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S Albu

Publications and source records attributed to S Albu.

8 recordsLinked to original sources
PubMed1998

Prognostic factors in tympanoplasty.

OBJECTIVE: To assess the prognostic value of pathologic and technical variables influencing the functional outcome of tympanoplasty. PATIENTS AND STUDY DESIGN: Retrospective review of the records of 544 patients affected by chronic otitis with or without cholesteatoma, operated on by the senior author in a city hospital ENT department. Follow-up was provided systematically by the same institution. INTERVENTIONS: These included tympanoplasty without mastoidectomy in 339 cases, canal wall up technique in 134 cases, and canal wall down in 71 cases. Three hundred twenty-six (60%) were primary, and 218 (40%) were revision procedures. Myringoplasty was performed with autologous temporalis fascia, ossiculoplasty with incus interposition, or partial or total ossicular prostheses. Mean follow-up was 14 months (range, 12-50 months). MAIN OUTCOME MEASURES: Hearing results were defined according to the Committee on Hearing and Equilibrium Guidelines. A one-way analysis of variance was used to determine group differences. Multiple logistic regression analysis was subsequently carried out on the different pathology groups via the hierarchical log linear model. A probability value of p < 0.05 was the level of significance. RESULTS: The status of the mucosal lining, the mastoidectomy, the availability of the malleus handle, and the tympanic membrane perforation were all significantly predictive of the hearing outcome but with differing weight according to the pathologic condition. CONCLUSIONS: Anatomic and technical factors diversely affect the functional outcome of tympanoplasty. A better knowledge of their predictive roles and weights may be useful in both the surgeon's judgment and in the information given to the patient.

Adolescent↗
PubMed1998

Nd:YAG laser-assisted uvulopalatoplasty for snoring.

Uvulopalatopharyngoplasty (UPPP) has been acknowledged as the surgical treatment of choice for snoring. More recently, laser-assisted uvulopalatoplasty (LAUP) has emerged as a reliable, safe, less invasive technique in the surgical treatment of snoring. Our experience includes 90 patients treated by means of Nd:YAG laser-assisted uvulopalatoplasty and the results are presented. The value of different factors (age, sex, snoring loudness, pharynx appearance, Müller manoeuver, presence of apnoeic episodes, overweight) in predicting success or failure of laser surgery has been evaluated. Good results were obtained in 80% of our patients. We found excessive snoring loudness and apnoeic episodes to be statistically associated with failure of LAUP to correct snoring. The other mentioned factors cannot be used in predicting the outcome of Nd:YAG laser-assisted uvulopalatoplasty.

Adult↗
PubMed1997

Predictive factors in cochlear implants.

Predictive factors in cochlear implants. The clinical records of 32 patients who received a multichannel cochlear implant between 1991 and 1994, were retrospectively reviewed. A Nucleus Mini 22 device was used in 27 cases, a Clarion device in 5 cases. The aim of this study was to identify the predictive role, and hence the influence on the final result of such factors as: the age of patients at implantation and at the onset of deafness, the duration of profound deafness, the aetiology of deafness, sudden or progressive hearing loss, the number of recordable sound frequencies, the promontory test outcome, the length of electrode insertion, the number of active electrodes, the map. A statistically significant negative correlation (p = 0.02) was found between the duration of deafness and patients' performance. The relationship between map and performance, due to the small number of patients, did not reach statistical significance although it was very close to the limit (p = 0.055). The other mentioned factors did not achieve any statistical significance.

Adolescent↗
PubMedDate not supplied

[The efficiency of an original selective medium in isolating and identifying gram-negative bacteria in urinary tract infections].

The authors examined 449 samples of urine, bacteriologically important for the minor infection, collected from the patients with clinical forms of urinary infection. Using a selective medium--CMV, enteric agar (Romanian patent--9345/1989), 567 strains of gram-negative germs, chemically belonging to group I (Enterobacteria)-475/83.77%, or to groups II-VI, 66/11.64% were isolated. Other 20 strains, 4.69% could not be identified. Of the total of samples, 333/74.16% were with monobacterial flora versus 116/25.83% samples with pluribacterial flora referring to Enterobacteria associated among them--64/55.17% or to Enterobacteria associated to other gram-negative germs--33/30.17%. Likewise, double or multiple associations among the germs outside the Enterobacteriaceae family were found. The results showed the etiologic participation of 22 bacterial species to which other nonidentified gram-negative microorganisms were added. Our data, more comprehensive than the mentions of the other authors show the efficiency of the culture medium experimented. It has the following advantages: the isolated colonies have a wide chromatic and structural range, showing, in fact, the reactions between the bacterial enzymes and the substances belonging to the medium;--it identifies directly, in the isolation slides, some frequently met species;--it guides sensibly the pricking out; it permits the establishment of the proportion among the types of colonies.

Bacteriuria↗