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Biomedical subjects

J R Bartley

Publications and source records attributed to J R Bartley.

5 recordsLinked to original sources
PubMed1999

Maxillary sinusitis caused by medusoid form of Schizophyllum commune.

We present a case of maxillary sinusitis in a diabetic female caused by the basidiomycete fungus Schizophyllum commune. Identification of the isolate was hampered by its atypical features. Subcultures formed sterile medusoid structures from nonclamped mycelia until spontaneous dikaryotization resulted in the development of characteristic fan-shaped fruiting bodies. Identification was confirmed by the presence of spicules formed on the hyphae and by vegetative compatibility with known isolates.

Female↗
PubMed1995

Simple sublingual ranulas: pathogenesis and management.

Simple ranulas in the floor of the mouth usually reflect a mucus escape reaction that develops after disruption of sublingual gland elements. As such, they comprise an accumulation of mucus within connective tissue and lack an epithelial lining. Simple ranulas should be distinguished from cervical, or plunging, ranulas. Recommended treatments for simple ranulas usually involve excision of the ipsilateral sublingual gland, "marsupialization," or simple excision of the cyst. Alternatively, the ranula can be treated with the placement of a silk suture or seton into the dome of the cyst. Four cases using this technique are reported.

Adult↗
PubMed1994

Parental attitudes and postoperative problems related to paediatric day stay tonsillectomy.

AIM: To assess the difficulties parents have caring for a child at home after day stay tonsillectomy. METHOD: Parents of fifty two children who had day stay tonsillectomy or adenotonsillectomy were questioned by telephone the following morning and 10 to 14 days following surgery about difficulties they had experienced following discharge from the unit. RESULTS: The following morning six parents (12%) found the pain difficult to manage with paracetamol and in nine children (17%) the fluid intake was poor. The patient's general practitioner was consulted for advice by fifteen parents (30%) during the postoperative period. Psychological problems were experienced by four children (8%). The majority of parents had few problems and felt comfortable caring for the child at home following surgery. CONCLUSIONS: While most parents were happy caring for the child at home some parents had difficulties particularly with pain relief and ensuring adequate fluid intake. Communication links and support for these parents need to be improved. Surgical and anaesthetic techniques to reduce postoperative discomfort also need to be explored.

Acetaminophen↗
PubMedDate not supplied

Inversion of Zenker's diverticulum: the preferred option.

A review of patients who had surgery for Zenker's diverticulum in our institution in recent years was conducted. A comparison of inversion versus excision of the sac shows that inversion carries lower morbidity and more rapid rehabilitation of swallowing than does excision. Inversion (plus cricopharyngeal myotomy) is to be preferred for diverticula that are neither too large to invert nor too longstanding to risk leaving subclinical carcinoma behind in the wall of the diverticulum.

Adult↗