Cordes, RN \s=b\Fourteen patients experienced recurring episodes of acute pharyngotonsillitis and acute sinusitis associated with an igE-mediated inhalant allergy. Bacterial infection was clinically suspected in seven patients, five of whom had pathogens on culture. The existence of allergy to inhalants was established by serum IgE studies and intradermal skin tests. A significant reduction in the frequency and severity of the inflammatory episodes was associated with immunotherapy. In six patients with recurrent involvement of the palatine tonsils, tonsillectomy had been considered before immunotherapy but was deemed unnecessary after treatment.It seems that inhalant allergy can predispose to, accompany, or mimic bacterial pharyngotonsillitis and sinusitis.
✓ Posttraumatic vertigo may be an accompanying symptom associated with concussion and with the post-concussion state. It is possible, however, that these symptoms are related to perilymphatic fistulas and are not the direct result of cerebral concussion. Although many fistulae heal spontaneously, patients with persistent vertigo and fluctuating hearing loss following head trauma may have associated defects in the perilymphatic channels with fistulas in the region of the oval or round windows. This paper presents results of surgical repair in three patients with fistulas. Surgical intervention becomes much more urgent when sensory neural hearing loss has occurred acutely or has developed during the course of illness.
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.