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

Paraganglioma though rare in ENT-pathology are considered the most common middle ear tumors. A few of them show some particularities in its growing mood, for instance under the appearance of a banal polyp lodging in the external ear canal, perhaps the polyp represents only the outer portion of a deeper larger process encroaching the underlying bone, which threat heavy complications, specially at attempts of removal without the prior due complementary explorations. The case reported by the authors was a quickly evolutive syndrome with the polyp associated to otorrhea and facial paresia. The verification of the bone destruction make credible the actual diagnosis, malignant tumor of the temporal bone. Afterwards profuse otorragia suggested the glomic tumor. The paper emphasizes the clinic malignancy of theses growths in spite of their histologic benignity, owing both to its speed evolution and destructive power.
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PMID:[Jugular paraganglioma: presentation in the form of an aural polyp]. 215 46

A number of minor variations to the configuration of the external ear are well recognized. This paper brings attention to one entity which is characterized by a small cartilaginous nodule or prominence arising from the posterior surface of the pinna and which we have named Quelprud's nodule. A prospective clinical survey of 208 patients attending an ENT clinic revealed that nearly one-third of the population studied possess this nodule. There was an equal sex incidence. The Quelprud's nodule was identified within families in a distribution which suggests an autosomal dominant inheritance with variable expressivity.
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PMID:Quelprud's nodule: a post-auricular cartilaginous nodule. 226 8

The purpose of this paper is to study the incidence of external ear pathology in our ENT Service in the period between November 1987 and November 1988. During this period 238 cases of this pathology were diagnosed.
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PMID:[Pathology of the external ear. A year's review]. 239 Mar

The recurrent and severe infections of the ENT region during childhood are frequently related to cranio-facial malformations or/and deficiency of the immune system. The cranio-facial abnormalities are at risk to be complicated by transmission deafness either primary or secondary through recurrent middle ear infections. In our pediatric out-patient clinic, most of the patients suffering severe recurrent ENT problems show variable malformations: abnormal implantation or shape of the external ear, a microretrognathism, cervical or facial branchial fistulae, high or ogival palate with anomalies of the dental occlusion or a bifid uvula. All these abnormalities share their origins in a pathological development of the first branchial arch. These developmental anomalies may directly lead to deafness (especially due to an abnormal middle car ossicular development since they are derived in part from the first arch). They may also favor secondary pathologies (middle ear otitis, abnormal soft palate). Moreover the development of the immune system is also dependent of a normal function of the endoblastic epithelium of the pharyngeal pouches which is a part of the branchial system. Immune dysfunctions may therefore accentuate the severity of the ENT Infections.
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PMID:[Value of anthropometric techniques in pediatric otology]. 249 11

Two patients with sudden progressive profound hearing loss resulting from Ramsay Hunt syndrome are reported. Case 1: A 63-year-old woman was admitted to Jichi Medical School Hospital with sudden, progressing deafness of the left ear, vertigo, sore throat, and hoarseness. An otoscopic examination revealed the external ear and the tympanic membrane to be normal. Pure-tone audiometry revealed profound deafness in the left ear. A horizontal nystagmus in the non-affected direction was observed by gaze nystagmus test. An endoscopic examination revealed herpetic vesicles and shallow ulcers on the left side of the pharynx and the larynx. There was complete paralysis of the left recurrent nerve. Hearing acuity of the left ear did not recover at all with steroid hormone therapy. Case 2: A 75-year-old man was referred to the ENT Clinic by a dermatologist for hearing evaluation in Ramsay Hunt syndrome. The man had noticed severe otalgia and sudden progressive deafness of the right ear approximately 2 weeks prior to admission. Physical examination revealed herpetic vesicles and ulcers in the right external ear and lateral neck. Complete paralysis of the right facial nerve was noted. Profound hearing loss in the affected ear was observed by pure-tone audiometry. A gaze nystagmus test revealed a horizontal nystagmus in the non-affected direction. No recovery of the cochlear function was noted following administration of antiviral drug. The pertinent literature is briefly reviewed.
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PMID:Acute profound deafness in Ramsay Hunt syndrome. Two case reports. 285 31

