Asunto(s)
Implantación Auditiva en el Tronco Encefálico/métodos , Implantación Coclear/métodos , Sordera/congénito , Sordera/cirugía , Nervio Vestibulococlear/anomalías , Adolescente , Factores de Edad , Implantación Auditiva en el Tronco Encefálico/efectos adversos , Umbral Auditivo , Niño , Preescolar , Implantación Coclear/efectos adversos , Implantes Cocleares , Estudios Transversales , Sordera/diagnóstico , Femenino , Estudios de Seguimiento , Pérdida Auditiva Central/congénito , Pérdida Auditiva Central/diagnóstico , Pérdida Auditiva Central/cirugía , Humanos , Lactante , Percepción Sonora/fisiología , Imagen por Resonancia Magnética/métodos , Masculino , Complicaciones Posoperatorias/fisiopatología , Cuidados Preoperatorios/métodos , Valores de Referencia , Sistema de Registros , Medición de Riesgo , Percepción del Habla/fisiología , Tomografía Computarizada por Rayos X/métodos , Resultado del Tratamiento , Nervio Vestibulococlear/patologíaRESUMEN
OBJECTIVE: To assess clinical improvement and quality of life measures in patients who had undergone tonsillectomy for recurrent acute and chronic tonsillitis between March 2004 and March 2005. METHOD: A retrospective survey of all adults and children who had undergone tonsillectomy for recurrent acute and chronic tonsillitis. Patients were asked to compare their symptoms for the 12-month period before and after tonsillectomy. RESULTS: A review of 100 patients revealed that, following tonsillectomy: their days off work (or school) due to sore throat reduced by 95.3 per cent (from a mean of 27.6 to 1.3 days; confidence intervals 89.7 and 99.6 per cent); their visits to their general practitioner due to sore throat reduced by 95.6 per cent (from a mean of 7.9 to 0.4 visits; confidence intervals 93.8 and 95.1 per cent); and more than 90 per cent reported improved feelings of well-being, general health and energy. CONCLUSION: We conclude that tonsillectomy is of benefit for patients with recurrent acute and chronic tonsillitis. Tonsillectomy significantly reduced general practitioner attendances and resulted in an improved feeling of health and well-being.
Asunto(s)
Calidad de Vida , Tonsilectomía , Tonsilitis/cirugía , Absentismo , Análisis Costo-Beneficio , Femenino , Estado de Salud , Humanos , Masculino , Visita a Consultorio Médico/estadística & datos numéricos , Satisfacción del Paciente , Calidad de Vida/psicología , Estudios Retrospectivos , Índice de Severidad de la Enfermedad , Encuestas y Cuestionarios , Tonsilectomía/psicología , Resultado del TratamientoRESUMEN
Lemierre's syndrome is characterized by acute oropharyngeal infection complicated by internal jugular venous thrombosis secondary to septic thrombophlebitis, and metastatic abscesses. We report a case of Lemierre's syndrome in an 18-year-old Caucasian woman presenting with a peritonsillar abscess and ipsilateral VIth cranial nerve palsy.
Asunto(s)
Enfermedades del Nervio Abducens/diagnóstico , Venas Yugulares , Absceso Peritonsilar/diagnóstico , Trombosis de la Vena/diagnóstico , Enfermedades del Nervio Abducens/tratamiento farmacológico , Adolescente , Antibacterianos/uso terapéutico , Cefotaxima/uso terapéutico , Femenino , Estudios de Seguimiento , Heparina de Bajo-Peso-Molecular/uso terapéutico , Humanos , Imagen por Resonancia Magnética , Metronidazol/uso terapéutico , Absceso Peritonsilar/tratamiento farmacológico , Flebografía , Síndrome , Tinzaparina , Trombosis de la Vena/tratamiento farmacológicoRESUMEN
. Involving patients and parents in the choice of their cochlear implant encourages an active role in the process and facilitates 'bonding' and 'ownership' of the device. . The most frequent reasons given by patients for selecting a device included cochlear implant comfort and appearance. . We describe the Implant Programme based at the Royal National Throat, Nose and Ear Hospital, London, and also examine patient satisfaction with the scheme.
Asunto(s)
Implantes Cocleares/psicología , Toma de Decisiones , Padres , Participación del Paciente , Adulto , Anciano , Niño , Preescolar , Femenino , Humanos , Lactante , Masculino , Persona de Mediana Edad , Diseño de Prótesis , Encuestas y CuestionariosRESUMEN
Glomus tumours of the skull base are rare, and most frequently present with symptoms of hearing loss and tinnitus. Diagnosis is often delayed due to the slow growth of the tumour. We describe the previously unreported occurrence of a glomus tumour presenting with a unilateral accessory nerve palsy.
Asunto(s)
Enfermedades del Nervio Accesorio/etiología , Tumor del Glomo Yugular/complicaciones , Parálisis/etiología , Enfermedades del Nervio Accesorio/patología , Adulto , Femenino , Tumor del Glomo Yugular/clasificación , Tumor del Glomo Yugular/patología , Humanos , Imagen por Resonancia Magnética , Base del Cráneo/patología , Tomografía Computarizada por Rayos XRESUMEN
Dressings tied over skin grafts reduce the size of dead space, prevent haematoma formation, and immobilize the grafts [McCarthy, Plastic Surgery, 1990]. Their mechanism of action was thought to include the application of pressure to the bed and stabilization of the graft and dressing. A quantitative analysis of the pressure exerted by these dressings has never been reported [Wolf at al., Ann Plast Surg 40 (1998) 149]. This study measures the pressure exerted by tie-over dressings at the graft-bed interface and finds that no significant pressure is exerted.
Asunto(s)
Vendajes , Trasplante de Piel/métodos , Humanos , Presión , Estudios ProspectivosRESUMEN
Petroleum products are highly complex chemical mixtures consisting predominantly of hydrocarbons. Their composition varies with source and intended use of the product. Virtually all are blended products that come into contact with man in a wide range of circumstances. Their toxicity for man is generally low and the use of additives rarely affects the toxicity of the final product. Because products are blended to meet performance, and not chemical specifications, their composition varies significantly. Management of toxicity benefits from simplified guidelines that consider the product by its type. Management in most cases is symptomatic, but the doctor needs to be aware of the potential for development of sequelae such as aspiration pneumonia and central nervous system (CNS) depression. Local and systemic effects of exposure to hydrocarbons are reviewed, as are immediate assessment and recommended management of acute exposure to petroleum products. Because of the large scope of this subject, this paper limits itself to acute toxicity of petroleum products encountered inthe public domain. It does not address topics such as chronic toxicity, solvent abuse, petrochemicals, or pesticides.