Clinical otolaryngology and allied sciences
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Clin Otolaryngol Allied Sci · Apr 2000
Herpes zoster oticus treated with acyclovir and prednisolone: clinical manifestations and analysis of prognostic factors.
Herpes zoster oticus is a cranial polyneuropathy with facial nerve involvement as its main feature. The prognosis of the facial palsy is usually poor. ⋯ The recovery of the facial palsy treated with acyclovir and prednisolone was good, and possibility of a good outcome was greater when the initial grade of the palsy was higher. Multiple nerve palsies and age had negative effects on the improvement.
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Clin Otolaryngol Allied Sci · Sep 1999
Randomized Controlled Trial Comparative Study Clinical TrialManipulation of the fractured nose: a comparison of local infiltration anaesthesia and topical local anaesthesia.
Reduction of simple nasal fractures under local anaesthetic is now an accepted practice. The anaesthetic is usually administered using an external percutaneous approach, coupled with topical intranasal cocaine. Topical local anaesthetic with intranasal cocaine is an alternative method. ⋯ However, patients in group A perceived the procedure as significantly more painful than the patients of groups B and C. Despite the increased procedure time, we recommend topical anaesthesia as the method of choice to reduce simple nasal fractures in the outpatient department. It offers a similar outcome, whilst being significantly less painful than external infiltration.
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Clin Otolaryngol Allied Sci · Feb 1999
Trends in the UK contribution to the otolaryngological literature.
Ten leading otolaryngological journals were reviewed with a view to detecting the UK contribution to the ENT literature from 1985 to 1994. From a total number of 12,293 publications studied 2414 (19.6%) papers were found to originate from British and Northern Irish otolaryngological departments, with the proportion of UK papers remaining at around 20% throughout the whole 10-year period. ⋯ Over the 10-year period, there has been a significant change towards the publication of more clinical research at the expense of pure laboratory research in these 10 journals (chi 2 P < 0.001). There has also been a move towards multiple authorship (three or more co-authors) over the same period with fewer single-author papers (P < 0.001).
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Clin Otolaryngol Allied Sci · Dec 1998
Comparative StudyA prospective study of the length of stay of 150 children following tonsillectomy and/or adenoidectomy.
This is a prospective study of the length of stay in 150 children who underwent adenoidectomy, tonsillectomy and adenotonsillectomy with and without grommets. Seventeen children were unsuitable for same-day discharge because of coexisting medical conditions and 39 because of social factors, which meant that 94 children were potentially suitable for same-day discharge. All patients received a standardized surgical and anaesthetic technique. ⋯ These results are compared to those found in the literature. Children who have adenoidectomy without tonsillectomy are more suitable for day surgery (P < 0.001). Because of the high risk of minor complications, the authors recommend that children who have tonsillectomy as part of the procedure should be treated from inpatient beds even when discharged on the same day.
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Topical aminoglycoside ear drops are theoretically acknowledged to be potentially ototoxic when administered in the presence of a tympanic membrane perforation. Although the development of clinical ototoxicity appears to be rare, nine well-documented and incontrovertible cases (12 ears in total) of iatrogenic topical vestibulotoxicity are presented, representing the largest series in the English language world literature to date. ⋯ Further review of five previously reported cases in addition to the findings from another four patients identified with topical ototoxicity are described. Although compensation occurred in unilateral cases the disability in bilateral cases was typically severe and often resulted in litigation.