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Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The correct management of mucoepidermoid tumours is still debatable because of their unpredictable biological course. The issue discussed is that of identifying biological characteristics of these tumours which may have predictive value. Sixteen patients with a mucoepidermoid tumour of the parotid gland, treated at the ENT Clinic of Bologna University over a 15-year period, were reviewed. The follow-up of each patient has been related to the surgical management, in order to evaluate whether superficial parotidectomy provides adequate treatment. No prognostic differences were noted between total and superficial parotidectomy when the latter was clinically appropriate. The histopathological specimens from these patients were reviewed in an attempt to correlate the histological grade of tumour with the course of the disease. Our data suggest that histological evaluation of malignancy alone is insufficient for accurate prognosis. We think that the clinical presentation (facial nerve palsy, pain, etc.) predicts the prognosis with greater accuracy.
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PMID:Mucoepidermoid tumour of the parotid gland: a very difficult prognostic evaluation. 360 8

The tiapride, usually prescribed in neurologic pathology, has been used in ENT carcinoma pain. On 30 cases of this study, we got 18 good results, that means a decrease of the pain in 60% cases. In all the cases, the tiapride was well tolerated.
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PMID:[Tiapride use in neoplasic algia (author's transl)]. 624 31

The efficacy of diclofenac suppositories was estimated in a two-centre, double-blind, placebo-controlled study comprising 97 patients (47 in the diclofenac group and 50 in the placebo group). The series from the two centres and patients in the two treatment groups were comparable. Immediately postoperatively, the patients received 100 mg diclofenac, followed by 50 mg in the evening and 50 mg in the morning after the operation, or placebo suppositories. The efficacy was assessed both by the patients and by the staff by marking on a visual analogue scale. Statistical analyses showed that diclofenac has a significant (p less than 0.001) effect on the pain associated with swallowing and on the general condition of the patients. The therapeutic gain was calculated to 50%. As a consequence of this study, treatment with diclofenac has been introduced in both ENT departments.
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PMID:Diclofenac (Voltaren). Pain-relieving effect after tonsillectomy. 638 Feb 10

Headaches are a frequent symptom in ENT-patients. The complex sensory innervation of the ear, nose and paranasal sinuses is demonstrated. Heterotopic or referred pain must be differentiated from homotopic pain that is experienced at the point of injury. The nervous pathways of heterotopic otalgia are shown. The quality of pain of the most common rhinological and otological diseases is reported.
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PMID:[Headaches caused by ENT diseases]. 638 2

The details of 37 children presenting a malignant tumor in the ENT-region (period 1950-1983) are presented and discussed. The prevalence was higher in boys than in girls and the most common tumors were non-Hodgkin lymphoma (n = 14) and rhabdomyosarcoma (n = 13). The most common primary sites were the nasopharynx (9 cases), the paranasal sinuses (7 cases) and the soft tissue in the parotid region (7 cases). In 23 children the presence of a painless tumor was the first symptom, in 11 pain was predominant. Only a minority (5 children) presented a limited tumor; in 20 children there was a local extension of the tumor and in 10 children metastases were present at the first visit. The beneficial role of chemotherapy and the necessity of a good teamwork in the treatment of these children is outlined. Of the 37 children, 14, (38%) are surviving; of these 14 children, 12 are off therapy and cured. It is demonstrated that the prognosis improved considerably since the last 14 years.
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PMID:Malignant otolaryngological tumors in children. 651 33

The authors report their experience, still short, of a new type of dressing based upon Silastic foam used in general surgery. They emphasise the considerable progress achieved in the everyday care of their patients with easy to manage dressings and the virtual disappearance of pain. This has transformed the patients' existence and has made early physiotherapy possible in certain of them. The simplicity of use of this dressing leads to savings in time and cost and if the patient is cooperative the possibility of widespread use at home by the patient himself. The properties of this foam form the basis for a wide range of indications going beyond general surgery, with applications in ENT, dermatology, rehabilitation centres, etc. Results are satisfactory in 90% of cases, the only failures being due to a failure to obey the basic principles of care: doubtful indication (inadequate disinfection of wounds), neglect of concomitant pathology (diabetes, nutritional state) or lack of patient cooperation.
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PMID:[A new concept of dressing: silastic foam]. 652 63

