We studied 130 patients, aged 20 to 81 years, with symptoms of tinnitus, vertigo or dizziness. Radiological examinations revealed degenerative changes in the cervical spines of all patients such as discopathy or osteophytes. Head and neck and neurological examinations ruled out other symptoms apart from vertebrobasilar artery flow insufficiency. The vertebrobasilar arteries were examined by means of a color Doppler ultrasonograph using duplex scanning. The correlation coefficient (CC) defining the relationship between the number of patients with abnormal blood flow and the total number of patients with radiologically confirmed changes in the cervical spine was 41.5%. When patients were separated by age, the value of the CC coefficient increased proportionally according to age, changing from 0 to 79.1%. Use of the Doppler ultrasonograph was found to be a safe and non-invasive diagnostic method that enabled us to assess the influence of degenerative changes in the cervical spine on hemodynamic disturbances in the inner ear and brain stem. Our findings demonstrated a pathological decrease of vertebral artery flow velocity in relationship to degenerative changes in the cervical spine.
Fragestellung: In der vorliegenden Arbeit werden Ergebnisse der chirurgischen Behandlung von Augenhöhlengeschwülsten unter Erhaltung der Sehkraft dargestellt. Die entscheidende Frage lautete, wann und bei welchen Lokalisationen der Geschwülste es möglich ist, die Sehkraft des Kranken zu erhalten. Material: In den Jahren 1981–1991 wurden in der Laryngologischen Klinik in Krakau 101 Kranke im Alter von 2 Monaten bis 81 Jahren behandelt. In der analysierten Gruppe befanden sich 56 Männer und 45 Frauen. In 86 Fällen wurden gutartige, in 15 Fällen bösartige Geschwülste behandelt. Bei 63 Kranken wurde eine laterale Orbitotomie nach der Krönleinschen Methode durchgeführt, bei 10 Kranken wurde die Augenhöhlenoperation über den Uffenorde-Zugang gemacht, und im Falle von 28 Kranken konnte man über einen Schnitt unter dem unteren Augenhöhlenrand in die Augenhöhle gelangen. Innerhalb von 5 Jahren nach dem Eingriff wurden die Patienten einer HNO-ärztlichen und ophthalmologischen Kontrolluntersuchung unterzogen. Alle 6 Monate wurde ein Sonogramm und 1 Jahr nach der Operation eine Computertomographie durchgeführt. Ergebnisse: Ein Rezidiv wurde bei 7 von den wegen eines bösartigen Tumors operierten Kranken festgestellt. In 39 Fällen war es notwendig, einen Teil der externen Augenmuskeln zu entfernen, nur bei 7 Kranken aus der Gruppe kam es jedoch zu einer anhaltenden Diplopie. Ein Kranker erblindete nach dem Eingriff. Schlussfolgerungen: Bei der lateralen und supralateralen Lokalisation der Geschwulst ergeben sich trotz gleichzeitiger onkologischer Radikalität des Eingriffs die besten Chancen, die Sehkraft zu erhalten.
Juvenile idiopathic arthritis (JCA) is an inflammatory systemic disease of connective tissue which etiology is still unknown. Progressive arthritis is the basic symptom, with pain, oedema, stiffness and movement impediment are typical for. Chronic process of arthritis might be accompanied by rheumatoid nodes, pericarditis, myocarditis, changes in the lungs and kidney, which appear with various frequency and indicates on systemic form of disease. The incudo-malleolar and incudo-stapedial joints are synovial in type. It should be expected that these joints might be affected by rheumatoid changes similar to those observed in joints in other parts of the body. Copeman was the first who described transient conductive hearing loss in patients with exacerbated rheumatoid process--and he called it oto-arthritis. He stressed that it was the consequence of the rheumatoid lesions in joints of ear ossicules. In adult patients with JCA in 60% of cases the perceptive hearing-loss is observed possibly because of the chronic course of the disease and its farmacological treatment. The aim of the study was the assessment of the functional state of the peripheral part of hearing organ on the basis of TEOAE. This study was preceded by examination of hearing with pure tone audiometry, speech audiometry, high frequency audiometry and impedance audiometry. The analysis of results was done in correllation to form of JCA and its activity. The research was carried out on the group of 45 children suffering from JCA; 14 boys and 31 girls between 5-18 years of age. In all children from experimental group the examination was performed in the active phase of disease process. Mean duration of the disease was 33.5 month. In all children TEOAE was obtained no matter on the form of JCA. Children with systematicus form of JCA--more aggressive type than others--have the recordings of TEOAE with small amplitude and narrow range of frequency. Those results show that rheumatoid lesions in conductive mechanism of the middle ear are insufficient for the development of the conductive hearing loss. As a results of chronic pathological process destructions of hearing organ may lead to the cochlear lesions and this way to perceptive hearing loss.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.