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    Syringocystoadenoma papilliferum of the external ear canal: an immunohistochemical study.

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    Abstract Not available ...Syringocystoadenoma papilliferum (SCAP) is an uncommon benign hamartomatous tumour of the skin characterized by extensive papillary growth of epithelial elements down into the dermis. Fewer than 200 cases have been reported in the literature (1) and approximately one-third were associated with a preexisting nevus sebaceous (2). The lesions have been noted at birth in:/50% of cases, and during infancy and childhood in another 15%. The site of occurrence of SCAP has been the head and neck in:/75% of cases (3). SCAP of the external ear canal is exceedingly rare. In a review of the literature by Muller and Theissig (1), only 11 cases of SCAP of the external ear canal were disclosed. Since that review, another case of congenital syringocystoadenoma of the tragus, concha and lobule extending to the outer ear canal has been described by Jordan et al. (3) in a 21⁄2-week-old infant..

    Respiratory effects of continuous positive airway pressure administered during recovery from general anaesthesia in brachycephalic dogs

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    The aim of this study was to evaluate the effects of CPAP in brachycephalic dogs during recovery from anaesthesia. Forty-nine dogs were anaesthetized with metha- done (0.3 mg kg 1) IM, propofol to effect IV and isoflurane in oxygen via an ET tube. After extubation dogs breathed room air for 5 minutes and an arterial blood sample was collected (T0). Thereafter a paediatric helmet was placed, and oxygen was administered throughout a venturi valve, (Staffieri et al. 2014). The CPAP group (n = 32) received 5 cm H2O CPAP, the NOCPAP group (n = 17) 0 cmH2O. After 30 minutes (T30) another arterial sample was collected. PaO2, PaCO2, SaO2, pH, PaO2/ FiO2, the P(A-a)O2 and the estimated shunt (FShunt) together with fR, and FiO2 were compared within and between groups (ANOVA). CPAP at 5 cmH2O is effective in improving oxygenation in brachycephalic dogs recovering from anaesthesia

    Sulphurous-arsenical-ferruginous (thermal) water inhalations reduce nasal respiratory resistance and improve mucociliary clearance in patients with chronic sinonasal disease: preliminary outcomes.

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    CONCLUSIONS: In order to confirm these preliminary results, a prospective double-blind study has been instituted in Padova University ENT Section to compare the efficacy of sulphurous-arsenical-ferruginous thermal water nasal irrigations vs isotonic sodium chloride solution nasal irrigations after functional endoscopic sinus surgery for chronic sinusitis. OBJECTIVES: Despite their widespread use, much uncertainty exists about the indications and therapeutic mechanisms of nasal thermal water inhalations in the treatment of sinonasal chronic disease. The aim of the present study was to evaluate the effects of sulphurous-arsenical-ferruginous thermal water inhalations on nasal respiratory flow, mucociliary transport, nasal cytology, and chemo-physics of nasal mucus in a group of consecutive patients with chronic sinonasal disease. PATIENTS AND METHODS: Thirty-seven patients with chronic sinonasal disease underwent a 12-day course of sulphurous-arsenical-ferruginous thermal water warm vapour inhalations (38 degrees C) followed by nasal aerosol of the same thermal water (7 microns micelle). RESULTS: This preliminary study showed that a course of sulphurous-arsenical-ferruginous thermal water inhalations determined a significant improvement in nasal flow and reduction of nasal resistance; a statistically significant reduction of mean mucociliary transport time, from pathologic to physiologic values, has also been shown. Statistical analysis of our data confirmed that the presence of nasal bacteria was significantly reduced by thermal water inhalations
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