RESUMO
During the period 1981 through 1993, 613 cases out of a total of 4340 ear operations performed, needed ossicular chain reconstruction. This excludes stapedectomy operations. Out of 613 cases, 371 were cholesteatomatous and the rest were of safe chronic otitis media. Various graft materials used in ossicular reconstruction consisted of autologous ossicles or tragal cartilage, homologous preserved ossicles, cortical bone, human dentine, cadaveric styloid process and gold prosthesis. Results of the study show the extrusion rate of 1.54% with autologous ossicles, 1.43% with homologous ossicles, 1.19% with tragal cartilage, 3.61% with human cadaveric costal cartilage, 5.45% with cadaveric styloid process, 7.14% with dentine and 8.70% with gold prosthesis. These results are largely comparable with other studies. Natural graft materials like autologous and homologous ossicles have been found to have better take-up and long-term acceptance.
Assuntos
Bioprótese , Colesteatoma da Orelha Média/cirurgia , Ossículos da Orelha/transplante , Prótese Ossicular , Otite Média/cirurgia , Complicações Pós-Operatórias/etiologia , Audiometria de Tons Puros , Análise de Falha de Equipamento , Seguimentos , Humanos , Índia , Desenho de PróteseRESUMO
Our study comprised 50 patients of allergic and vasomotor rhinitis. Seventeen patients gave history of stress and strain hence they were given Geriforte in addition to Septilin. The results of therapy were judged on following criteria: i) Symptomatic improvement. ii) Appearance of nasal mucosa before and after the therapy. Thirty-nine patients (78%) were cured 100% as they had total relief from symptoms along with change of nasal mucosa from bluish to pink. Eight patients (16%) had about 75% improvement and 3 patients (6%) had only 50% improvement. These patients were advised to continue the therapy for a longer time (6-8 weeks). Of these, 4 patients showed further improvement. In our opinion, Septilin has proved very useful in cases of allergic and vasomotor rhinitis. The patients who have history of stress and strain may also need Geriforte in addition to Septilin.
Assuntos
Ansiolíticos/uso terapêutico , Anti-Inflamatórios/uso terapêutico , Extratos Vegetais/uso terapêutico , Rinite Alérgica Perene/tratamento farmacológico , Rinite Vasomotora/tratamento farmacológico , Adolescente , Adulto , Ansiolíticos/efeitos adversos , Anti-Inflamatórios/efeitos adversos , Criança , Quimioterapia Combinada , Feminino , Humanos , Masculino , Mucosa Nasal/efeitos dos fármacos , Extratos Vegetais/efeitos adversosRESUMO
Twenty patients of drooling were studied. Of the 20 patients studied, 8 patients underwent bilateral chorda tympani nerve section, and 12 patients underwent bilateral chorda tympani nerve along with bilateral tympanic nerve sections. Bilateral chorda tympani nerve section in combination with bilateral tympanic nerve section is a better and more effective procedure for control of drooling than bilateral tympanic nerve section alone. In both these methods there is immediate stoppage of drooling i.e. on 2nd postoperative day but chances of recurrence of drooling are less in chorda tympani nerve section in combination with tympanic nerve section (17%) than chorda tympani nerve section alone (38%).