and source of photodocumentation.     

Form, function, growth, and craniofacial surgery

The introduction of craniofacial surgery in the early 1970's provided new treatment opportunities for patients previously ineligible for care and increased the number of patients presenting to multidisciplinary teams and private practitioners. Otolaryngologists together with other medical and paramedical professionals began to see patients whose overall phenotype was relatively unfamiliar. Complex craniofacial malformations raised questions concerned with the severity of the malformation process, the effect of growth, and the effect of surgery. For example, how does the anomalous craniofacial skeleton grow? Does the deformity become worse with time? Does it get better? Or does it stay the same? Additionally, how does surgery that is designed to restore form and function affect growth of the craniofacial complex? To answer these questions, this article examines the form, function, and pattern of craniofacial growth in four categories of malformations: cleft lip and palate, hemifacial microsomia, mandibulofacial dysostosis, and two of the craniofacial synostoses, the Apert and Crouzon syndromes. Each of these malformations is amenable to surgery. The timing and effect of surgery on growth are critical to successful habilitation and are discussed as part of the natural history of those anomalies.