Joseph Toynbee Memorial Lecture, 1976. Tympanoplasty--four heterodox techniques.

Abstract:

:Polarization between proponents of intact canal wall tympanoplasty and radical (modified) mastoidectomy in the treatment of cholesteatoma and other irreversible temporal bone lesions can be avoided in many cases by the use of one or more special techniques. These include (a) Gelfilm (no-graft) induction of tympanic membrane regrowth; (b) the use of tragal cartilage and perichondrium in columellization and in Type III neomyringostapediopexy; (c) the use of laboratory-prefabricated ossicular homografts to correct malleal-capitulum and malleal-footplate discontinuities more precisely; and (d) the circumferential approach (circumnavigation of patient's head) and anterior position of the surgeon in order to visualize the sinus tympani, retropyramidal, and retrofacial areas, obviating extensive posterior tympanotomy bone dissections. These techniques make possible a third alternative to the choice of either combined-approach tympanoplasty or radical or modified radical mastoidectomy in the treatment of a number of advanced temporal bone lesions.

journal_name

Ann R Coll Surg Engl

authors

Goodhill V

subject

Has Abstract

pub_date

1977-01-01 00:00:00

pages

17-24

issue

1

eissn

0035-8843

issn

1478-7083

journal_volume

59

pub_type

杂志文章
  • Prevalence of HIV status and CD4 counts in a surgical cohort: their relationship to clinical outcome.

    abstract:INTRODUCTION:HIV positivity alone as a predictor of surgical outcome has not been extensively studied in regions of high prevalence. The aim was to determine the prevalence of HIV infection in surgical patients, and compare differences in their clinical course based on their serological status and CD4 counts. PATIENTS...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/003588406X83050

    authors: Cacala SR,Mafana E,Thomson SR,Smith A

    更新日期:2006-01-01 00:00:00

  • The introduction of pulmonary artery pressure and cardiac output measurements in a district general hospital.

    abstract::The problems encountered in introducing a pulmonary artery (PA) pressure and cardiac output (CO) measurement facility in a district general hospital intensive care unit are enumerated. The indications for its use are briefly reviewed. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Smith HS

    更新日期:1983-09-01 00:00:00

  • Superior mesenteric artery syndrome in association with an abdominal aortic aneurysm.

    abstract::Superior mesenteric artery (SMA) syndrome, also known as Wilkie syndrome, is a rare condition characterised by compression of the third part of the duodenum against the aorta by the SMA. This can cause symptomatic duodenal obstruction. It is rarely associated with an abdominal aortic aneurysm (AAA). We report the case...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/147870809X450575

    authors: Pal A,Cameron AE

    更新日期:2009-10-01 00:00:00

  • The changing practice of transurethral resection of the prostate.

    abstract::Introduction Transurethral resection of the prostate (TURP) is considered the gold standard surgical treatment for lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia. The number of TURPs performed has declined significantly over the last three decades owing to pharmaceutical therapy. TURP da...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2018.0054

    authors: Young MJ,Elmussareh M,Morrison T,Wilson JR

    更新日期:2018-04-01 00:00:00

  • The effect of total knee replacement on employment in patients under 60 years of age.

    abstract:INTRODUCTION:The effect of primary total knee replacement on the employment status of 56 patients under 60 years of age was examined at a mean follow-up of 64 months. PATIENTS AND METHODS:A total of 56 primary total knee replacements performed on patients under the age of 60 years by two surgeons between 1996 and 2003...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588409X391785

    authors: Lyall H,Ireland J,El-Zebdeh MY

    更新日期:2009-07-01 00:00:00

  • Balancing priorities in the management of hip fractures: guidelines versus resources.

    abstract:BACKGROUND:About 60,000 patients are treated for hip fractures each year in the UK and the incidence is increasing. The majority of these patients are elderly and sick, and delay to operation may be fatal. The National Confidential Enquiry into Peri-Operative Deaths (NCEPOD) guidelines aim to improve quality of care fo...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588404323043283

    authors: Guryel E,Redfern DJ,Ricketts DM

    更新日期:2004-05-01 00:00:00

  • Anaesthesia for bronchography in small children.

    abstract::General anaesthesia is infrequently requested for bronchography in small children. The clinical indications, recommendations for the anaesthetic technique, and problems associated with the investigation are discussed. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Ryan DW

    更新日期:1980-05-01 00:00:00

  • Defunctioning loop ileostomy: not always a safe option.

    abstract::A 74-year-old woman underwent a low anterior resection and defunctioning loop ileostomy for a T1 N1 M0 rectal adenocarcinoma. Three months following surgery she attended complaining of pain inferior to the loop ileostomy. A clinical examination demonstrated an extensive area of spreading cellulitis on the lower abdomi...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/147870811X590342

    authors: Davey PT,Burnside N,MacKenzie N,Conkey D,Carson J,Skelly RT

    更新日期:2011-09-01 00:00:00

  • Study to assess differences in outcome following open carpal tunnel decompressions performed by surgeons of differing grade.

