200 CT scans of adult patients with paranasal sinus problems seen in the ENT Department either in the University Hospital in Berne, Switzerland, or in the University Hospital in Munich, Germany, were analysed. Among these we found 9 striking abnormalities of paranasal sinus anatomy. We found abnormalities which caused clinical symptoms, such as an infected concha bullosa, a fine-septated infected maxillary sinus, a pneumosinus dilatans of the frontal sinus with aesthetic problems, and a cellula orbito-ethmoidalis with sinusitis. Some of these abnormalities were found by coincidence, such as a cellula orbito-sphenoidalis and an extreme pneumatisation of the sinus sphenoidalis with a pneumatised processus pterygoideus. 2 cases show the importance of preoperative evaluation of a possible abnormal sinus to avoid operative complications: a sinus sphenoidalis with a pneumatisated clivus and an intraluminal a. carotis interna. The other case involved an optic nerve running free through the sphenoidal sinus. In conclusion we stress the importance of preoperative CT examination and the choice of a coronary or axial CT scan, which reveals any abnormal anatomy of the paranasal sinus pneumatisation and thus increases the safety and efficiency of paranasal sinus surgery.
{"title":"[Atypical pneumatization of the paranasal sinus system].","authors":"N T Neuner, R Häusler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>200 CT scans of adult patients with paranasal sinus problems seen in the ENT Department either in the University Hospital in Berne, Switzerland, or in the University Hospital in Munich, Germany, were analysed. Among these we found 9 striking abnormalities of paranasal sinus anatomy. We found abnormalities which caused clinical symptoms, such as an infected concha bullosa, a fine-septated infected maxillary sinus, a pneumosinus dilatans of the frontal sinus with aesthetic problems, and a cellula orbito-ethmoidalis with sinusitis. Some of these abnormalities were found by coincidence, such as a cellula orbito-sphenoidalis and an extreme pneumatisation of the sinus sphenoidalis with a pneumatised processus pterygoideus. 2 cases show the importance of preoperative evaluation of a possible abnormal sinus to avoid operative complications: a sinus sphenoidalis with a pneumatisated clivus and an intraluminal a. carotis interna. The other case involved an optic nerve running free through the sphenoidal sinus. In conclusion we stress the importance of preoperative CT examination and the choice of a coronary or axial CT scan, which reveals any abnormal anatomy of the paranasal sinus pneumatisation and thus increases the safety and efficiency of paranasal sinus surgery.</p>","PeriodicalId":76532,"journal":{"name":"Schweizerische medizinische Wochenschrift. Supplementum","volume":"116 ","pages":"108S-112S"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21629027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Infectious mononucleosis is usually a benign, self-limited disorder of the lymphopoietic system. Tonsillopharyngitis is a common presentation of the disease. Occasionally upper airway obstruction or a prolonged swallowing disorder require surgical intervention.
Methods: We conducted a retrospective analysis of all infectious mononucleosis cases seen at the ENT clinic in St. Gallen, Switzerland, between 1994 and 1998.
Results: 21 records were analysed, among which 19 patients needed hospital care. 11 cases required tonsillectomy. The average duration of fever of the patients undergoing surgery was markedly lower (9 days) than the conservatively managed cases (14.2).
Discussion: Tonsillectomy is well tolerated, eliminates airway obstruction and rapidly improves swallowing.
{"title":"[Infectious mononucleosis: when is tonsillectomy indicated?].","authors":"I Oddera","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Infectious mononucleosis is usually a benign, self-limited disorder of the lymphopoietic system. Tonsillopharyngitis is a common presentation of the disease. Occasionally upper airway obstruction or a prolonged swallowing disorder require surgical intervention.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of all infectious mononucleosis cases seen at the ENT clinic in St. Gallen, Switzerland, between 1994 and 1998.</p><p><strong>Results: </strong>21 records were analysed, among which 19 patients needed hospital care. 11 cases required tonsillectomy. The average duration of fever of the patients undergoing surgery was markedly lower (9 days) than the conservatively managed cases (14.2).</p><p><strong>Discussion: </strong>Tonsillectomy is well tolerated, eliminates airway obstruction and rapidly improves swallowing.</p>","PeriodicalId":76532,"journal":{"name":"Schweizerische medizinische Wochenschrift. Supplementum","volume":"116 ","pages":"80S-82S"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21629146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The author looked for associated pathologies in adult otitis media. In 31 cases collected during 11 months of private practice as en ENT specialist he observed radiological anomalies of the sinus cavities in 19 cases (61%), concomitant ENT ailments in 9 (29%) and serious deterioration of general condition in 3 (10%). He concludes that adult otitis media is not an isolated phenomenon and that its management must take other associated pathologies into account.
{"title":"[Otitis and sinusitis: research on associated pathology of the middle ear in the adult].","authors":"J A Haury","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author looked for associated pathologies in adult otitis media. In 31 cases collected during 11 months of private practice as en ENT specialist he observed radiological anomalies of the sinus cavities in 19 cases (61%), concomitant ENT ailments in 9 (29%) and serious deterioration of general condition in 3 (10%). He concludes that adult otitis media is not an isolated phenomenon and that its management must take other associated pathologies into account.</p>","PeriodicalId":76532,"journal":{"name":"Schweizerische medizinische Wochenschrift. Supplementum","volume":"116 ","pages":"90S-92S"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21629149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"64th Annual meeting of the Swiss Society of Gastroenterology and Hepatology together with the Swiss Society of Visceral Surgery. Zurich, 16-18 September 1999. Abstracts.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76532,"journal":{"name":"Schweizerische medizinische Wochenschrift. Supplementum","volume":"110 ","pages":"3S-31S"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21410251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[92nd Annual meeting of the Swiss Society of Pediatrics. Locarno, 24-26 June 1999. Abstracts].","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76532,"journal":{"name":"Schweizerische medizinische Wochenschrift. Supplementum","volume":"108 ","pages":"3S-24S"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21315130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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