Ear diseases are the most common of all occupational diseases of diving. Otitis externa is the most frequent and troublesome infection in divers especially when the environment is humid. During compression, failure to equalize the pressure of the air-filled cavities surrounded by bone (middle ear, sinus) deprives the middle ear (or sinus) of aeration. Middle ear barotrauma is the most common barotrauma encountered in divers while external ear barotrauma (reversed ear) and inner ear barotrauma (with rupture of the round or oval window) are less common. Decompression sickness (Caisson disease) is primarily the result of inert gas bubbles; deafness and vertigo may result if the inner ear is involved. The most dramatic cause of disorientation under water is that due to vertigo. This vertigo is commonly a transient effect due to unequal caloric stimulation of the two labyrinths. The physical examination of the ear and nose necessary for assessment of diving fitness are discussed. A list of ENT contra-indications is presented which mandate temporary or permanent disqualification from diving.
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PMID:[Otologic aspects of diving]. 304 72

Fifty-two adult patients affected by infectious otorhinolaryngological diseases were treated rectally with clofoctol, a new chemotherapeutic phenol derivative. The clinical diagnoses included tonsillitis, paranasal sinus infections, nose and nasopharyngeal infections, external ear canal and middle ear infections. Evaluation of the results was based on clinical and bacteriological data; the effectiveness of the drug was also confirmed by statistical reference to a control group consisting of 52 adult patients affected by otorhinolaryngological infections treated only with topical agents or not treated at all. In the patients treated with clofoctol, good therapeutic results were obtained in over 90% of cases. Only four patients showed mild adverse reactions. On the whole, results demonstrated that clofoctol is very valuable for the management of most of the infectious diseases common in ENT practice.
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PMID:Treatment of ear, nose and throat infections with clofoctol. 391 68

Etiology, pathogenesis and clinical features of fungal diseases in ENT caused by Aspergillus are discussed. In this paper special stress is put upon the diagnosis and therapy of the Aspergillosis of the paranasal sinuses and the ear. Out of a group of 65 patients with Aspergillosis of the nose and paranasal sinuses 25 were examined in detail. Two of them suffered from a malignancy, while the remainder of the group had been in general good health. It was remarkable, that many patients got into touch with domestic animals, garden mould and soil of ornamental plants. In X-ray 12 calcareous concrements were detected. In one case only histological signs of an invasion of Aspergillus could be demonstrated. Fungus infections of cavity of radical mastoidectomy and external ear were often seen and easily diagnosed because of their clinical appearance. In the last years we have neither observed Aspergillosis of the middle and inner ear, nor of the larynx.
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PMID:[Features of aspergillosis in ENT. Clinical features of aspergillosis in ENT (author's transl)]. 706 53

All cases of squamous-cell carcinoma of the external ear that were treated at the ENT Clinic, University Hospital, Lund, Sweden, between 1970 and 1977 were analyzed retrospectively to determine parameters for predicting the development of metastases. These cases included 62 males and 3 females, with a mean age of 77 years. The frequency of metastases for these patients was 16.4%. The carcinomas were graded according to four parameters: depth of growth, mode of invasion, cellular differentiation, and cellular plasmolymphocytic response. We concluded that depth of growth and mode of invasion were the most useful of these parameters and that prophylactic lymph node dissection should be performed in cases of tumors larger than 4 cm in diameter, of tumors infiltrating the cartilage, and of smaller tumors with maximum scores for depth of growth and mode of invasion.
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PMID:Guidelines for prophylactic radical lymph node dissection in cases of carcinoma of the external ear. 736 89

ENT surgeons may well be asked to remove cannabis from the external ear where it has been lodged for various reasons. We report two cases and review four other cases we found in the literature to illustrate some of the difficulties. It is important that anyone working with people who abuse drugs are aware that cannabis can be concealed in the external ear.
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PMID:Cannabis in the external ear. 826 7


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