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Biomedical subjects

S L Liston

Publications and source records attributed to S L Liston.

At least 19 recordsLinked to original sources

Ambroise Paré and the king's mastoiditis.

In 1560, François II, King of France, died of mastoiditis. Ambroise Paré was among his attendants. Paré was technically capable of draining the king's post-auricular abscess; this paper examines some of the reasons why he did not attempt any surgical procedure. This was a time of extreme tension between Catholics and Huguenots in France. Paré was a Huguenot, and the king was Catholic. Paré was a "barber-surgeon" which was the lowest level in the medical hierarchy at that time. Paré believed in the humoral theory of disease and may have been discouraged by air in the mastoid sinus. He was also very worried about being accused of poisoning the king. There is no evidence to suggest that the king's mother refused to allow Paré to operate because she wanted to achieve power as Regent of France.

Famous Persons↗

Histopathology of Bell's palsy.

The histopathology of the facial nerve 1 week after the onset of Bell's palsy is reported. The entire nerve was infiltrated by inflammatory cells. Myelin breakdown, axonal changes, and edema were present, suggesting viral neuritis. The role of decompression in this disease process is discussed.

Aged↗

Bacterial tracheitis in adults.

Bacterial tracheitis is characterized by acute upper airway obstruction in which indirect laryngoscopy is normal. Roentgenograms reveal an irregular tracheal air column. Endoscopic evaluation demonstrates a normal supraglottic and glottic larynx with purulent debris, mucosal ulcerations, and edema of the subglottic larynx and trachea. To our knowledge, this entity has not been previously described in an adult. We report herein three cases of bacterial tracheitis in adults.

Adolescent↗

Plastic bronchitis.

Plastic bronchitis is an uncommon disease of children characterized by the formation of long, branching bronchial casts. Of three children with such bronchial casts, one developed status asthmaticus and coughed out a complete cast of the tracheobronchial tree. One other child also had a course of desensitization for allergies. Two children presented with what was originally thought to be pneumonitis, but when chest x-rays were taken, one child was suspected of having an inhaled foreign body, and the other had complete opacification of one lung. When these two children were examined bronchoscopically the tracheobronchial tree was found to be filled with white, cheesy material. This material was extremely hard to remove bronchoscopically as the material was too soft to grab with forceps but too thick to suction. The material extended all the way down into the tertiary bronchi, and in one child multiple bronchoscopies were necessary to remove this material, and even so he developed bronchiectasis. The pathologic examination of these casts showed layers of inspissated mucus and inflammatory cells.

Adolescent↗

Lateral pharyngeal diverticula.

There are several categories of lateral pharyngeal diverticula. The most common type passes through the thyrohyoid region and is usually diagnosed when a pharyngo-esophagram is performed during the investigation of dysphagia. The understanding of the terminology describing the various types of such diverticula could be improved by noting whether they dilate with air, the neck is wide or narrow, and by describing the anatomic region of pharynx through which they pass.

Diverticulum↗

Asymmetry of vestibulo-ocular reflex in the cat.

Vertical eye movements were recorded in alert, restrained cats that were subjected to whole-body rotations which stimulated the vertical semicircular canals. The results showed a significant asymmetry between the upward and downward slow-phase eye movements, which suggests differences in the CNS processing of vertical canal inputs vis-á-vis the vestibulo-ocular reflex.

Animals↗

Plastic bronchitis: large, branching, mucoid bronchial casts in children.

Expectoration of large, branching, bronchial casts, termed plastic bronchitis, is an uncommon condition in children. Asthma or allergy often is the cause of cast production, but in some instances no etiology is found. Five children produced large, obstructing bronchial casts that either were expectorated or were extracted at bronchoscopy. Four of the children had asthma or allergies and the fifth had congenital tricuspid atresia and chronic pericardial and pleural effusions. In two patients, expectorated casts initially were thought to be aspirated food material. Radiographic findings during periods of cast formation included atelectasis, obstructive emphysema, bronchiectasis, pleural effusion, and pneumomediastinum. Cast formation may be self-limited but generally ceases with appropriate treatment of the causative disorder. Bronchoscopic extraction of casts may benefit some patients.

Asthma↗