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Hearing Loss

An extruded ossicular prosthesis

February 25, 2013  |  Willis S.S. Tsang, FRCSEd(ORL); Michael C.F. Tong, MD(CUHK); C. Andrew van Hasselt, M Med(Otol)

Extrusion of ossicular prostheses results from postoperative tympanic membrane medialization. The incorporation of cartilage grafting material is recommended to minimize extrusion.

Complicated coexisting pyogenic and tuberculous otitis media affecting the temporozygomatic, infratemporal, and parotid areas: Report of a rare entity

January 24, 2013  |  Tripti Brar, MBBS, MS, DNB; Sumit Mrig, MBBS, MS, DNB; J.C. Passey, MS; A.K. Agarwal, MS; Shayma Jain, MD

Abstract

We report an unusual case in which a 28-year-old woman presented with a long-standing history of ear discharge, hearing loss, facial weakness with ipsilateral facial swelling and cellulitis, a postauricular fistula, and an abscess of the temporozygomatic, infratemporal, and...

Primary mucosal melanoma arising from the eustachian tube with CTLA-4, IL-17A, IL-17C, and IL-17E upregulation

January 24, 2013  |  Calvin Wei, MD; Sasis Sirikanjanapong, MD; Seth Lieberman, MD; Mark Delacure, MD; Frank Martiniuk, PhD; William Levis, MD; Beverly Y. Wang, MD

Abstract

Primary malignant melanoma arising from the eustachian tube is extremely rare. We report the case of a 63-year-old white man who presented with a 1-month history of left-sided hearing loss and aural fullness. Flexible fiberoptic laryngoscopy detected a blue-purple mass that...

Hearing loss secondary to a nasopharyngeal retention cyst

November 1, 2012  |  Enrique Palacios, MD, FACR; Michael Ellis, MD; Harold Neitzschman, MD, FACR

Resection is generally not indicated for small, asymptomatic pharyngeal cysts. Symptomatic cysts, on the other hand, can be treated with aspiration or a complete transoral resection, particularly if the lesion is large.

Cholesterol granuloma

October 8, 2012  |  Joseph A. Ursick, MD; Derald E. Brackmann, MD

 Cholesterol granulomas can cause bony expansion and typically become symptomatic when they encroach upon adjacent cranial nerves.

Bilateral posterior semicircular canal dehiscence in the setting of Hallermann-Streiff syndrome

September 7, 2012  |  John C. Goddard, MD; Eric R. Oliver, MD; Ted A. Meyer, MD, PhD

Abstract

Hallermann-Streiff syndrome, also known as oculomandibulofacial syndrome, is a rare congenital disorder affecting growth and cranial, dental, ocular, pilocutaneous, and mental development. In addition to routine audiologic testing in patients with...

Bilateral hemotympanum secondary to septoplasty

September 7, 2012  |  Jae Hoon Lee, MD

Hemotympanum can be caused by temporal bone fractures, barotrauma, administration of anticoagulants, hematologic disorders, and chronic otitis media secondary to the formation of granulation tissue or a cholesterol granuloma. It can also occur secondary to nasal packing or...

Intradermal melanocytic nevus of the external auditory canal

August 10, 2012  |  Kai-Chieh Chan, MD; Chi-Ju Yeh, MD; Wan-Ling Ho, MD

Intradermal melanocytic nevi are usually asymptomatic, but a patient with such a lesion in the external auditory canal can present with aural obstruction and conductive deafness.

Prediction of stapes footplate thickness based on the level of hearing loss in otosclerosis

August 10, 2012  |  Hadi Samimi-Ardestani, MD; Mohammadtaghi Khorsandi-Ashtiani, MD; Elmira Ghoujeghi, MD; Mohsen Rajati, MD; Mahtab Rabbani-Anari, MD; Aman Ghoujeghi, MD

Abstract

During surgical treatment of a patient with otosclerosis, the probability of success depends in large part on the extent of the surgeon’s experience. Therefore, predicting the preoperative severity of disease may help determine the choice of surgeon based on...

Primary acquired cholesteatoma

May 1, 2012  |  Joseph A. Ursick, MD; Jose N. Fayad, MD

Cholesteatomas are believed to form as the result of poor eustachian tube function with resultant tympanic membrane retraction and a lack of normal epithelial migration.

Otoscopic findings in otosclerosis

April 1, 2012  |  John C. Goddard, MD and Jose N. Fayad, MD

Only 10% of patients with otosclerosis exhibit the reddish hue of the Schwartze sign. It is believed to appear because of increased vascularity over the promontory in the middle ear.

The burden of hearing loss in Kaduna, Nigeria: A 4-year study at the National Ear Care Centre

April 1, 2012  |  Aliyu M. Kodiya, FWACS, Olushola A. Afolabi, FWACS, and Babagana M. Ahmad, FWACS, FICS

Abstract

Hearing loss among people in developing countries has been recognized as a major source of disability. Many of its causes are preventable, and others are curable. We reviewed the records of 5,485 patients who had presented during a 4-year period to the National Ear Care Centre...

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