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Biomedical subjects

J G Gilbert

Publications and source records attributed to J G Gilbert.

16 recordsLinked to original sources
PubMed1989

Antroscopy in maxillary sinus disease associated with nasal polyposis.

Although the association of maxillary sinusitis with nasal polyps is widely recognized little has been written on its precise incidence and degree. Antroscopy of 70 antra with ipsilateral polyps showed a high incidence of mucosal abnormalities, retained secretions and ostial narrowing. Comparison of these findings with preoperative X-rays showed the latter were unreliable in detecting retained antral fluid. It is concluded that in nasal polyposis the antra warrant careful assessment and that antroscopy is a highly satisfactory method for this purpose.

Endoscopy↗
PubMed1988

Influence of intraoperative antroscopy on surgical treatment of the maxillary antrum.

Antroscopy is being used with increasing frequency but its optimum role in clinical practice is still being clarified. One hundred antroscopies were carried out intraoperatively on 50 consecutive patients admitted for non-urgent, intranasal and/or paranasal sinus surgery. A specific surgical procedure had been planned on 28 individual maxillary antra. In the remaining 72 antra, no such procedure was planned. As a result of the antroscopic findings, the surgical procedure was changed in 16% of the total sinuses. In 10% a more extensive, and in 6% a less extensive procedure was carried out than had been envisaged prior to antroscopy. It is concluded that intraoperative antroscopy is extremely helpful in selecting the appropriate procedure, if any, to carry out on the maxillary antrum.

Adolescent↗
PubMed1987

Treatment of posttraumatic nasal deformity.

This paper surveys 57 consecutive cases of posttraumatic rhinoplasty. The commonest cause of injury was sporting activities. Thirty-seven percent of patients had additional non traumatic nasal problems. Ninety-four percent considered the nasal appearance and airway after surgery to be either satisfactory or significantly improved. There were no serious complications. It is concluded that this type of surgery is effective in improving the appearance and function of the traumatised nose while preaccident nasal pathology may usually be helped simultaneously.

Adolescent↗
PubMed1987

Auricular complication of acupuncture.

Auricular chondritis occurred in a patient following a course of auricular acupuncture administered to help the patient give up smoking. Despite immediate treatment the condition pursued a long course resulting in considerable morbidity and some deformity of the ear. Twenty months after presentation the ear is not completely stable. Acupuncture should be considered a form of penetrating trauma which may induce perichondritis or chondritis in the auricle.

Acupuncture Therapy↗
PubMed1986

Incidence of fever and bacteremia following transbronchial needle aspiration.

Fiberoptic bronchoscopy and transbronchial needle aspiration were performed on 50 occasions in 47 afebrile patients. The aspirations were followed by endobronchial or transbronchial biopsies in 22 patients, as well as bronchial brushings and washings where appropriate. Blood for cultures was drawn at 5 and 30 minutes following needle aspiration, as well as at the time of any temperature above 38 degrees C during the 24 hours following the procedure. In five (10 percent) of the 50 cases, there was temperature greater than 38 degrees C (100.4 degrees F) in the 24 hours following the bronchoscopy; in no patient were cultures of blood positive, whether done early after the procedure or at the time of fever. We conclude that transbronchial needle aspiration, a new procedure gaining widespread popularity in diagnostic thoracic medicine, is not associated with clinically detectable bacteremia. This procedure should not require antimicrobial prophylaxis in patients susceptible to endocarditis.

Adult↗
PubMed1976

The place of cytology in laryngeal diagnosis.

A cytological procedure providing useful supplementary information in the diagnosis of laryngeal malignancy is described. Of 51 patients, 22 had complete correlation with histological examination in confirming a benign condition. Twenty patients had complete correlation in confirming a malignant lesion. Five patients showed cellular atypia in the presence of benign conditions. Three showed atypia, of which 2 were malignant, 1 being unstable histologically but with no evidence of frank malignancy. Ten patients had been irradiated previously; in all cases the distinction between residual disease and no evident disease was correctly diagnosed with respect to the histological appearance.

Carcinoma in Situ↗
PubMed1975

Water intoxication after hypophysectomy.

A case of excessive water retention after hypophysectomy is recorded. Its probable cause, inappropriate secretion of ADH, is explained and the diagnosis and management discussed. Three other recorded cases occurring after hypophyseal surgery are mentioned. The importance of postoperative electrolyte measurements in early diagnosis and management is emphasized.

Diuretics↗