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Query: UMLS:C0262471 (ENT)
 5,307 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

In a prospective study of 505 hearing impaired and deaf students conducted at Children's Hospital Eye Clinic, 48.7% were found to have significant ocular abnormalities. The prevalence of myopia, astigmatism, and pathological intraocular changes was found to be significantly increased over the general population. In addition, the prevalence of ocular abnormalities generally increased with the severity of the hearing loss. Of importance was the high prevalence of rubella-consistent abnormalities in the hearing impaired and deaf student populations. Rubella syndrome may be responsible for a major portion of high refractive errors and ocular pathological changes. It is recommended that ENT specialists and pediatricians be aware of the nearly 50% chance of ocular abnormality in hearing impaired and deaf students, and that ophthalmologic examination may be valuable for identification or confirmation of the etiology of hearing impairment.
Ear Nose Throat J 1992 Dec
PMID:A prospective study of ocular abnormalities in hearing impaired and deaf students. 148 2

Three hundred and twenty eight children of British servicemen serving in West Germany were studied in order to ascertain any relationship between parental smoking and the presence of middle ear effusion. The age range of the children was 18 months to 8 years. A questionnaire was completed by the parents of each child, and clinical examination and audiological tests demonstrated the presence or otherwise of middle ear effusions. One hundred and sixty four patients who had been referred with otological symptoms to the Ear, Nose and Throat Out Patient Department (ENT OPD) were surveyed, as were 164 other patients drawn from the Paediatric, Orthopaedic and Ophthalmic Out Patient Departments (OPDs) at BMH Rinteln. These 2 groups had similar age and sex distributions. The presence of middle ear effusions amongst children attending the ENT OPD was strongly associated with maternal cigarette smoking. This finding implies that mothers should not smoke at all in the same living accommodation as that used by their children. Paternal cigarette smoking showed no significant association with the presence of middle ear effusions.
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PMID:Passive smoking and middle ear effusions in children of British servicemen in West Germany--a point prevalence survey by clinics of outpatient attendance. 202 67

This retrospective, comparative study involves 13 patients with sphenoiditis from 2 specialist centres: the Royal National Throat, Nose and Ear Hospital, Gray's Inn Road (7 patients) and the National Hospital for Nervous Diseases, Queen's Square (6 patients). It was found that the ENT patients had a very much longer history, had more nasal symptoms, and suffered none of the neurological complications attributable to the disease. All the neurological patients presented with a complication after a comparatively short history and had few nasal symptoms. One ENT patient was found to have a mucopyocoele, whereas 5 were found in the neurological patients, all of whom had bony deficiencies demonstrated by radiology and at surgery. Once diagnosed and treated the ENT patients all made full recoveries while 3 of the neurological patients remain with sequelae of the disease. Our study suggests that dehiscences of the surrounding bone increase the risk of potentially serious intracranial problems from sphenoiditis, whereas the chronicity of symptoms is of secondary importance.
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PMID:The sphenoiditis spectrum. 203 51

Diving is a sport presenting unique environmental and physiological hazards to its participants. Despite this, scuba diving is an enjoyable and safe hobby, with an estimated rate of 250,000 new divers certified each year. The ears, nose, and paranasal sinuses are the source of the most common problems in divers. Proper otorhinolaryngic medical examination is vital in the certifying of diving candidates and in routine examinations of active scuba divers. Most authorities agree on major guidelines applicable in ENT examination, although some points are a matter of controversy. Based on the major sources on the subject and our own experience, we have listed disqualifying disorders and relative or temporary contraindications for sport scuba diving. Although there are no regulations specifying medical standards for sport divers in the United States, we have tried to provide guidelines for the general practitioner and ENT specialist engaging in an otolaryngic medical examination of a sport scuba diver.
Ear Nose Throat J 1990 Aug
PMID:Otolaryngic examination of the sport scuba diver. 239 6

Thirteen cases of sarcoidosis were seen at the Royal National Throat, Nose and Ear Hospital and St George's Hospital, Tooting, between 1963 and 1984 inclusive. In only 5 patients had a diagnosis of sarcoidosis been made prior to attendance. In the remaining 8 patients, there was a considerable delay in making a diagnosis in those cases with predominantly nasal symptoms, ranging from 8 to 18 months. Several patients with nasal sarcoidosis had evidence of systemic disease on investigation, but did not receive appropriate treatment early in the course of their disease because of the delay in initial diagnosis. Both the ENT surgeon and the general practitioner must be aware that symptoms of nasal obstruction, rhinorrhea and crusting are not always due to an allergic or vasomotor rhinitis, and granulomatous conditions should always be considered in the differential diagnosis of patients with these symptoms.
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PMID:Sarcoidosis in ENT practice. 384 52

