[What happens with the ear in temporal bone fractures?].
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Biomedical subjects
Publications and source records attributed to K Flisberg.
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Thirty patients with bedpartners complaining of their heavy snoring which had resulted in separate bedrooms were treated surgically. Three different methods were used, each group consisted of 10 patients. In group A conventional scalpel excision was used for uvulopalatopharyngoplasty including tonsillectomy. In groups B and C, patients with small tonsils were selected and therefore the tonsils were saved. Group B was operated with carbon dioxide laser under a microscope and using micromanipulator. The same kind of excision was used as in group A but the tonsils were saved. Group C was operated as group B but using conventional scalpel excision technique. With a starting-point of snoring score 3 preoperatively in all groups, the mean postoperative snoring score in Group A was 1.0, in Group B 0.2 and in Group C 1.1. Patients with postoperative snoring scores of 0 and 1 were regarded as successful responders to surgery. No serious side effects were noted due to treatment.
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Excessive bleeding from the head and neck sometimes presents a therapeutic problem. Ten patients with this type of haemorrhage have been treated with continous vasopressin infusion for 1-3 days. Haemostasis was quickly established in eight cases. No serious side effects were noted. Infusion of vasopressin has a rapid, beneficial effect on haemorrhage from branches of the external carotid artery.
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During nitrous oxide anesthesia the nitrous oxide passes from blood to the normal middle ear space. Middle ear pressures before and during anesthesia in ears of pediatric patients with secretory otitis media have been measured with tympanometry. The subjects were divided into groups depending on the primary middle ear pressure and the pressure change during anesthesia. The reason for the different tympanometric findings in patients with secretory otitis media might be differences in the states of the mucous membrane of the middle ear. The usefulness of measuring middle ear pressures during nitrous oxide anesthesia is discussed.
This is a retrospective study of a limited group of 30 patients, children and adults, diagnosed as having cholesteatomas. Analysis includes audiological data and surgical results. Two techniques were used in surgery. In half of the cases, an obliteration technique was used, and in the remainder an open radical cavity was created. The method used was determined by the surgeon and in some measure by the extent of the disease. Our conclusions are that the obliteration technique offers better hearing results than the open-cavity technique. The number of residuals over a 4- to 5-year period was acceptable and cavity problems were avoided.
The 133Xe wash-out technique was used as a method for calculation of the blood flow in human nasal mucosa. The disappearance of 133Xe from the nasal mucosa was followed using scintillation detectors. In laryngectomies it was shown that the disappearance of 133Xe from the mucosa depended mainly on the blood flow. Leakage of 133Xe from the mucosa to the nasal air was unimportant. The disappearance rate of 133Xe was decreased by oxymetazoline and increased by histamine, mostly likely due to the effects of these vasoactive drugs on the mucosa blood flow. The 133Xe wash-out technique would seem to be a simple method to study nasal mucosal blood-flow changes in humans.
The effect of intravenous and topical glypressin, a triglycyl hormonogen of vasopressin, on the nasal mucosa was evaluated in healthy subjects. A dose-dependent reduction of nasal blood flow resulted from both intravenous and topical glypressin. The effect of the latter in gel form lasted 2 hours. Glypressin was also found to decongest the nasal mucosa. Topical application of glypressin gel might be an alternative to conventional treatment with intranasal packing in nose-bleed.