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Middle Ear

Bone-anchored hearing aid implantation in a patient with Goldenhar syndrome

December 14, 2015  |  Griffin Santarelli, MD; Roberta E. Redfern, PhD; Aaron G. Benson, MD

Abstract

Patients with Goldenhar syndrome exhibit a number of characteristic symptoms, including middle and internal ear malformations that may cause profound hearing loss. Bone-anchored hearing aids have been used to treat these patients in the past, although complications may arise...

Erosion of the incus by the chorda tympani nerve from a complex retraction pocket

September 21, 2015  |  Ramanan Daniel, MBBS; Fiona Hill, MBBS; Timothy Price, FRCS(OHNS)

Chronic eustachian tube dysfunction can lead to retraction of the tympanic membrane and bone erosion.

Can vinegar be used in treating Pseudomonas ear infections in a patient with a perforated eardrum?

August 27, 2015  |  Muhamed Aslam Khan, MS, MRCSEd; Nazneen Khan, MBBS, DGO, DRCOG

Abstract

Chronic Pseudomonas ear infections are difficult to treat, particularly in immunodeficient patients. Vinegar therapy is a time-tested measure for the treatment of these infections. It is inexpensive, simple, easy to administer, and very effective. However, some...

Use of the chorda tympani nerve in reconstruction of the ossicular chain

April 28, 2015  |  Yi Qiao, MD; Wen-Wen Chen, MD; Ya-Xin Deng, MD; Jun Tong, MD

Abstract

We conducted a study to assess the use of the chorda tympani nerve in reconstruction of the ossicular chain. We retrospectively examined the medical records of 141 patients (154 ears) who had undergone middle ear surgery with 12 months of follow-up. The study population was...

Cochlear implantation leading to successful stapedectomy in the contralateral only-hearing ear

March 2, 2015  |  Samantha J. Mikals, MD; Gerald I. Schuchman, PhD; Joshua G.W. Bernstein, PhD; Arnaldo L. Rivera, MD

Abstract

Cochlear implants have recently begun to be offered to patients with single-sided deafness (SSD). Implantation in these patients has led to good results in suppressing ipsilateral tinnitus and in providing audiologic benefits in terms of speech perception in noise and...

Salivary gland choristoma of the middle ear

February 2, 2015  |  Shubin Chen, MD; Yongxin Li, MD

Abstract

Salivary gland choristoma of the middle ear is a rare entity. It is believed to be a developmental abnormality that may be associated with anomalies of adjacent structures. We describe the case of a 6-year-old girl who had a salivary gland choristoma in the middle ear that was...

Vestibular dehiscence syndrome caused by a labyrinthine congenital cholesteatoma

February 2, 2015  |  Francesco Fiorino, MD; Francesca B. Pizzini, MD, PhD; Barbara Mattellini, MD; Franco Barbieri, MD

Abstract

A 40-year-old man presented with conductive hearing loss and pressure- and sound-related vestibular symptoms. Computed tomography and diffusion-weighted magnetic resonance imaging revealed the presence of a cholesteatoma involving the vestibular labyrinth. The patient underwent...

Metastatic breast carcinoma presenting as unilateral pulsatile tinnitus: A case report

February 2, 2015  |  Andrew Moore, MRCS, DOHNS; Max Cunnane, BMBS, BMedSci; Jason C. Fleming, MRCS, DOHNS, MEd

Abstract

Pulsatile tinnitus is a rare symptom, yet it may herald life-threatening pathology in the absence of other symptoms or signs. Pulsatile tinnitus tends to imply a vascular cause, but metastatic disease also can present in this way. Clinicians should therefore adopt a specific...

Osteoma of the middle ear

October 18, 2014  |  Tsung-Shun Chang, MD; Wen-Sen Lai, MD; Chao-Yin Kuo, MD; Chih-Hung Wang, MD, PhD

Management of middle ear osteoma can be complicated when the round window is obliterated. Therefore, the patient should be informed about what to expect prior to surgery.

Salivary gland choristoma of the middle ear

October 18, 2014  |  Paolo Fois, MD; Anna Lisa Giannuzzi, MD; Carlo Terenzio Paties, MD; Maurizio Falcioni, MD

Abstract

Choristoma of the middle ear is a rare condition characterized by the presence of normal salivary gland tissue in the middle ear space. Salivary gland choristomas are benign lesions that are frequently associated with ossicular chain and facial nerve anomalies. Total surgical...

Ear mold impression material as an aural foreign body

September 18, 2014  |  Yu-Hsuan Lin, MD; Ming-Yee Lin, MD, PhD

Physicians should not rush indiscriminately into action without a careful otoscopic examination and a detailed history, to discern whether a patient has abnormal anatomy and is at risk for complications.

Bilateral nontuberculous mycobacterial middle ear infection: A rare case

September 18, 2014  |  Ing Ping Tang, MS; Shashinder Singh, MS; Raman Rajagopalan, MS

Abstract

Nontuberculous Mycobacterium (NTM) middle ear infection is a rare cause of chronic bilateral intermittent otorrhea. We report a rare case of bilateral NTM middle ear infection in which a 55-year-old woman presented with intermittent otorrhea of 40 years' duration. The patient...

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