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Middle Ear

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...

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...

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...

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...

Otologic manifestation of Samter triad

July 14, 2014  |  Danielle M. Blake, BA; Alejandro Vazquez, MD; Senja Tomovic, MD; Robert W. Jyung, MD

It is important for otolaryngologists to be aware of the mucoid quality of these middle ear effusions, as they tend to be persistent and they do not respond well to myringotomy and tube placement, which usually results in tube obstruction.

Ototoxicity in Nigeria: Why it persists

July 14, 2014  |  Daniel D. Kokong, MBBS, FWACS; Aminu Bakari, MBBS, FWACS, FICS; Babagana M. Ahmad, MBBS, FWACS, FICS

Abstract

No therapy is currently available to reverse the serious damage that can be caused by ototoxic drugs, such as permanent hearing loss and balance disorders. Otolaryngologists in various regions of the world have developed strategies aimed at curtailing drug-induced ototoxicity,...

Ceruminous adenocarcinoma of the ear

May 8, 2014  |  Jagdeep Singh Virk, MA (Cantab), MRCS, DOHNS; Gaurav Kumar, FRCS(ORL-HNS); Sherif Khalil, MS, FRCS(ORL-HNS), MD

Ceruminous carcinomas are extremely rare and tend to present as a mass or with otalgia. They are difficult to diagnose histopathologically (in part due to varied and nonstandardized nomenclature).

Tympanic paraganglioma

May 8, 2014  |  Danielle M. Blake, BA; Senja Tomovic, MD; Robert W. Jyung, MD

Patients classically present with pulsatile tinnitus and a red mass medial to the tympanic membrane. Some patients may have findings of a red mass that blanches with pneumatic otoscopy, called Brown's sign.

Modified radical mastoidectomy and its complications-12 years' experience

May 8, 2014  |  Sardar U. Khan, DLO, FCPS, FRCS(Ire); Rajesh K. Tewary, MS, FRCS(Ed); Timothy J. O'Sullivan, FRCS(Canada)

Abstract

To find the incidence of complications of modified radical mastoidectomy and to evaluate different parameters that play a role in their causation, we conducted a retrospective study spanning a period of 12 years. Included were 210 patients who underwent primary modified radical...

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