Paul Spraggs - Academia.edu (original) (raw)
Papers by Paul Spraggs
Indian Journal of Otolaryngology and Head & Neck Surgery, 1999
The Journal of Laryngology & Otology, 1998
A case of a solitary fibrous tumour arising in the deep soft tissues of the neck is reported. Thi... more A case of a solitary fibrous tumour arising in the deep soft tissues of the neck is reported. This rare tumour has not previously been described in this site. We discuss the clinical presentation and pathological features.
The Journal of Laryngology & Otology, 1993
Spheno-choanal polyp is a rare entity which presents in a similar manner to the more common antro... more Spheno-choanal polyp is a rare entity which presents in a similar manner to the more common antro-choanal polyp. There is often difficulty clinically in differentiating the two conditions, although their radiological characteristics are distinct. A case of spheno-choanal polyp is presented and the plain radiograph and the CT findings reviewed.
Histopathology, 1994
Basaloid carcinomas of salivary glands Three cases of carcinoma of major salivary glands with bas... more Basaloid carcinomas of salivary glands Three cases of carcinoma of major salivary glands with basaloid morphology are presented. One case was a clear example of a basal cell adenocarcinoma, an uncommon and infrequently recognized, low-grade tumour of major salivary glands. The remaining two cases showed a higher cytological grade of malignancy but shared some features of basal cell adenocarcinoma. Common features included the architectural pattern and myoepithelial cell differentiation, as demonstrated by smooth muscle-specific actin positivity, in cells associated with the deposition of extracellular basal lamina-like material. The relationship between these cases and adenoid cystic carcinoma is discussed.
International Journal of Surgery, 2011
Archiv Fur Klinische Und Experimentelle Ohren Nasen Und Kehlkopfheilkunde, Feb 6, 2003
An unusual case of a patient presenting with myringitis bullosa haemorrhagica (MBH), who subseque... more An unusual case of a patient presenting with myringitis bullosa haemorrhagica (MBH), who subsequently developed acute otitis media and meningo-encephalitis, is described. The aetiology of MBH is discussed, and recommendations for the management of patients with acute otitis are made.
International Journal of Pediatric Otorhinolaryngology, 1995
This randomised prospective trial compared the efftcacy of sodium bicarbonate and hydrogen peroxi... more This randomised prospective trial compared the efftcacy of sodium bicarbonate and hydrogen peroxide ear drops in clearing a blocked tympanostomy tube. Tympanostomy tubes, 110 in number, obstructed with blood or inspissated secretions were random&d into treatment and control groups. Details of the operative procedure were retrospectively collected from the patients notes. The patients were reviewed after 2 weeks for both clinical and tympanometric evidence of clearance of the tube and evidence of complications of the drops. There was no significant therapeutic advantage between the two drops (P > 0.9), but in both treatment arms there was a significant therapeutic advantage over a period of observation (P < 0.05 in both groups). Otorrhoea and pain on instilling the drops occurred with equal incidence in both treatment groups. As obstruction of tympanostomy tubes is a common occurrence which often prompts surgical reventilation, there is great potential for cost savings if conservative treatment can be used effectively. The treatments for obstructed tympanostomy tubes are reviewed and methods of prevention of this common occurrence are discussed.
The Journal of laryngology and otology, 2005
We describe a simple technique of drain fixation in head and neck surgery using a beaded 2/0 nylo... more We describe a simple technique of drain fixation in head and neck surgery using a beaded 2/0 nylon suture and a 'clove hitch' to achieve a non-slip fixation to the drain.
The Laryngoscope, 1997
Laryngoscope, 107:936-941,1997
Plastic and Reconstructive Surgery, 2005
In an operation on a patient with a large moustache, the moustache may physically affect the accu... more In an operation on a patient with a large moustache, the moustache may physically affect the accuracy of assessment during septorhinoplasty as well as access to the nasal cavity (Fig. 1). Blood from the nasal surgery can contaminate the moustache and be difficult to clean. ...
