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Biomedical subjects

S E Kent

Publications and source records attributed to S E Kent.

11 recordsLinked to original sources
PubMed1991

The relationship of nasal septal deformity and palatal symmetry in neonates.

Results are reported of a study to evaluate possible associations between nasal septal deformity and palatal symmetry in neonates. Five hundred babies, born consecutively, were examined within three days of birth. Prenatal and delivery data were recorded for each baby and the nose was examined to determine airway patency and possible septal deformity. When a deviation of the septum was discovered an alginate impression of the palate was taken along with photographs of the nostrils. A matched control was then selected for each study group baby and similar records were obtained. Only 14 cases of septal deformity were found, an incidence of 2.8 per cent. No evidence of palatal asymmetry was found. The theory that moulding pressures during delivery may be a major cause of nasal septal deformity was not supported.

Delivery, Obstetric↗
PubMed1990

Laryngeal foreign bodies.

This paper presents our experience with four cases of impacted laryngeal foreign bodies. A review of the literature reveals that the condition is rare, but far more dramatic and life threatening than bronchial foreign bodies. The history may not indicate the diagnosis, especially in the ethnic minority races where there is a language barrier. Suspicion of the diagnosis by the casualty officer and the immediate attendance of an experienced otolaryngologist may be life saving. Radiological examination is not necessary where the diagnosis is obvious. If the diagnosis is in doubt it must be remembered that many foreign bodies are not radio-opaque. The patient must be accompanied at all times by an otolaryngologist until the foreign body is removed.

Child↗
PubMed1989

Thermal myringotomy versus grommets in the management of secretory otitis media.

This paper presents the findings of a study of thermal myringotomy compared with the insertion of a grommet, in 30 children with secretory otitis media. The procedure was found to be easy to perform and free from complications. It provided ventilation of the middle ear for up to 8 weeks. However, there was a recurrence of the middle ear effusion in 40% of the thermal myringotomy ears. On the other hand, grommets were very effective in eliminating effusion over a 6 month period. I was unable to identify any parameter that will predict which patients will remain free of effusion after ventilation with a thermal myringotomy.

Child↗
PubMed1989

Treatment of auricular haematoma by silicone rubber splints.

A modification of existing techniques for the treatment of auricular haematoma is described. This method employs incision, drainage and the application of silicone rubber splints (Silastic). Existing methods of treatment are reviewed and discussed. A retrospective review of 16 cases using this technique showed a satisfactory cosmetic result in all cases.

Adult↗
PubMed1988

Pseudomonas vaccination in chronic ear disease.

This paper presents the results of a pilot study of vaccination in thirteen patients with chronically infected mastoid cavities or central perforations of the tympanic membrane. In each patient Pseudomonas aeruginosa was repeatedly cultured from the ear and a long list of medical and surgical treatments had been tried, without success, to control the infection. The clinical, bacteriological and immunological responses were monitored over a six-month period. The results are extremely encouraging. Eight patients' ears became dry for the first time in many years. However, three months after vaccination three ears had become reinfected. All of the patients except one had a good immunological response to vaccination, with many-fold increases in the total serum immunoglobulin G, A and M levels.

Aged↗
PubMed1988

Neonatal septal deviations.

In a review of 1000 consecutive neonates of all races, nasal septal deformity was identified in 29, an incident of 2.9%; significantly fewer cases were found in negroid babies (0.1 greater than P greater than 0.05). Ten cases (35%) underwent manipulation of the deviated septum. Six-monthly review revealed that symptoms associated with the septal deformity are rare. In 7 (44%) of the 16 cases not manipulated, the septum straightened spontaneously during the first few months of life. The appearance of the deviation is not of a dislocation of the caudal edge of the cartilage but a smooth concavity. In vitro compression of the neonatal nasal cavity reproduced this C-shaped deformity, but only temporarily. Histological serial sections of 6 postmortem nasal cavities showed that the high laminae of the vomer prevent any caudal dislocation of the septal cartilage.

Humans↗
PubMed1985

Metastatic tumours in the maxillary sinus. A report of two cases and a review of the literature.

We present two further cases of metastasis in the antrum. A review of the literature reveals renal carcinoma as the commonest primary tumour. When an adenocarcinoma of the antrum is diagnosed, an intravenous pyelogram should be performed to exclude a renal primary. This investigation, if negative, should be repeated during follow-up. The possibility of a bronchial tumour should be investigated in patients with an anaplastic tumour in the antrum.

Adenocarcinoma↗
PubMed1985

Post-laryngectomy pharyngo-cutaneous fistulae.

A personal series of 66 total laryngectomy cases is presented with special reference to post-operative fistula formation. The incidence of fistulae was 7.4 per cent. We could not verify previous reports that any specific factors were significantly related to fistula formation and we feel that operative technique and the post-operative drainage of any fluid collection under the flaps, are the most important ways of reducing the complication of a fistula to a minimum.

Aged↗
PubMedDate not supplied

The mechanism of healing of tympanic membrane perforations. A two-dimensional histological study in guinea pigs.

The healing of small perforations, made in 60 tympanic membranes (30 guinea pigs) with either a thermal myringotome or a needle was observed over a 10-day period using an operating microscope. Thirty-six of these were sectioned either parallel with the handle of the malleus, or at right angles to it, and the closing perforations studied by light microscopy. The epidermis closed the perforations first, in the direction of surface migration. This process began within 48 hours and was complete within 9 days. A fibrous reaction occurred, starting at 3 days, and this was seen on the side of the perforation adjacent to the malleus or bony tympanic annulus. There was no response visible in the middle ear mucosa. The conclusion of this study is that the epidermis is the first layer to close a perforation because of its migratory function, and the direction of closure is the direction of migration. Healing of the fibrous layer occurs secondarily, and the site of the response in this layer is related to the vascular distribution in the tympanic membrane.

Animals↗