A Nose Clinic, run jointly by an ENT surgeon and a chest physician, has been established to consider the relationship between diseases affecting the upper and lower parts of the respiratory tract and the contribution of malfunctioning respiratory defence mechanisms to such disease. The logistics of the clinic are described. Initial results suggest that mucociliary clearance abnormalities, immunity deficiencies and secondary infection in allergic rhinitis underlie a number of conditions presenting to ENT clinics. It is proposed that investigation of such patients leads to a better understanding of the pathogenesis of these conditions and, hence, a more logical approach to both medical and surgical treatment. It is suggested that early recognition and treatment of such underlying abnormalities may avoid irreversible damage.
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PMID:A nose clinic: initial results. 661 54

Ear, Nose, and Throat is traditionally a surgical specialty. Allergy, however, is involved in the symptoms of many ENT patients. The Rinkel Technique for diagnosis and treatment of allergy is available to the interested otolaryngologist. Only a small amount of office space is required for developing an allergy practice. A nurse or technician trained in the Rinkel method is essential. The results of allergy patients can be just as satisfying as surgical successes.
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PMID:Otolaryngologic allergy. Its diagnosis and treatment. 738 15

Videography is the most practical and effective method of documenting and teaching ENT endoscopy. Videography allows: (1) documentation of anatomy, physiology and pathology of deep structures of the ear, nose and throat; (2) teaching of delicate surgical procedures such as functional endoscopic sinus surgery (FESS), laryngeal surgery, and other endoscopic procedures; (3) instantaneous production of high quality hard copies of video images for teaching and patient records; (4) instant replay and repeated viewing by a slow motion or frame-by-frame analysis; (5) simultaneous viewing by a small or large audience; and (6) image digitalization for storage in the computer for later analysis. The author describes the value of videography in ENT endoscopy, namely video-otoscopy, video rhinoscopy and videolaryngoscopy. The use of video in endoscopy will continue to play a vital role in Continuing Medical Education (CME).
Ear Nose Throat J 1994 Oct
PMID:The use of video in ENT endoscopy: its value in teaching. 780 96

A prospective study was carried out on 25 consecutive patients referred to an outpatient clinic at The Royal National Throat, Nose and Ear Hospital, with a medical letter suggestive of sinusitis, to test the hypothesis that the diagnosis of inflammatory sinus disease could be made simply and accurately by employing systematic nasal endoscopy and a series of plain sinus X-rays. The study compared the diagnostic yields of the history, rigid nasal endoscopy and plain sinus films with computed tomography. All the investigations were performed on the same day. The interobserver variability between consultant ENT surgeon, senior registrar and registrar were compared. With heightened concern over the radiation exposure patients are receiving for medical investigations, the radiation exposure was determined for a selected group of patients. This study demonstrated that in the diagnosis of inflammatory sinonasal disease the clinical assessment correlated with the CT findings in over 90 per cent of cases. This accuracy was dependent on the experience of the clinician in using rigid nasal endoscopy. Interobserver variability ranged from 71 to 90.4 per cent in the correct diagnosis of underlying sinus disease. Close agreement was seen with the interpretation of CT scans. The concordance rate between plain films and CT scans was 87 per cent when reported by a consultant radiologist. This is in close agreement with previously reported studies. The average radiation exposure of coronal CT scanning was 218 times the dose for plain sinus X-rays.
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PMID:The diagnosis of inflammatory sinonasal disease. 855 Nov 40

Oat cell carcinoma is rarely diagnosed in the head and neck and can be primary or secondary. Primary tumors arise from amine precursor uptake and decarboxylation cells which are found throughout the head and neck. Secondary deposits metastasize most commonly from the lungs. We report a 64-year-old woman with a known pancreatic oat cell carcinoma who came to the ENT Department with dysphagia. On examination, a lesion was seen at the base of the tongue and was histologically an oat cell carcinoma. No treatment was administered and the patient died one month after discharge. This report highlights the difficulty in determining the primary site when a rare tumor metastasizes to the head and neck and no autopsy findings are obtained. To our knowledge, oat cell carcinoma of the tongue has not been previously reported.
Ear Nose Throat J 1998 Mar
PMID:Oat cell carcinoma of the tongue from an unknown primary. 955 13


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