    abstract:INTRODUCTION:Carpal tunnel decompression is the most commonly performed surgical procedure within a hand unit. Although very effective, the complications following the procedure can be significant. In an attempt to identify the causes of such complications, we assessed whether seniority of the surgeon impacts on outcom...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588407X232035

    authors: Akhtar S,Sinha S,Bradley MJ,Burke FD,Wilgis SE,Dubin NH

    更新日期:2007-11-01 00:00:00

  • Long-term follow-up of the use of the Jones' intestinal tube in adhesive small bowel obstruction.

    abstract:INTRODUCTION:Intestinal intubation with a Jones' tube has been suggested to reduce the incidence of recurrent adhesive obstruction. This paper describes our experience of this technique. PATIENTS AND METHODS:A retrospective case-note review was performed on 68 patients admitted to a teaching hospital who were identifi...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588409X358999

    authors: Fazel MZ,Jamieson RW,Watson CJ

    更新日期:2009-01-01 00:00:00

  • Ecthyma gangraenosum--a trap for the unwary.

    abstract::Neutropaenic patients are at particular risk of developing a pseudomonal fasciitis known as ecthyma gangraenosum. Despite the similarities with necrotising fasciitis, Fournier's gangrene has a very different aetiology and management. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Arul GS,Spicer RD

    更新日期:2001-01-01 00:00:00

  • Obstructed hepatic flexure contained in a right-sided inguinoscrotal hernia resulting in caecal perforation.

    abstract::Inguinal hernia often presents as an emergency with obstruction and subsequent strangulation. We report a unique case where an inguinoscrotal sliding type hernia contained the entire hepatic flexure as its lead point, resulting in acute colonic obstruction and caecal wall perforation. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588413X13629960047551

    authors: Skelly BL,Neill AK

    更新日期:2013-09-01 00:00:00

  • Trephine colostomy: a warning.

    abstract::A case of trephine colostomy is presented in which air insufflation incorrectly identified the distal limb. Disaster was averted by correct identification at laparotomy. The probable cause of the error and methods of avoidance are discussed. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Loder PB,Thomson JP

    更新日期:1995-11-01 00:00:00

  • Surgical management of thoracic malignancy in childhood: eight years' experience in Leeds.

    abstract::During the period 1978 to 1986, 13 children aged 2-15 years underwent surgical resection of malignant thoracic tumours. Five children with neuroblastomas presented with chest pain and infections, pleural effusions, dysphagia, lymphadenopathy and paraplegia. Chemo- and radiotherapy were given preoperatively to previous...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Lodge JP,Hamilton JR,Walker DR,Bailey CC

    更新日期:1988-03-01 00:00:00

  • The value of HIDA scanning in intestinal fistulae.

    abstract::Intestinal fistulae have been outlined using the delayed phase of Tc-99m labelled HIDA. The technique involved is simple, safe and easily reproducible. This method has advantages over conventional radiography particularly for the leaking duodenal stump and involves minimal disturbance to the patient. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Gillen P,Peel AL,Rosenberg IL,Reeder A,Gill P

    更新日期:1985-09-01 00:00:00

  • Preparation of a Mastership thesis.

    abstract::A detailed account is given of the mechanics of converting the manuscript results from a period of research into a thesis that is also a first-class, readable book. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Kelly MJ

    更新日期:1981-07-01 00:00:00

  • Trends in paediatric distal radius fractures: an eight-year review from a large UK trauma unit.

    abstract:INTRODUCTION:This observational study investigated the incidence of distal radius fractures in children, to determine whether the rate is rising, the effect of seasonal variation on incidence and whether fracture type and rate of surgical intervention has changed, to help in determining costs for secondary care and to ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2019.0023

    authors: Mamoowala N,Johnson NA,Dias JJ

    更新日期:2019-04-01 00:00:00

  • Malignant peripheral nerve sheath tumour in the submandibular space.

    abstract::Malignant peripheral nerve sheath tumours (MPNSTs) are a rare but aggressive form of soft tissue sarcoma with few reported cases in the anatomic location seen with the case presented here. This case involves a 23-year-old man presenting with a soft tissue mass under the mandible found to be a MPNST, which was investig...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2017.0060

    authors: Olivier JB

    更新日期:2017-05-01 00:00:00

  • Inter- and intra-observer variation of the Schatzker and AO/OTA classifications of tibial plateau fractures and a proposal of a new classification system.

    abstract:INTRODUCTION:The aim of this study was to evaluate the intra- and inter-observer variation of the Schatzker and AO/OTA classifications in assessing tibial plateau fractures, using plain radiographs. PATIENTS AND METHODS:Fifty tibial plateau fractures were classified independently by six observers as per the Schatzker ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588407X187667

    authors: Charalambous CP,Tryfonidis M,Alvi F,Moran M,Fang C,Samarji R,Hirst P

    更新日期:2007-05-01 00:00:00

  • Retrospective cohort study of an enhanced recovery programme in oesophageal and gastric cancer surgery.

    abstract::Introduction Enhanced recovery programmes have been established in some areas of elective surgery. This study applied enhanced recovery principles to elective oesophageal and gastric cancer surgery. Methods An enhanced recovery programme for patients undergoing open oesophagogastrectomy, total and subtotal gastrectomy...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588415X14181254789880

    authors: Gatenby PA,Shaw C,Hine C,Scholtes S,Koutra M,Andrew H,Hacking M,Allum WH

