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[Myxoma of the middle ear-a rare cause of facial palsy].

In case of the co-occurrence of facial palsy and inflammation-like symptoms of the same ear, the differential diagnosis is focused on viral (herpes zoster) or bacterial diseases. We report a patient for whom the surgical exploration of the middle ear revealed a benign tumor: a myxoma. These neoplasias are rare tumors in the head and neck region. The typical tumor site is the atrium of heart. In the ear, the tumor grows slowly and remains asymptomatic unless it irritates structures such as the facial nerve or the vestibular organ. Histologically, the tumor presents a "myxoid" matrix that is ric

[The case of concurrent transverse and longitudinal fracture of temporal bones].

The authors present a very rare case of concurrent longitudinal and transverse fracture of temporal bones. In this case, both the manifestations as well as the clinical image are quite typical of longitudinal and transverse fractures, the only difference being the lack of posttraumatic paralysis of the facial nerve, which is frequent in the case of transverse fractures. It must be noted that fractures of temporal bones generally occur as the result of road accidents or gunshots, since only a very substantial force may cause the fraction of the cranial basis. Nevertheless, in this case the frac

The investing layer of the deep cervical fascia does not exist between the sternocleidomastoid and trapezius muscles.

OBJECTIVE: We sought to describe the 3-dimensional organization of connective tissues in the suboccipital region. STUDY DESIGN AND SETTING: We conducted a sectional anatomic investigation with the use of E12 sheet plastination. SUBJECTS: Six human adult cadavers (2 male and 4 female; age range, 54 to 86 years) were used in this study. Five of them were sectioned as 2.5-mm-thick coronal (1 cadaver), transverse (2 cadavers), or sagittal (2 cadavers) sections. RESULTS: No aggregation of fibrous connective tissue was seen between the sternocleidomastoid and trapezius muscles. The intervening sp…

Vestibular nerve sectioning for intractable vertigo: efficacy of simplified retrosigmoid approach.

OBJECTIVE: To determine the surgical efficacy of a simplified retrosigmoid approach for vestibular nerve sectioning. STUDY DESIGN: A retrospective analysis. SETTING: Tertiary academic referral center. PATIENTS: Twenty-eight consecutive patients who underwent vestibular nerve sectioning for intractable peripheral vestibular disorders. INTERVENTION: All patients had a simplified retrosigmoid approach for vestibular nerve sectioning. MAIN OUTCOME MEASURES: Functional outcome after vestibular nerve sectioning was analyzed with respect to improvement in patient disability from vertigo and redu

Radical cavities and cochlear implantation.

Profoundly deaf patients with chronic suppurative otitis media have been contraindicated for cochlear implantation in the past. Complications such as infection of the radical cavity, fat necrosis, skin flap problems, change in electrode position and cholesteatoma have occurred in subjects with radical cavities. The aim is to create a dry, self-cleansing, infection-free cavity. This is essential in patients about to receive a cochlear implant, as infection may be introduced into the cochlea at the implantation site and destroy any remaining neural elements. The aim of this paper was to show tha

The implant-site split-skin graft technique for the bone-anchored hearing aid.

We describe the technique of implant-site split-skin grafting for the bone-anchored hearing aid (BAHA). Twenty-five patients have undergone this procedure (20 adults and five children) since 1993 with a minimum follow-up of 1 year. Fifteen adults were operated upon as single stage surgery, all other cases (including all children) were performed in two stages. In four patients (16%) significant early graft inflammation was encountered which settled with outpatient treatment. In one the abutment had to be temporarily removed to allow the graft to settle. All patients now have a stable graft site

Задержка с параличом после тимпаномастоидной операции.

ЦЕЛИ: Цель настоящего доклада состоит в том, чтобы представить данные о частоте задержки с параличом лица (DFP) после тимпаномастоидной хирургии, сопоставить частотность заболевания с различными отологическими и нейротологическими процедурами и обсудить возможные этиологические аспекты. ИССЛЕДОВАНИЕ: Структура исследования представляла собой ретроспективный обзор. Исследование проводилось в третичном справочном центре. Записи 486 пациентов, имеющих нормальную функцию лица, были проанализированы до операции тимпаномастоида. ИнтерВЕНЦИЯ: Пациенты прошли тимпаномастоидную операцию. Меры, принимае

Совпадение в аннотации оригинала
OBJECTIVES: The purpose of this report is to provide data on the incidence of delayed facial palsy (DFP) after tympanomastoid surgery, compare incidence among various otologic and neurotologic procedures, and discuss the possible etiology. STUDY DESIGN: The study design was a retrospective case review. SETTING: The study was conducted at a tertiary referra…

Tubotympanoplasty.

Prognostic value of the Eustachian tube function test remains controversial. To prevent ear drum adhesion or the recurrence of cholesteatoma it is important to select cases with severe organic obstruction of the Eustachian tube and to use surgical procedures to restore function. We summarize here the indications and the surgical procedure for organic obstruction of the Eustachian tube, especially in the region of the tympanic orifice. Adequate preoperative evaluation of Eustachian tube function and pertinent surgical procedures will pave the way for a better prognosis for patients subjected to

Management of carotid artery hemorrhage in middle ear surgery.

Iatrogenic injury to the carotid artery as it traverses the middle ear in its normal anatomic position is a rare but potentially life-threatening event. Predisposing factors include a thin or dehiscent plate of bone, which normally protects the artery at the level of the eustachian tube, erosive middle ear disease, or previous trauma. Prevention and management of carotid artery injuries in the middle ear are discussed with an applicable case report.

Inflammatory torticollis in children.

