Biomedical subjects
P Prinsley
Publications and source records attributed to P Prinsley.
Personal fellowships in otolaryngology.
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Time to think about nurses in ENT.
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The case of the disappearing fish bone.
This article reports the 9-month follow-up CT scan of a patient with a pharyngeal fish bone that had migrated into the soft tissues of the neck. The patient had been managed conservatively and remains well, the fish bone having disappeared completely and presumed to have been resorbed.
Adenotonsillectomy in patients with inherited bleeding disorders.
We describe the management of tonsil or tonsil and adenoid surgery in our hospital in 10 patients with inherited bleeding disorders, over a 10-year-period. The approach to the management of the haemostatic defect is outlined in detail. All underwent successful surgery, two patients had limited secondary haemorrhage. This report demonstrates that patients with inherited bleeding disorders can safely undergo adenotonsillectomy, providing there is close liaison between surgeons and haematologists throughout the peri-operative period.
Radiology case of the month. The case of the migrating fish bone?
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Measurement of nasal displacement by photography.
A simple photographic method of assessing a commonly encountered nasal deformity has been devised. The method described is of use in quantifying a subjective appearance and in assessing the result of surgery.
Ballooned trachea as a consequence of intubation.
A case of iatrogenic tracheal dilatation is presented. This potentially fatal complication of endotracheal intubation may escape early detection. It is well demonstrated by CT scanning.
Hazards of metered dose inhalers for asthma.
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Biopsy of neck lumps in adults should be preceded by examination of the upper aerodigestive tract.
Premature biopsy of a potentially malignant neck node compromises patient survival. Despite documented evidence that biopsy of a malignant neck mass prior to a search for a primary source will increase the incidence of regional recurrence and distance metastasis, patients are often referred for head and neck assessment having already had a positive neck node biopsy. We maintain that biopsy of an asymmetrically enlarged cervical lymph node in an adult should be preceded by full upper aerodigestive tract evaluation to include indirect laryngoscopy, a high resolution computed tomography scan and panendoscopy with free field biopsy.
Airway obstruction in the laryngectomised patient.
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Dispensing hearing aids in the community.
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Laryngeal anaesthesia with aspiration following intubation.
Two patients who had undergone emergency tracheal intubation developed signs of aspiration of ingested food. Nasendoscopy demonstrated supraglottic anaesthesia which recovered from the laryngeal margins in towards the vocal cords. It is assumed that this was caused by a neuropraxia of the internal branch of the superior laryngeal nerve, presumably as a result of trauma related to intubation.
Deceleration injury causing a left chylothorax associated with a left vocal cord paralysis.
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