Otolaryngology - Head and Neck Surgery, 2005
The Journal of Laryngology & Otology, 2005
We describe a simple technique of drain fixation in head and neck surgery using a beaded 2/0 nylo... more We describe a simple technique of drain fixation in head and neck surgery using a beaded 2/0 nylon suture and a &amp;#39;clove hitch&amp;#39; to achieve a non-slip fixation to the drain.
The Journal of Laryngology & Otology, 2002
ABSTRACT This study aims to investigate the facilities available in Accident and Emergency (A&... more ABSTRACT This study aims to investigate the facilities available in Accident and Emergency (A&E) departments and the education of casualty officers in the treatment of epistaxis in the UK. Fifty departments were chosen at random and a telephone survey undertaken. The results show a paucity of facilities and inadequate training of A&E officers in a majority of departments. Recommendations for treatment standards are made.
The Journal of Laryngology & Otology, 1995
Page 1. The Journal of Laryngology and Otology May 1995, Vol. 109, pp. 472 Letters to the Editor ... more Page 1. The Journal of Laryngology and Otology May 1995, Vol. 109, pp. 472 Letters to the Editor Button Batteries Dear Sir, The article by Palmer et al. (1994) in the October edition entitled 'Button battery in the Nosean unusual foreign body' made interesting reading. ...
The Journal of Laryngology & Otology, 1995
A simple, safe and effective procedure for improving the diagnostic accuracy of nasopharyngoscopy... more A simple, safe and effective procedure for improving the diagnostic accuracy of nasopharyngoscopy is described. It is most useful for the exposure of the hypopharynx, especially in the elderly patient.
The Journal of Laryngology & Otology, 1997
The case of an elderly male with Shy-Drager syndrome is presented. His presentation to the Sleep ... more The case of an elderly male with Shy-Drager syndrome is presented. His presentation to the Sleep Clinic for assessment of snoring illustrates bilateral abductor vocal fold palsy as a rare presentation of the syndrome. This case emphasizes the need for thorough investigation of all patients with sleep-related breathing disorders with video and sound recordings prior to anaesthesia and surgery.
Indian Journal of Otolaryngology and Head & Neck Surgery, 1999
The Journal of Laryngology & Otology, 1998
A case of a solitary fibrous tumour arising in the deep soft tissues of the neck is reported. Thi... more A case of a solitary fibrous tumour arising in the deep soft tissues of the neck is reported. This rare tumour has not previously been described in this site. We discuss the clinical presentation and pathological features.
The Journal of Laryngology & Otology, 1993
Spheno-choanal polyp is a rare entity which presents in a similar manner to the more common antro... more Spheno-choanal polyp is a rare entity which presents in a similar manner to the more common antro-choanal polyp. There is often difficulty clinically in differentiating the two conditions, although their radiological characteristics are distinct. A case of spheno-choanal polyp is presented and the plain radiograph and the CT findings reviewed.
Histopathology, 1994
Basaloid carcinomas of salivary glands Three cases of carcinoma of major salivary glands with bas... more Basaloid carcinomas of salivary glands Three cases of carcinoma of major salivary glands with basaloid morphology are presented. One case was a clear example of a basal cell adenocarcinoma, an uncommon and infrequently recognized, low-grade tumour of major salivary glands. The remaining two cases showed a higher cytological grade of malignancy but shared some features of basal cell adenocarcinoma. Common features included the architectural pattern and myoepithelial cell differentiation, as demonstrated by smooth muscle-specific actin positivity, in cells associated with the deposition of extracellular basal lamina-like material. The relationship between these cases and adenoid cystic carcinoma is discussed.
International Journal of Surgery, 2011
Archiv Fur Klinische Und Experimentelle Ohren Nasen Und Kehlkopfheilkunde, Feb 6, 2003
An unusual case of a patient presenting with myringitis bullosa haemorrhagica (MBH), who subseque... more An unusual case of a patient presenting with myringitis bullosa haemorrhagica (MBH), who subsequently developed acute otitis media and meningo-encephalitis, is described. The aetiology of MBH is discussed, and recommendations for the management of patients with acute otitis are made.
