承上启下薪火传承

满载丰硕成果的2007年在世人注目中落下帷幕，新的一年在满怀希望的期盼中开始了新的征程。回眸过去学科发展建设的一年，我们成功地举办了第十届中华耳鼻咽喉头颈外科学术会议、全国鼻部感染与变态反应及耳鼻咽喉颅底外科专题学术会议、全国中耳疾病的外科治疗专题学术会议，首届全球华人耳鼻咽喉头颈外科学术会议等一系列高质量的学术活动；     

颞下窝咽侧区肿瘤的诊断与手术治疗

目的 寻求颞下窝咽侧区肿瘤的早期诊断及有效的手术途径。方法1978～2002年我院手术治疗颞下窝咽侧区肿瘤75例。手术采用4种进路：①颌下进路。②截断下颌骨颌下联合进路。③耳前颌下进路。④经上颌窦前外进路。绝大多数采用第1种手术入路。恶性肿瘤术后行放疗或化疗；继发性肿瘤在切除原发性肿瘤的同时予以切除。结果手术效果良好，无并发症。良性肿瘤38例术后6个月～18年(其中26例超过5年以上)，1例复发。恶性肿瘤37例中，12例死亡，5例失访，余20例观察3～5年无复发及转移。结论①颞下窝咽侧区肿瘤CT扫描及针吸细胞病理检查是有效的诊断手段。②颌下进路是该区肿瘤较好的手术途径。③术中彻底止血、尽可能消灭死腔及负压引流对预防切口感染和预防呼吸道阻塞都相当重要。     

Contact between the tectorial membrane and the cochlear sensory hairs in the human and the monkey

European Archives of Oto-Rhino-Laryngology - The surface structure of the organ of Corti and the overlying tectorial membrane were studied in human and monkey cochleas under a scanning electron...     

Herpes and the head and neck: the difficulties in diagnosis

A case of primary herpes of the head and neck is presented. The exact source of infection and the precise diagnosis proved difficult to establish, but evidence tended to support a diagnosis of varicella zoster infection as opposed to a herpes simplex infection, though a dual infection was not ruled out. Herpes simplex has specific clinical features which usually make its distinction from varicella zoster clear cut. In this case we relied heavily on laboratory investigations to improve the accuracy of our diagnosis since the clinical characteristics were blurred. Unlike varicella zoster there has been little written about herpes simplex infections specifically affecting the ear, face and neck.     

Pathogenesis of dysplasias of the face and the ear and dystopias of the temporal region

Dysplasias of the face and ear are supposed to be caused by a premature involution of 3 different embryonal arteries of the branchial arches: (1) Dysfunction of the mandibular artery causes the otocephalia syndrome; (2) that of the stapedial artery causes dysplasias of the face; (3) dysfunction of the hyoid artery entails dysplasias of the ear; and (4) combination of (2) and (3) (dysfunction of truncus hyostapedialis) results in simultaneous dysplasias of the face and the ear. The earlier the deficiency of blood supply occurs the more serious the resulting dysplasias are. The dystopias in the temporal region (auricles, facial nerve, ossicles, petrous bone) are the consequence of an overbending of the proximal hyoid arch caused by a retardation in the development (shortening) of the mandibular arch. Therefore, dystopias of the ear always occur together with dysplasias of the face. Phenotype and appearance on radiographs are discussed.     

回返穿通动脉与面听神经关系的解剖学研究

目的：介绍回返穿通动脉(RPA)与面-听神经的关系，为桥小脑角(CPA)的前庭-耳蜗神经(VN)血管减压术提供有实用价值的解剖学资料。方法：测量20具经甲醛固定的成人尸颅，观察CPA内与面、听神经有关的RPA的解剖结构，重点是与VN间的位置关系。结果：RPA出现率为100％，发出1个分支的有30侧(75．0％)，2个分支的有10侧(25．0％)；位于面神经(FN)、VN之间有32侧(80．0％)，其中87．5％位于FN中外2／3。VN的血管接触率为95％，有2支或2支以上血管与VN接触的有20侧(50．0％)。结论：了解、熟悉RPA与面-听神经的关系，对提高VN显微血管减压术的成功率以及临床影像学的诊断价值具有指导意义。     

Microscopic anatomy and muscle architecture of the commissure of the lips in the newborn infant and the adult]

The muscular structure of the commissura of the buccal orifice in humans confers on it a special significance. It consists of two layers each apparently having a well-defined function. Deep layer. Quite distinct at the embryonic stage, it develops rapidly in the new-born. It consists of the internal orbicular muscle, or Poirier's sphincter oris, and the two buccinator muscles. This layer, of functional importance for digestion, is formed by a central sphincter surrounded by two cavitary muscles. In the new-born, it forms a real suction apparatus. From this point of view, the internal orbicular and the two buccinator muscles are the equivalent respectively of the circular and longitudinal fibres of the muscular digestive tunic. This layer is more cavitary and sphincteral than platysmal. Superficial layer. Platysmal, muscular it is dependent on the cephalic superficial fascia, it is mimetic. This layer is made up of platysmal muscles converging on the commissura. The labial muscular network of the platysmal muscles forms the external orbicular. This layer, which is rudimentary in the new-born, develops during growth alongside relationships (mimic-phonation). It appears complete in adults. Facial superposition and commissural fusion of the deep and superficial layers confer a dual function of the buccal orifice: --digestive by means of the deep sphinctero-cavitary layer, --mimetic by means of the superficial platysmal layer. Wilst growth is taking place, the digestive layer in fact assumes mimetic function and the platysmal layer may intervene at will in the functioning of the digestive sphincter. The commissura labiorum is the anatomical site at which the cutaneous and digestive coats converge. Briefly, the buccal orifice is a digestive sphincter complete with mimetic function. Has not the face become a cortical organ in the course of evolution?     

Specific morphological and functional features of the mucous membrane in the upper respiratory tract and the middle ear and the methods for their study

The currently available data on the peculiarities of the morphological structure of the mucous membrane in the middle ear cavities are presented in conjunction with information on the functional features of the upper respiratory tract and the middle ear. A comprehensive review of the modern methods for the study od the mucociliary activity of the mucous membrane of the upper respiratory tract is provided.     

Hemangioma cavernous of the nasal cavity and the maxillary sinus--case report and review of the literature

Hemangiomas of the nasal cavity and especially paranasal sinuses are very rare. Authors reported a case of hemangioma cavernous of the nasal cavity and maxillary sinus in a 34-year-old women. Diagnostic procedures, therapeutic intervention were presented and literature reviewed.