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Otology

Painful rash of the auricle: Herpes zoster oticus

December 19, 2014  |  Chao-Yin Kuo, MD; Yuan-Yung Lin, MD; Chih-Hung Wang, MD, PhD

A PCR assay in addition to conventional serologic testing provides quick confirmation of the diagnosis of herpes zoster oticus infection.

Surgical management of a high jugular bulb

August 21, 2016  |  Daniel S. Roberts, MD, PhD; Brian Chen, MD; William Slattery, MD

Patient selection for surgical repair of a high dehiscent jugular bulb should include the presence of a codominant sigmoid sinus to avoid elevated postoperative intracranial pressure.

Audiologic changes after pinna augmentation

August 21, 2016  |  Kavit Amin, MBBS, BSc(Hons), MRCS(Eng); Robert Hone, MBBS, MRCS; Rahul Kanegaonkar, BSc, DLO, FRCS(ORL-HNS)

Abstract

No studies to date have objectively assessed whether pinna morphology affects sound intensity detected within the external auditory canal (EAC). Commonly performed procedures on the EAC are carried out for acquired and congenital pathology, together with correction of ear...

Effects on auditory function of chronic exposure to electromagnetic fields from mobile phones

August 21, 2016  |  Sanjeev Bhagat, MS(ENT); Saurabh Varshney, MS(ENT); Sampan Singh Bist, MS(ENT); Deepak Goel, DM(Neurology); Sarita Mishra, MS(ENT); Vivek Kumar Jha, MSLAP

Abstract

The widespread use of mobile phones has given rise to apprehension regarding the possible hazardous health effects of high-frequency electromagnetic fields (EMFs) on auditory function. We conducted a study to investigate the effects of long-term (>4 yr) exposure to EMFs...

Are routine preoperative CT scans necessary in adult cochlear implantation? Implications for the allocation of resources in cochlear implant programs

August 21, 2016  |  Bruno Kenway, MRCS, DO-HNS; Petros V. Vlastarakos, MD, MSc, PhD; Anand V. Kasbekar, MRCS, DO-HNS; Patrick R. Axon, MD, FRCS(ORL-HNS); Neil Donnelly, MSc, FRCS(ORL-HNS)

Abstract

Our aim was to critically assess the influence of preoperative computed tomography (CT) scans on implantation decisions for adult cochlear implant candidates. The working hypothesis was that these routine scans might not provide critical additional information in most adult...

Epitympanic meningoencephalocele presenting as a growing middle ear mass

July 18, 2016  |  James G. Naples, MD; John W. House, MD; Benjamin J. Wycherly, MD

This patient had a subtle middle ear mass without an obvious effusion at the initial presentation; on repeat examination, it became more obvious that this was a meningoencephalocele

Clinical characteristics and follow-up of patients with external ear canal cholesteatoma treated conservatively

July 18, 2016  |  Erdal Sakalli, MD; Deniz Kaya, MD; Cengiz Celikyurt, MD; Selcuk Cem Erdurak, MD

Abstract

We conducted a retrospective study to evaluate the clinical properties and follow-up of patients with external ear canal cholesteatoma (EECC) who were treated conservatively. Our study group was made up of 15 patients-6 men and 9 women, aged 21 to 82 years (mean: 48). In...

Comparison of a microsliced modified chondroperichondrium shield graft and a temporalis fascia graft in primary type I tympanoplasty: A prospective randomized controlled trial

July 18, 2016  |  Shambhu Nath Bhattacharya, MS; Sudipta Pal, MS; Somnath Saha, MS; Prasanta Kumar Gure, MS; Anupam Roy, MS

Abstract

We conducted a prospective, randomized, controlled trial to compare outcomes in type I tympanoplasty patients who received an autologous microsliced modified cartilage perichondrium shield graft (cartilage group) and those who received an autologous temporalis muscle fascia...

Case of a tick as an unusual animate aural foreign body

June 14, 2016  |  Chao-Hsun Huang, MD; Min-Tsan Shu, MD

The risk of acquiring a tick foreign body in the external auditory canal is generally related to geographic and climatic factors, such as warmer months and areas with forests, high grass, and leaf litter.

Diagnosis and management of a tympanic membrane hemangioma

June 14, 2016  |  Glen Watson, MBBS, FRCS; Amanda McSorley, MBChB, BSc, MRCS; Vivek Kaushik, MBBS, FRCS, DLO

Abstract

Vascular tumors arising in the temporal bone represent 0.7% of all lesions in this area. Hemangiomas confined to the tympanic membrane are exceptionally rare. We report a new case of tympanic membrane hemangioma that arose in 59-year-old man who presented with a 2-month history...

A rare cause of conductive hearing loss: High lateralized jugular bulb with bony dehiscence

June 14, 2016  |  James G. Barr, MRCS(ENT), BSc, BM; Pranay K. Singh, MD, FRCS, (ORL-HNS)

Abstract

We present a rare case of pediatric conductive hearing loss due to a high lateralized jugular bulb. An 8-year-old boy with a right-sided conductive hearing loss of 40 dB was found to have a pink bulge toward the inferior part of the right eardrum. Computed tomography showed a...

Detection of CMV DNA in the perilymph of a 6-year-old boy with congenital cytomegalovirus infection

June 14, 2016  |  Ina Foulon, MD; Oriane Soetens, PhD; Leen Vleurinck, MA; Frans Gordts, PhD; Astrid Leus, MD; Anne Naessens, PhD

Abstract

We present the case of a 6-year-old boy who received a cochlear implant for profound sensorineural hearing loss after being born with cytomegalovirus (CMV) infection. Even after 6 years, CMV DNA was still found in the perilymph of the cochlea. Our case shows that CMV DNA can be...

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