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Volume 93 - January 1979

Contents

Page 3 of 9

Research Article

  • Submucous resection: The treatment of choice in the Nose-Ear Distress Syndrome

  • W. D. McNicoll, S. G. Scanlan
  • Published online by Cambridge University Press:
    29 June 2007, pp. 357-367

  • The combination of nasal septal deviation and Eustachian tube dysfunction, in the absence of any other pathology, constitutes the Nose–Ear Distress Syndrome.

    We have undertaken a clinical assessment of the relationship between uncomplicated deviation of the nasal septum and Eustachian tube dysfunction in Naval Personnel who are serving in environments of primarily increased barometric pressure.

    120 candidates to the Submarine, Diving and Aircrew branches of the Royal Navy who presented with the Nose–Ear distress syndrome were initially surveyed. None were able to equilibrate their middle ear pressures at an increased ambient pressure of 3 metres of water. Submucous resection was performed on 116, of whom 110 (94·83 per cent) were able to equilibrate their middle ear pressures at an increased ambient pressure of 9 metres of water post-operatively.

    Xenon 133 Scintigraphy was performed on a further 25 recruits to delineate the post-nasal airflow. This investigation was performed pre- and post-operatively. Pre-operatively, Scintigraphy showed the presence of turbulence in the post-nasal space, while post-operatively the turbulence was absent. All the candidates were unable to equilibrate their middle ear pressures pre-operatively, but after submucous resection 24 (96 per cent) were able to equilibrate their middle ear pressures at an increased barometric pressure of 9 metres of water.

  • Fibro-osseous lesions of the cranio-facial bones

  • M. E. Boysen, J. H. Olving, K. Vatne, H. S. Koppang
  • Published online by Cambridge University Press:
    29 June 2007, pp. 793-807
  • Summary

    A BRIEF review of cranio-facial fibro-osseous lesions in given and 15 cases of fibrous dysplasia and ossifying fibroma are presented with clinical, radiological and histomorphological findings. After histological verification of the fibro-osseous nature of the process, 5 lesions were diagnosed on a radiological basis as fibrous dysplasia exhibiting diffuse (blending) margins, while the diagnosis of ossifying fibroma was given to 10 radiologically sharply-demarcated lesions. Both groups of lesions presented the same histomorphological features, although to a varying degree. Spheroidal calcifications, however, were identified in ossifying fibroma only, but not in all of these. Thus, the differential diagnosis of fibrous dysplasia versus ossifying fibroma rests on a radiological creiterion after the histopathologist has verified the fibro-isseiys nature of a lesion. The observation times varied from 1 ½ to 34 years. Two cases of fibrous dysplasia and 3 cases of ossifying fibroma recurred. In one case of fibrous dysplasia an osteosarcoma developed 33 years after irradiation. Pain was a common symptom in the present material.

  • The changing concepts of tracheostomy

  • D. K. Mukherjee
  • Published online by Cambridge University Press:
    29 June 2007, pp. 899-907
  • Summay

    AN analysis of 110 tracheostomies done over a period of 4½ years in a teaching hospital in a developing country is presented in this paper. It will be interesting to note that upper airway obstruction leading to tracheostomy no longer holds the supreme position it used to hold only a short while ago. The main indication for the operation in this study has been—TETANUS. It is surmised that—in the near future—HEAD INJURY is going to be the prime indication for this operation.

Page 3 of 9