RESUMO
Our pilot study reports twenty-six cases of resolved chronic otitis media in which the human, cadaveric styloid process was used as an ossicular graft material. A maximum follow-up of one year is presented in this paper. There was no extrusion or rejection of the styloid processes. Hearing improvement with a closure of the air-bone gap to within 10-15 dB. of the pre-operative bone conduction was found in most cases. So far the styloid process has proved to be an ideal ossicular graft though the long-term results are yet to be seen.
Assuntos
Prótese Ossicular , Osso Temporal/transplante , Bioprótese , Humanos , Otite Média/cirurgia , Projetos PilotoRESUMO
Vasomotor rhinitis is a frustrating experience both for the consultant and for the patient. The purpose of vidian neurectomy is to destroy the secretomotor nerve supply to the nasal mucosa, the main indication being severe intractable non-atopic vasomotor rhinitis. A review of 208 cases which have undergone transnasal vidian neurectomy by diathermy coagulation in the last five years is presented. The operation has proved worthwhile, the patients remaining symptom-free in 92 per cent of cases (longest follow-up 5 years). There have been no complications.
Assuntos
Mucosa Nasal/inervação , Rinite Vasomotora/terapia , Adolescente , Adulto , Doença Crônica , Eletrocoagulação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , SimpatectomiaRESUMO
A combined approach by the transpalatal and transmaxillary routes has proved to be a better technique for total surgical extirpation of extensive nasopharyngeal fibroma, and it has been used already in seven cases without recurrence over a period of three years. The transmaxillary route includes removal of the middle one-third of the maxilla, i.e. the lateral, medial and posterior walls of the maxilla with the inferior turbinate bone.