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Biomedical subjects

J Hibbert

Publications and source records attributed to J Hibbert.

36 records · Page 2Linked to original sources
PubMed1983

The effects of recurrent tonsillitis on growth and cervical lymphadenopathy in children.

A group of 50 children between the ages of 4 and 10 years with a history of recurrent tonsillitis were compared with 50 age- and sex-matched controls. The latter group were recruited from out-patients with orthopaedic, ophthalmological or general surgical problems. The heights and weights of the two groups did not differ significantly. A difference in the incidence of cervical lymphadenopathy between the two groups was demonstrated, but this difference was relatively minor. Of the control children 70% had palpable lymph nodes in their necks. We conclude that none of the 3 factors are of much value in deciding whether or not a patient would benefit from tonsillectomy.

Body Height↗
PubMed1983

Prognostic factors in oral squamous carcinoma and their relation to clinical staging.

One hundred and three patients with an oral squamous carcinoma were studied in an attempt to determine the clinical factors which affect survival. The 5 yr actuarial survival of the whole group of patients was 55%. Although survival depended on clinical staging, in those patients with no palpable nodes on presentation the tumour size did not affect survival. The most significant factor determining survival was the presence of palpable lymph nodes on presentation. Palpable nodes were more likely in patients with large tumours than those with small tumours. On the basis of these findings a modification of the TNM classification is suggested giving more weight to the presence of cervical nodes than in the present staging system.

Adult↗
PubMed1982

The role of enlarged adenoids in the aetiology of serous otitis media.

The size of the adenoid in a series of children with middle ear fluid was compared radiologically with the size of the adenoid in a series of age and sex-matched children who had sustained a head injury. There was no significant difference in the size of the adenoid in the 2 series of children. This therefore casts doubt on the role of enlarged adenoids in the aetiology of serous otitis media in the majority of children with this condition.

Adenoidectomy↗
PubMed1982

Management of post-cricoid carcinoma.

This paper discusses the results of treatment of post-cricoid carcinoma based on a personal series of 141 patients. The following conclusions can be drawn: small tumours with no clinical evidence of cervical lymph node metastasis should almost certainly be treated with radiotherapy, which gives a 5-year survival of approximately 35%. Surgery for recurrent disease after radiotherapy if fraught with complications, and satisfactory salvage is seldom possible. Surgery for larger tumours and those associated with neck node metastases has a lower (20%) 5-year survival with a high incidence of complications. The main problem after pharyngolaryngectomy is replacement of the pharynx. There is no evidence that any one of the methods in common use (skin flaps, transposition of the colon or stomach) is superior to any other.

Adult↗
PubMed1981

The occurrence of adenoidal signs and symptoms in normal children.

A characteristic clinical picture has been attributed to enlarged adenoids. In order to investigate this concept the occurrence of certain signs and symptoms was compared in a series of children selected for adenoidectomy and in a series of normal children. Nasal obstruction, snoring and speech defect occurred more frequently in children having adenoidectomy. The symptoms of rhinorrhoea, cough and headache and the signs of mouth breathing and abnormality on anterior rhinoscopy occurred as frequently in normal children as in children having adenoidectomy.

Adenoidectomy↗
PubMed1980

Value of physical signs in the diagnosis of enlarged adenoids.

In a series of children due to have surgery on their upper respiratory tracts an assessment of mouth breathing, abnormality on anterior rhinoscopy and size of the adenoid on posterior rhinoscopy was made by 3 observers. All these signs showed poor reproducibility between observers and the size of the adenoid assessed by posterior rhinoscopy showed no significant relationship to the weight of the adenoid subsequently removed.

Adenoids↗
PubMed1979

A radiological study of the adenoid in normal children.

In this study the radiology of the adenoid is compared in two groups of children: those selected for adenoidectomy and those with a history of head injury who had had a lateral radiograph of the skull. The size of the adenoid was found to be the same in both groups though the nasopharyngeal airway was found to be significantly smaller in the children selected for adenoidectomy. On the basis of measurements in the normal children a lower limit of normal is suggested for the width of the nasopharyngeal airway, this is 2 mm in the case of children below the age of 70 months and 3 mm in the case of children over 70 months old. Only 17% of the children selected for adenoidectomy have abnormally narrow nasopharyngeal airways.

Adenoidectomy↗
PubMed1979

Traumatic diaphragmatic hernias: analysis of six cases.

During three years, from January 1975 through December 1977, the authors saw six cases of traumatic left diaphragmatic hernias, all of whom survived. All were males aged 17 to 56 years, with an average age of 30 years. Four (67 percent) of the cases resulted from blunt abdominal trauma while two (33 percent) were due to stab wounds of the left lower chest. Admitting chest x-ray findings were diagnostic for all acute hernias due to blunt trauma and for all hernias presenting with a delayed interval. Digital exploration of all penetrating lower chest wounds is recommended by some authors if exploratory laparotomy is not contemplated. Our preferred approach for the repair of the hernias includes (1) laparotomy for all acute cases, (2) thoracotomy for delayed cases, and (3) separate abdominal thoracic incisions whenever a combined approach is considered necessary. The repair should be carried out in two layers with nonabsorbable sutures.

Abdominal Injuries↗
PubMed1978

Critical evaluation of adenoidectomy.

In two matched groups of thirty-two children, one which had tonsillectomy alone and the other which had tonsillectomy plus adenoidectomy, the symptoms generally attributed to adenoidal hypertrophy were equally common in both groups before operation and improved with equal frequency after operation whether or not the adenoids were removed.

Adenoidectomy↗
PubMed1978

The assessment of adenoidal size by radiological means.

The purpose of this study was to evaluate the accuracy of radiology in the assessment of both adenoidal size and the size of the nasopharyngeal airway. There was a good correlation between the preoperative assessment of the size of the adenoid by radiology and the actual size of the adenoid removed at surgery. A method of estimating the size of the nasopharyngeal airway is described. There was a good inverse correlation between the size of the airway and the weight of the adenoid.

Adenoids↗
PubMed1978

Adenoidectomy: an evaluation of the indications.

A group of 76 children who had been listed for adenoidectomy was investigated by scoring the symptoms and signs usually attributed to adenoidal hypertrophy, and removing the adenoids and weighing them. With the possible exception of snoring there was no correlation between the size of the adenoids and the symptoms usually attributed to hypertrophy of this organ. We wish to acknowledge our gratitude to those consultants who allowed us access to their patients, to Dr Ian McDicken, Department of Pathology, University of Liverpool who did the histological examination, and to Mrs P. O'Brien who did the typing.

Adenoidectomy↗
PubMed1977

The treatment of acromegaly by Yttrium implantation.

Yttrium implantation is one of the many ways of treating acromegaly. The advantages are the minor nature of the procedure and the fact that pituitary replacement is not as commonly required as after hypophysectomy. Thus in young female patients menstruation may be resumed following treatment and pregnancy has occurred. The procedure is not as free from complications as external irradiation but the response is more satisfactory.

Acromegaly↗