International Journal of Pediatric Otorhinolaryngology, 1995
This randomised prospective trial compared the efftcacy of sodium bicarbonate and hydrogen peroxi... more This randomised prospective trial compared the efftcacy of sodium bicarbonate and hydrogen peroxide ear drops in clearing a blocked tympanostomy tube. Tympanostomy tubes, 110 in number, obstructed with blood or inspissated secretions were random&d into treatment and control groups. Details of the operative procedure were retrospectively collected from the patients notes. The patients were reviewed after 2 weeks for both clinical and tympanometric evidence of clearance of the tube and evidence of complications of the drops. There was no significant therapeutic advantage between the two drops (P > 0.9), but in both treatment arms there was a significant therapeutic advantage over a period of observation (P < 0.05 in both groups). Otorrhoea and pain on instilling the drops occurred with equal incidence in both treatment groups. As obstruction of tympanostomy tubes is a common occurrence which often prompts surgical reventilation, there is great potential for cost savings if conservative treatment can be used effectively. The treatments for obstructed tympanostomy tubes are reviewed and methods of prevention of this common occurrence are discussed.
The Journal of laryngology and otology, 2005
We describe a simple technique of drain fixation in head and neck surgery using a beaded 2/0 nylo... more We describe a simple technique of drain fixation in head and neck surgery using a beaded 2/0 nylon suture and a 'clove hitch' to achieve a non-slip fixation to the drain.
The Laryngoscope, 1997
Laryngoscope, 107:936-941,1997
Plastic and Reconstructive Surgery, 2005
In an operation on a patient with a large moustache, the moustache may physically affect the accu... more In an operation on a patient with a large moustache, the moustache may physically affect the accuracy of assessment during septorhinoplasty as well as access to the nasal cavity (Fig. 1). Blood from the nasal surgery can contaminate the moustache and be difficult to clean. ...
Otolaryngology - Head and Neck Surgery, 2005
The Journal of Laryngology & Otology, 2005
We describe a simple technique of drain fixation in head and neck surgery using a beaded 2/0 nylo... more We describe a simple technique of drain fixation in head and neck surgery using a beaded 2/0 nylon suture and a &amp;#39;clove hitch&amp;#39; to achieve a non-slip fixation to the drain.
The Journal of Laryngology & Otology, 2002
ABSTRACT This study aims to investigate the facilities available in Accident and Emergency (A&... more ABSTRACT This study aims to investigate the facilities available in Accident and Emergency (A&E) departments and the education of casualty officers in the treatment of epistaxis in the UK. Fifty departments were chosen at random and a telephone survey undertaken. The results show a paucity of facilities and inadequate training of A&E officers in a majority of departments. Recommendations for treatment standards are made.
The Journal of Laryngology & Otology, 1995
Page 1. The Journal of Laryngology and Otology May 1995, Vol. 109, pp. 472 Letters to the Editor ... more Page 1. The Journal of Laryngology and Otology May 1995, Vol. 109, pp. 472 Letters to the Editor Button Batteries Dear Sir, The article by Palmer et al. (1994) in the October edition entitled 'Button battery in the Nosean unusual foreign body' made interesting reading. ...
The Journal of Laryngology & Otology, 1995
A simple, safe and effective procedure for improving the diagnostic accuracy of nasopharyngoscopy... more A simple, safe and effective procedure for improving the diagnostic accuracy of nasopharyngoscopy is described. It is most useful for the exposure of the hypopharynx, especially in the elderly patient.
The Journal of Laryngology & Otology, 1997
The case of an elderly male with Shy-Drager syndrome is presented. His presentation to the Sleep ... more The case of an elderly male with Shy-Drager syndrome is presented. His presentation to the Sleep Clinic for assessment of snoring illustrates bilateral abductor vocal fold palsy as a rare presentation of the syndrome. This case emphasizes the need for thorough investigation of all patients with sleep-related breathing disorders with video and sound recordings prior to anaesthesia and surgery.