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Middle Ear

Eosinophilic otitis media

February 12, 2014  |  Alejandro Vazquez, MD; Danielle M. Blake, BA; and Robert W. Jyung, MD

Eosinophilic otitis media is refractory to conventional therapy for otitis media and may lead to severe hearing impairment if not recognized promptly.

Glial choristoma of the middle ear

December 20, 2013  |  Karen A. Shemanski, DO; Spencer E. Voth, DO; Lana B. Patitucci, DO; Yuxiang Ma, MD, PhD; Nikolay Popnikolov, MD, PhD; Christos D. Katsetos, MD, PhD; Robert T. Sataloff, MD, DMA, FACS

Abstract

Glial choristomas are isolated masses of mature brain tissue that are found outside the spinal cord or cranial cavity. These masses are rare, especially in the middle ear. We describe the case of an 81-year-old man who presented with left-sided chronic otitis media, mastoiditis...

Medial migration of a tympanostomy tube

December 20, 2013  |  Alejandro Vazquez, MD; Robert W. Jyung, MD

Bilateral middle cranial fossa encephaloceles presenting as conductive hearing loss

December 20, 2013  |  Colleen T. Plein, MD; Alexander J. Langerman, MD; Miriam I. Redleaf, MD

Abstract

We report a case involving a patient with bilateral middle cranial fossa encephaloceles extending into the middle ear and causing conductive hearing loss. An obese, 47-year-old woman with a history of a seizure disorder presented with a slow-onset subjective hearing loss....

Dehiscence of the high jugular bulb

October 24, 2013  |  Min-Tsan Shu, MD; Yu-Chun Chen, MD; Cheng-Chien Yang, MD; Kang-Chao Wu, MD

The conservative treatment for a high jugular bulb is regular follow-up with serial imaging studies to detect possible progression, even in asymptomatic cases.

Middle ear effusion in adult ICU patients: A cohort study

August 22, 2013  |  Bradley W. Kesser, MD; Charles Ryan Woodard, MD; Nicholas G. Stowell, MD; and Samuel S. Becker, MD

Abstract

We conducted a prospective study of 74 adults-34 men and 40 women, aged 18 to 90 (mean: 60.2)-to determine the prevalence of middle ear effusion (MEE) among patients in the setting of an intensive care unit (ICU) and to compare the findings with those of a control group of non-...

Degraded tympanostomy tube in the middle ear

July 22, 2013  |  Nitin J. Patel, MD; Joshua Bedwell, MD; Nancy Bauman, MD; Brian K. Reilly, MD

Tympanostomy tubes can cause a foreign-body reaction that can lead to myringitis and the development of granulation tissue and polyps.

A study of persistent unilateral middle ear effusion caused by occult skull base lesions

April 18, 2013  |  John P. Leonetti, MD

Abstract

The goal of this article is to review a series of patients with persistent unilateral middle ear effusion (MEE) and to suggest a more contemporary diagnostic algorithm. The author conducted a retrospective chart review of adults with persistent unilateral MEE and normal...

Evolution of acute otitis media

April 18, 2013  |  Joseph A. Ursick, MD; Jose N. Fayad, MD

Treatment for acute otitis media (AOM) ranges from watchful waiting to myringotomy with or without tube placement.

Middle ear metastasis from dormant breast cancer as the initial sign of disseminated disease 20 years after quadrantectomy

March 25, 2013  |  Teresa Pusiol, MD; Ilaria Franceschetti, MD; Francesca Bonfioli, MD; Francesco Barberini, MD; Giovanni Battista Scalera, MD; Irene Piscioli, MD

Abstract

We describe an unusual case of breast cancer metastatic to the middle ear in a 71-year-old woman. The metastasis was the initial sign of disseminated disease 20 years after the patient had undergone a quadrantectomy for her primary disease. Computed tomography (CT) demonstrated...

Cerebrospinal fluid leak of the fallopian canal

March 25, 2013  |  Karen B. Teufert, MD; William H. Slattery, MD

Abstract

Spontaneous cerebrospinal fluid (CSF) leaks from the fallopian canal are extremely rare, as only a few cases have been reported in the world literature. We describe a case of spontaneous CSF otorrhea through an enlarged geniculate fallopian canal. The patient was a 45-year-old...

Retention cyst in chronic otitis media

March 25, 2013  |  Min-Tsan Shu, MD; Kang-Chao Wu, MD; Yu-Chun Chen, MD

The retention cyst originates from the obstruction of a glandular structure and contains fluid, while the cholesteatoma contains keratinizing squamous epithelium.

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