No abstract

We report a case of congenital hypoplasia of the larynx and trachea in the presence of an essentially normal cartilaginous structure. To our knowledge this abnormality is not recognised in the literature. Previously reported hypoplastic laryngeal anomalies have all shown anatomical defects ranging from clefts to atresia (Smith and Bain 1965, Gatti et al., 1987). Similarly total congenital tracheal stenosis is accompanied by abnormalities of the cartilaginous structure, usually complete tracheal rings. These types of anomaly typically present either at, or soon after, birth and are associated with other congenital abnormalities. In this particular case the laryngotracheal hypoplasia occurred in the context of a herditary condition of multiple congenital abnormalities known as G syndrome (also known as Opitz-Frias syndrome or the Opitz-G syndrome).

Letters to the Editor Accuracy of postal questionnaires Dear Sir, Having recently completed the data interpretation of a postal questionnaire of 'all' Otolaryngologists in the British Isles, we read with interest the recent correspondence on the subject of the accuracy of this means of gathering information. (November 1989, 1103), and of the validity of the numbers questioned and responding. Like the correspondents, we also had great difficulty in compiling an up-to-date, accurate mailing list of current Otolaryngologists across the country. The Department of Health was unable to provide a comprehensive listing, and other sources based on membership, (e.g. R.S.M.,B. A.O.L., Royal Colleges), are obviously not fully comprehensive. We have carefully examined the 1989 medical directory to produce the figure of 378 Consultants in England and Wales, 447 in the United Kingdom, and 491 in the British Isles. The total for England and Wales is close to Mr Watsons figure of 381 derived from Health Trends. (Perhaps the three Consultants we missed could make themselves known!) By enclosing a stamped addressed envelope with each questionnaire, (excluding Eire), we achieved a 76% response rate. Of course, a mailing list of this sort will become obsolete on a regular basis, as consultants retire and new appointed take up post. The 21% obsolescence rate in the I.L.O. list used by Messrs Fisher and Croft confirms this fact. Could we suggest that the correspondents and other interested parties contact us to compare mailing lists so that we can together produce one list which is as accurate as possible. This could be updated on a monthly or quarterly basis, using the consultant advertisements in the B.M.J. as a source of changes in post. An annual letter to each Regional Health Authority medical staffing department could be sent to confirm the changes. Once such an up-to-date mailing list is produced, this could be made available, possibly through the Journal for research use, as we feel that postal questionnaire is a useful means of gauging opinion and practice of the specialty on a national basis.