    更新日期:2015-10-01 00:00:00

  • Artificial Intelligence in plastic surgery: What is it? Where are we now? What is on the horizon?

    abstract:INTRODUCTION:An increasing quantity of data is required to guide precision medicine and advance future healthcare practices, but current analytical methods often become overwhelmed. Artificial intelligence (AI) provides a promising solution. Plastic surgery is an innovative surgical specialty expected to implement AI i...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/rcsann.2020.0158

    authors: Murphy DC,Saleh DB

    更新日期:2020-10-01 00:00:00

  • Wound perfusion with bupivacaine: objective evidence for efficacy in postoperative pain relief.

    abstract::Conflicting reports exist for the efficacy of intermittent wound perfusion with bupivacaine in the relief of postoperative pain. A study was devised to assess postoperative pain relief objectively using a Patient Controlled Analgesic Device (PCAD) during continuous wound perfusion with bupivacaine or saline. Thirty co...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Chester JF,Ravindranath K,White BD,Shanahan D,Taylor RS,Lloyd-Williams K

    更新日期:1989-11-01 00:00:00

  • Is there a role for music in reducing anxiety in plastic surgery minor operations?

    abstract:INTRODUCTION:It is well documented that music plays a role in reducing anxiety levels. Its role in reducing intra-operative anxiety levels in surgical patients while awake is less well known. We report the effects of music on intra-operative patient anxiety in both the elective and trauma plastic surgical setting. ME...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588412X13171221501861

    authors: Sadideen H,Parikh A,Dobbs T,Pay A,Critchley PS

    更新日期:2012-04-01 00:00:00

  • Neuroendocrine tumour arising inside a tailgut cyst.

    abstract::Tailgut cysts are rare benign retrorectal cysts arising from persistent remnants of an embryonic hindgut. Malignant transformation inside this lesion is very uncommon and occurrence of neuroendocrine tumours in this context is extremely rare. We report the case of a 56-year-old woman who underwent surgical excision of...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2016.0362

    authors: Mora-Guzmán I,Alonso-Casado A,Rodríguez Sánchez A,Bermejo Marcos E

    更新日期:2017-02-01 00:00:00

  • Inflamed solitary caecal diverticulum - it is not appendicitis, what should I do?

    abstract::We describe three cases that presented with symptoms suggestive of appendicitis but were found at operation to have an inflamed solitary caecal diverticulum. All were treated successfully with diverticulectomy or inversion of the diverticulum. We wish to highlight this diagnosis and its surgical management so that inf...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588406X149336

    authors: Connolly D,McGookin RR,Gidwani A,Brown MG

    更新日期:2006-11-01 00:00:00

  • The Norwich method of total hip replacement: development and main indications.

    abstract::The early experience with total prosthetic replacement of the hip from the making up of the first models in 1940 and the actual insertion of a small series in 1951 is described. The introduction of modified designs and the teething troubles experienced with them is dealt with, including the use of acrylic cement as a ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 历史文章,杂志文章

    doi:

    authors: McKee GK

    更新日期:1974-02-01 00:00:00

  • The EndoAssist robotic camera holder as an aid to the introduction of laparoscopic colorectal surgery.

    abstract:INTRODUCTION:Introducing laparoscopic colorectal surgery is a challenge to the whole surgical team. It is usual for an assistant to hold the laparoscope and be responsible for the surgeon's view of the operative field and a lack of expertise in the assistant can add significant difficulties. The EndoAssist is a robotic...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588409X392162

    authors: Gilbert JM

    更新日期:2009-07-01 00:00:00

  • The positive predictive value of diagnostic ultrasound for occult herniae.

    abstract:INTRODUCTION:The aim of this study is to ascertain the accuracy of diagnostic ultrasound in the assessment of the occult abdominal and groin herniae. The authors have previously demonstrated its efficacy in diagnosing the type of clinical groin herniae but occult herniae provide a further diagnostic problem. PATIENTS ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588406X95110

    authors: Bradley M,Morgan J,Pentlow B,Roe A

    更新日期:2006-03-01 00:00:00

  • Impact of HIV and AIDS on surgical practice.

    abstract:INTRODUCTION:Surgical intervention has become a common component in the management of patients infected with the human immunodeficiency virus (HIV) or suffering from the clinical consequences of acquired immunodeficiency syndrome (AIDS). We investigated the evolution of this involvement at a tertiary referral centre fo...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588407X183436

    authors: Dua RS,Wajed SA,Winslet MC

    更新日期:2007-05-01 00:00:00

  • Clinically benign parotid tumours: local dissection as an alternative to superficial parotidectomy in selected cases.

    abstract::In a personal series of 162 tumours, 101 were pleomorphic adenomas 28 of which were removed by elective local extra capsular dissection and 73 by a conventional nerve dissection. There were no recurrences in either group after a mean follow-up 10.3 years, range 3-21 years for local dissection and 8.3 years, range 3-22...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Hancock BD

    更新日期:1999-09-01 00:00:00