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Middle Ear

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.

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.

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...

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...

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...

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.

Absent stapedial reflex: Otosclerosis or middle ear tumor?

February 25, 2013  |  Deb Biswas, FRCS-ORL, MS-ORL, MRCS, DOHNS; Ranjit K. Mal, FRCS

Abstract

We present an unusual case in which a patient diagnosed as having otosclerosis on the basis of clinical and audiologic findings actually had a middle ear facial nerve schwannoma. To the best of our knowledge, this is the first reported case in English literature in which a...

Recurrent post-tympanostomy tube otorrhea secondary to aerobic endospore-forming bacilli: A case report and brief literature review

February 25, 2013  |  James J. Jaber, MD, PhD; Matthew L. Kircher, MD; Eric Thorpe, MD; Ryan G. Porter Sr., MD; John P. Leonetti, MD; Sam J. Marzo, MD

Abstract

We report a unique case in which a 57-year-old man with an 8-year history of late recurrent post-tympanostomy tube otorrhea (PTTO) was found to harbor Bacillus subtilis, an aerobic endospore-forming bacillus that is typically resistant to chemical and physical agents...

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