We conclude that tonsillectomy is of benefit for patients with recurrent acute and chronic tonsillitis. Tonsillectomy significantly reduced general practitioner attendances and resulted in an improved feeling of health and well-being.
Lemierre's syndrome is characterized by acute oropharyngeal infection complicated by internal jugular venous thrombosis secondary to septic thrombophlebitis, and metastatic abscesses. We report a case of Lemierre's syndrome in an 18-year-old Caucasian woman presenting with a peritonsillar abscess and ipsilateral VIth cranial nerve palsy.
. Involving patients and parents in the choice of their cochlear implant encourages an active role in the process and facilitates 'bonding' and 'ownership' of the device. . The most frequent reasons given by patients for selecting a device included cochlear implant comfort and appearance. . We describe the Implant Programme based at the Royal National Throat, Nose and Ear Hospital, London, and also examine patient satisfaction with the scheme.
Cystic lesions of the nasopharynx are rare. Two cases of mucous retention cysts originating from the fossa of Rosenmüller are described, together with their characteristic radiologic appearance, which allows differentiation from other types of lesions in this region. The differential diagnosis and treatment options are discussed.
Glomus tumours of the skull base are rare, and most frequently present with symptoms of hearing loss and tinnitus. Diagnosis is often delayed due to the slow growth of the tumour. We describe the previously unreported occurrence of a glomus tumour presenting with a unilateral accessory nerve palsy.
Introduction: At the end of cochlear implant surgery impedance measurements are used to check the integrity of the implant. On occasions impedance results for one or more electrodes are abnormal. The implication of these abnormal results is unclear. Objectives: To determine if abnormal electrode impedance intra-operatively is associated with abnormal test results at subsequent appointments.
Material & methods:We reviewed the impedance records of 114 patients who underwent cochlear implantation with Clarion HiRes 90K or Freedom Contour advance implants in our department between 2001 and 2007. Results: 16 patients had a total of 80 electrodes with abnormal impedance on intra-operative testing. At follow up of these 16 patients only 8 still had electrodes with abnormal impedance, with a total of 9 abnormal electrodes. Clarion HiRes 90k implants were more likely than Freedom Contour advance implants to have electrodes with abnormal impedance on initial testing but their electrode impedance was more likely to have normalised by follow up. Conclusion: 89% of electrodes with abnormal intra-operative impedance testing will normalise eventually, but half of patients with abnormal electrodes when tested in theatre will have 1 or 2 non functioning electrodes long term.
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