Acute torticollis is commonly seen in the pediatric emergency department. It often results from an inflammatory process that irritates the cervical muscles, nerves, or vertebrae. Posturing of the head occurs with unilateral spasm of the sternocleidomastoid muscle such that the child will position the head with the occiput rotated to the affected side and the chin rotated to the contralateral side. We recently treated 26 children who presented to the emergency department with acute nontraumatic torticollis. The most common causes were upper respiratory infection, sinusitis, otomastoiditis, cerv…

Eosinophilic granuloma of the temporal bone.

Otological involvement in Histiocytosis X, although infrequent, may be present in any of the forms of this entity. The otologist must keep Histiocytosis X in mind in the differential diagnosis of cases presenting with post-aural swelling, non purulent otorrhea and absence of fever and pain in children under three-years old. Some aspects of clinical presentation and treatment are discussed.

Atypical osteomyelitis of the skull base.

Most cases of osteomyelitis of the skull base occur as a result of inadequately treated localized malignant otitis externa. We present four patients with osteomyelitis of the skull base who did not present initially as malignant otitis externa. Increased morbidity may occur when these atypical cases are not promptly recognized and treated.

Low-Grade Mucoepidermoid Carcinoma of the Parotid in a Pediatric Survivor of Hodgkin's Lymphoma.

Mucoepidermoid carcinoma (MEC) is an uncommon malignancy of the salivary glands in the pediatric population. MEC typically occurs as a secondary malignancy in patients who have undergone radiation therapy for cancer. The occurrence of MEC in patients who have undergone chemotherapy without prior radiotherapy is extremely rare. A 17-year-old female patient with a history of Hodgkin's lymphoma and anemia presented to the clinic with a painless hard lump between her mastoid and mandibular process. The patient's history revealed that at 11 years of age, she was diagnosed with stage IIIB Hodgkin's …

Subdural Empyema and Pneumocephalus From Chronic Polypoid Sinusitis in an Elderly Woman With Rapid Neurological Recovery: A Report of a Rare Case.

BACKGROUND Subdural empyema (SDE) is a rare, life-threatening intracranial infection characterized by pus accumulation between the dura and … howed a 2-3 mm subdural collection with intracranial air foci, along with evidence of otitis media, mastoiditis, and pansinusitis. Lumbar puncture revealed xanthochromic cerebrospinal fluid (CSF) with elevated protein and white blood cells (WBC). Streptococcus pneumoniae was confirmed by CSF culture and urine antigen. She underwent emergency craniotomy, d …

Investigation of Eustachian Tube Dysfunction by Tubomanometry in Patients Undergoing Tympanoplasty for Chronic Otitis Media.

Background: The eustachian tube is an anatomical structure that connects the nose, nasopharynx, middle ear, and mastoid air cells and has important functions. If the physiological functions of the eustachian tube are impaired, ear diseases may occur. There are many test methods used to evaluate the functions of the eustachian tube. However, none of these methods are accepted as the gold standard due to both the application difficulties of these methods and the reliability of their results. We aim to use tubomanometry for the detection of eustachian tube dysfunction (ETD) and so to increase the…

Modified Far Lateral Approach for a Fourth Ventricular Tumor with Cerebellopontine Angle Extension: An Illustrative Teaching Case.

A 56-year-old female presented with several months of nausea, imbalance, and gait instability. Imaging demonstrated a fourth ventricular les … rch. The patient was positioned 3/4 prone with left side up, and an incision was made to expose the mastoid, occipital bone, C1, and cervical 2. After the corresponding myocutaneous flap was raised, the vertebral artery was identified with Doppler, and a left far lateral craniotomy spanning from right of midline to the left sigmoid sinus was created. Addi …

Development and Evaluation of a Novel Transcanal Catheter for Delivery of Hypothermia to the Inner Ear.

Mild therapeutic hypothermia (MTH) has demonstrated neuroprotective effects in the cochlea, particularly against noise-induced and electrode insertion trauma, by reducing inflammation and oxidative stress. Prior cadaveric studies have shown that localized cochlear cooling can be achieved using a probe placed on the promontory or a surface cooling device placed on the mastoid. While the effects of MTH on the vestibular system remain unstudied, its proximity and physiological similarity to the cochlea suggest potential benefits. We aimed to develop the first noninvasive, localized MTH device for…

The role of matrix metalloproteinase expression levels in the pathogenesis of tympanosclerosis.

PURPOSE: Tympanosclerosis is a disease characterized by the accumulation of hyaline calcareous deposits in the tympanic membrane, tympanic cavity, ossicular chain, ligaments, and rarely, in the mastoid. Matrix metalloproteinases, which are involved in physiological and pathologic processes, are also likely to play a role in tympanosclerosis. In our study, we aimed to investigate the presence of MMP 2 and 9 in patients with chronic otitis media with tympanosclerosis and its possible effect on tympanosclerosis severity and prognosis. METHODS: In our study, 45 patients with myringosclerosis or m…

From terminal ileum to terminal diagnosis: The critical role of terminal ileum intubation in diagnosing langerhans cell histiocytosis in a patient with TAR syndrome.

The co-occurrence of Thrombocytopenia with Absent Radius (TAR) syndrome and Langerhans Cell Histiocytosis (LCH) is exceedingly rare, with sc … ment plan involving IV Cytarabine was initiated due to concerns of CNS involvement, as indicated by mastoid air cell involvement and symptoms of dizziness and ear fullness. The case highlights the diagnostic value of terminal ileum intubation during colonoscopy, which was pivotal in diagnosing LCH in this patient. It also discusses the use of IV cytarabin …