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Middle Ear

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...

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...

Nontuberculous mycobacterial otomastoiditis: A case report

January 24, 2013  |  Li-Tai Tsai, MD; Ching-Yuan Wang, MD; Chia-Der Lin, MD; Ming-Hsui Tsai, MD

Abstract

Nontuberculous mycobacterial otomastoiditis is rare and can be easily confused with various different forms of otitis media. We describe the case of a 50-year-old woman who presented with left-sided chronic otitis media that had persisted for more than 1 year. It was not...

Tympanomastoidectomy with otoendoscopy

December 31, 2012  |  Ryan M. Rehl, MD; Sepehr Oliaei, MD; Kasra Ziai, MD; Hossein Mahboubi, MD, MPH; Hamid R. Djalilian, MD

Abstract

A cadaveric study was performed to test the hypothesis that intact-canal-wall mastoidectomy (ICWM) with otoendoscopy allows for equal or better visualization of the middle ear cavity structures when compared with canal-wall-down mastoidectomy (CWDM) with microscopy. Ten...

Otic polyp

November 1, 2012  |  Lester D.R. Thompson, MD

An uncommon entity, otic polyp arises in response to a long-standing inflammatory or infectious process of the middle ear, most often in young boys.

Middle ear atelectasis

November 1, 2012  |  Min-Tsan Shu, MD; Kang-Chao Wu, MD; Yu-Chun Chen, MD

Tympanic membrane retraction caused by long-term eustachian tube dysfunction may lead to erosion of the ossicles and cholesteatoma.

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.

Complications of chronic suppurative otitis media: A left otogenic brain abscess and a right mastoid fistula

October 4, 2012  |  Yok Kuan Chew, MS; Jack Pein Cheong, MBBS; Abdullah Khir, MS; Sushil Brito-Mutunayagam, MS; Narayanan Prepageran, FRCS

Abstract

Otogenic brain abscess and postauricular fistula are complications of chronic suppurative otitis media. We describe a rare case of bilateral chronic suppurative otitis media that caused a left temporal lobe abscess and a right mastoid fistula.

Interhemispheric subdural abscess: A rare complication of atticoantral ear disease

August 10, 2012  |  Borlingegowda Viswanatha, MS, DLO

Abstract

A 14-year-old girl who had been experiencing ear discharge for the previous 3 years was referred to a tertiary care center for management of a 3-day history of severe headache and vomiting. Otolaryngologic examination revealed the presence of an atticoantral...

Topical mitomycin C application before myringotomy and ventilation tube insertion: Does it affect the final outcome?

August 10, 2012  |  Ahmed Hesham, MD; Ayman Hussien, MD; Ahmed Hussein, MD

Abstract

Previous animal studies have shown that the topical application of mitomycin C is safe and effective in prolonging the patency of myringotomy openings in ears that have not received a ventilation tube. We conducted a randomized, controlled study in humans to...

Recurrent pre-B-cell acute lymphoblastic leukemia in the middle ear: A form of granulocytic sarcoma

July 5, 2012  |  David Manning, MD; Enrique Palacios, MD, FACR; Harold Neitzschman, MD, FACR

Leukemia of the middle ear easily can be misidentified as acute otitis media or Bell palsy. It occurs most often in children 2 to 5 years of age and in the elderly population.

Huge middle ear adenoma with delayed facial nerve paralysis

June 4, 2012  |  Seung Ho Lee, MD; Hoseok Choi, MD, PhD; Young Chae Chu, MD; Young Hyo Kim, MD; Kyu-Sung Kim, MD, PhD

Abstract

Middle ear adenoma is a rare disease that arises from the mucosa of the middle ear. Only a few cases of associated facial nerve paralysis have been reported. Facial nerve involvement is most likely related to nerve compression rather than tumor invasion of...

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