Text Box: January 07, 2007

Text Box: Otorhinolaryngology News

Text Box: Inside This Issue
· LigCoast Clear for Human AMI.?
· NIHL, YEs. EPO, NO..?
· TinStill on Discordant TM.? 
*     Case of the Week

 

 

 Case Review

 Clinical Radiograph of The Week

A 54-year old male presented with recurrent epistaxis, nasal obstruction and diffuse neck swellings of 6 months duration. The only other significant history was that the wife died recently after a prolonged febrile illness. Examination revealed the features shown on this film as well as +4 tonsils, and post-nasal mass depressing the soft palate, as well as enlarged levels II - V nodes bilaterally. RVD Screening was positive and scrapping biopsy of the post-nasal space mass was reported well-differentiated squamous cell carcinoma

What is the Diagnosis, and What is the best management option?
 

    

 

1.     47th Annual Conference of West African College of Surgeons, January 14th - 19th, 2007. Hotel Meridien President, Dakar, Senegal. Contact cobode@yahoo.com  or smgueye@sentoo.sn for further information. Deadline for abstracts 20/12/2006.

2.  25th Alexandria Combined ORL Congress, April 18 - 20 2007; Alexandria, Egypt. Deadline for Abstract submission January 15, 2007. Click HERE for Details

 
This recent study from Ukraine & Belgium ( Didyk LA et al, Hearing Research, Volume 223, Issues 1-2 , January 2007, Pages 20-28 ) is similar in design but different in execution compared to the study reported in the most recent issue of this newsletter by focusing on the effect of atmospheric pressure fluctuations on the gerbils TMs pars flaccida and concluded the pars flaccida are best suited for natural range of atmospheric pressure fluctuations

Abstract:

Atmospheric pressure fluctuations (APF) might induce mechanical effects in the pars flaccida (PF) of the eardrum. To clarify these effects, different kinds of pressure oscillations (PO), chosen within the range of naturally occurring APF, were applied to the middle ears (ME) of gerbils. The linear displacement of the PF during a PO in the ME was measured by laser interferometry. The compliance of the PF to PO was calculated as the ratio of the amplitude of a PF oscillation to the amplitude of a PO. The displacement of the PF traced the PO in the entire range of frequencies (from 10 mHz to 200 mHz) and amplitudes (from 10 Pa to 110 Pa) applied to the ME. Moreover, the PF is found to be displaced by pressure pulses of a few pascals only using a PO with a complex shape. The differences found in the compliance of the PF due to PO with low (less than 20 Pa) and high (more than 90 Pa) amplitude point out that the mechanism of pressure regulation in the ME through the mechanical reaction of the PF in gerbil ears is better adapted to ordinary levels of natural APF than to extraordinary levels. The implications of these findings for the physiology of the human ME with respect to adaptation to natural APF are discussed.

 


     Journal Watch : Codetection of serous otitis media and severe sensorineural hearing impairment in children–—the management dilemma, Olusesi AD, 2006

 1.   DODA 2006, capable of advanced hearing measure, and also paediatric hearing assessment is being developed. If you requested for and got a free copy of DODA, you may also look out for this latest version dubbed DODA-i, as well as for an additional page on outcome of hearing assessment using DODA.

 2.  From  http://www.otolaryngologyinafrica.net/grandround/  is a new addition - a recent conference poster presentation. This presentation is available at http://www.otolaryngologyinafrica.net/grandround/archive.htm .

 3.   Feel free to sign our online guestbook anytime you access the website.

 4.   A moderated mailing list for Otolaryngologists in Africa has been created. To subscribe to the mailing list, simply send a message with the word 'subscribe' in the Subject: field to the -request address of that list
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 Till Next Week, Welcome to 2007!

 Biodun

 

 

This is a free email newsletter circulating to Otolaryngologists in Africa, and interested Otolaryngologists elsewhere. If you know anyone interested in receiving this free newsletter, feel free to forward a copy to such person or encourage them to email orl-mailer@otolaryngologyinafrica.net for free subscription

 

                          © Copyright Dr 'Biodun Olusesi,  2005 - 2007

 

 Vestibular Evoked Myogenic Potential