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Tympanum

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.

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...

An extruded ossicular prosthesis

February 25, 2013  |  Willis S.S. Tsang, FRCSEd(ORL); Michael C.F. Tong, MD(CUHK); C. Andrew van Hasselt, M Med(Otol)

Extrusion of ossicular prostheses results from postoperative tympanic membrane medialization. The incorporation of cartilage grafting material is recommended to minimize extrusion.

Intraoperative view of a glomus tympanicum

December 31, 2012  |  Waitsz T. Chang, MRCS; Willis S.S. Tsang, FRCSEd(ORL)

For the treatment of a small glomus tympanicum, surgical excision via an anterior tympanotomy approach is possible.

Juvenile xanthogranuloma of the tympanic membrane: A case report

September 7, 2012  |  Michael W. Chu, MD; Alice Werner, MD; Stephanie A. Moody-Antonio, MD

Abstract

Juvenile xanthogranuloma (JXG) is a benign, non-Langerhans cell histiocytic lesion that generally affects infants and children. These lesions characteristically appear as a solitary, yellow, cutaneous nodule of the head, neck, or trunk. Subcutaneous and...

Bilateral hemotympanum secondary to septoplasty

September 7, 2012  |  Jae Hoon Lee, MD

Hemotympanum can be caused by temporal bone fractures, barotrauma, administration of anticoagulants, hematologic disorders, and chronic otitis media secondary to the formation of granulation tissue or a cholesterol granuloma. It can also occur secondary to nasal packing or...

Mycoplasma an unlikely cause of bullous myringitis

June 4, 2012  |  Lisa Cramer, BA; Dina M. Emara, MBBCh; Arun K. Gadre, MD, FACS

Despite common belief, Mycoplasma pneumoniae is an extremely rare causative agent for bullous myringitis. Instead, it is caused by the same organisms responsible for acute otitis media.

Primary acquired cholesteatoma

May 1, 2012  |  Joseph A. Ursick, MD; Jose N. Fayad, MD

Cholesteatomas are believed to form as the result of poor eustachian tube function with resultant tympanic membrane retraction and a lack of normal epithelial migration.

Middle ear encephalocele: Not just another chronic ear

February 18, 2012  |  John C. Goddard, MD and Jose N. Fayad, MD

Congenital cholesteatoma of the tympanic membrane

December 15, 2011  |  Byung Don Lee, MD and Moo Kyun Park, MD

Intratympanic steroid use for hearing salvage in Vogt-Koyanagi-Harada syndrome

December 15, 2011  |  Stanley Pelosi, MD and Sujana S. Chandrasekhar, MD, FACS

Abstract

We discuss the rare case of a 68-year-old woman with Vogt-Koyanagi-Harada (VKH) syndrome and sensorineural hearing loss (SNHL) who was successfully treated with intratympanic corticosteroid injections. The patient had presented with bilaterally asymmetric (i.e., moderate and...

A case of a coexisting aberrant internal carotid artery and persistent stapedial artery: The role of MR angiography in the diagnosis

May 1, 2011  |  Hatice Gul Hatipoglu, MD, Mehmet Ali Cetin, MD, Enis Yuksel, MD, and Huseyin Dere, MD

Abstract

We describe the case of a 37-year-old woman who presented with a complaint of recurrent headaches since childhood. Clinical examination revealed the presence of a reddish-bluish mass in the inferior half of the tympanic membrane in her right ear. Source and three-dimensional...

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