A small series of pain syndrome patients shows that disturbances of the head and neck motor system can lead to various pain syndromes as the vicious circle between pain and muscle tension is initiated by a triggering factor. These pain syndromes include varying combinations of the following symptoms: headache, referred otalgia, arthralgia of the temporomandibular joint, styloid syndrome, tendopathia of the hyoid bone, carotidynia, cervical dysphagia and probably most patients with superior laryngeal nerve neuralgia or glossopharyngeal neuralgia. A detailed differentiation of those syndromes is of little value for diagnostic and therapeutical purposes, because the mixed distribution of the pain irradiation does not indicate the localisation of the primary pathology. The pain syndromes of the head and neck motor system can be caused by temporomandibular joint pathology as well as by anatomical or functional alterations of the cervical spine. Acute exacerbations are triggered off by various influences such as inflammation, trauma, scarring after surgery or radiotherapy. Thus diagnostic and therapeutic measures must take into consideration both the motor system itself and any possible triggering factors. The problem frequently needs interdisciplinary co-operation. An attempt to handle the problem within the boundaries of a single discipline such as ENT, may lead to unnecessary and misleading steps. Guidelines for the management of such pain syndromes are outlined.
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PMID:[Pain syndromes of the head, neck and locomotor system--determining current status]. 674 25

The efficacy of two commercially available throat lozenges (test preparation with lysozyme, papain and bacitracin as active ingredients, comparative preparation with a disinfectant only) has been tested under conditions of a randomized clinical study. Two groups of 50 patients each with the indications pharyngitis and/or tonsillitis, acute or subacute, have been compared under the conditions of an ENT-practice. The efficacy of the test preparation was established by the general amelioration evaluated by physician and patient and the symptoms reddening, swelling and coating of the throat, pain on swallowing and hoarseness, swelling and pain of lymph nodes. It is supposed that this superiority is due to the enzyme lysozyme and papain in the test preparation.
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PMID:[Therapeutic comparison of throat lozenges (author's transl)]. 678 26

The authors report two cases of bullous rashes with an ENT onset: 1. a benign mucosal pemphigoid; 2. a pemphigus vulgaris. On the basis of these cases, they indicate the need to consider the possibility of bullous lesions in the presence of any persistent erosion of the nasal or bucopharyngeal mucosa, the diagnosis of which should be dominated by the identification of a possible pemphigus, the prognostic and therapeutic consequences of which remain serious. The clinical onset may be confined for a long period to the E.N.T. musoca. It may present with dysphagia and pain, or sometimes by simple epistaxis. The commonest diagnostic errors are aphthous ulcers and candidiasis which may, in the case of the latter, be associated with bullous lesions. They also report the possible problems which may result from endoscopic manoeuvres in the case of pemphigus. Any persistent erosion of the mucosae in the E.N.T. area should be evaluated by diagnostic cytology which would offer positive identification of pemphigus.
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PMID:[Problems of bullous lesions in E.N.T. Based upon two cases (author's transl)]. 699 56

Pain syndromes in ENT and otoneurological disturbances are often caused by disturbances of the cervical spine. Most of these cervical-vertebra disorders in ENT are caused by functional disorders of the cervical spine and not by pathological-anatomical disturbances due to anatomical facts. The pathophysiological connections are demonstrated on the example of the tendopathy of the hyoid bone. Successful therapy of functional disorders of the cervical spine is based on the diagnostic methods and therapeutical techniques of Manual Medicine. The importance of cervical-vertebra-functional disorders and of Manual Medicine for oto-rhino-laryngology is emphasized.
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PMID:[Significance of manual medicine for the otorhinolaryngologic practice. An example: hyoid bone tendopathy]. 716 Nov 56


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