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Otology

Chronic discharging ear and multiple cranial nerve pareses: A sinister liaison

April 28, 2015  |  Mainak Dutta, MS; Dipankar Mukherjee, MS; Subrata Mukhopadhyay, MS

SCC of the temporal bone might well represent the extreme of the “inflammation-metaplasia-dysplasia-carcinoma” sequence, with chronic otitis media representing the inflammation.

Progression of autoimmune inner ear disease to labyrinthitis ossificans: Clinical and radiologic correlation

March 2, 2015  |  Jenn Nee Khoo, FRCR; Tiong Yong Tan, FRCR

Abstract

We report the case of a 42-year-old man who presented with fluctuating bilateral sensorineural hearing loss that subsequently progressed to a complete hearing loss, and we describe the correlation between the clinical and radiologic features of this case. To the best of our...

Septic arthritis of the temporomandibular joint caused by Aspergillus flavus infection as a complication of otitis externa

March 2, 2015  |  Lalee Varghese, MS, DLO, DNB; Rabin Chacko, MDS, FDS, FCPS; George M. Varghese, MD, DNB, DTMH; Anand Job, MS, DLO, MNAMS

Abstract

Septic arthritis of the temporomandibular joint (TMJ) is a very rare complication of otitis externa that can lead to ankylosis and destruction of the joint. We report the case of a 74-year-old man who developed aspergillosis of the TMJ following otitis externa. To the best of...

Cochlear implantation leading to successful stapedectomy in the contralateral only-hearing ear

March 2, 2015  |  Samantha J. Mikals, MD; Gerald I. Schuchman, PhD; Joshua G.W. Bernstein, PhD; Arnaldo L. Rivera, MD

Abstract

Cochlear implants have recently begun to be offered to patients with single-sided deafness (SSD). Implantation in these patients has led to good results in suppressing ipsilateral tinnitus and in providing audiologic benefits in terms of speech perception in noise and...

Streamlined bilateral otologic surgery: How I do it

March 2, 2015  |  Tara E. Brennan, MD; Miriam I. Redleaf, MD

Abstract

Bilateral simultaneous otologic surgery is being performed more commonly among otologists. The benefits of performing bilateral simultaneous cochlear implants in the pediatric population, in particular, have become increasingly recognized as the safety and efficacy of this...

Absence of the long process of the incus

February 2, 2015  |  Christina H. Fang, BS; Robert W. Jyung, MD

A definitive diagnosis of an ossicular defect, such as absence of the incus long process, requires an exploratory tympanotomy.

Bilateral keratin horns arising from the tympanic membranes: A case report

February 2, 2015  |  Chu Qin Phua, MRCS, DOHNS; Vikas Malik, FRCS(ORL-HNS); Patrick Zaid Sheehan, FRCS(ORL)

Abstract

A keratin horn is a horn-like projection composed of dense keratotic material. It usually arises in sun-exposed areas of the body. It can be derived from a variety of underlying benign, premalignant, or malignant epidermal lesions. Risk factors associated with malignant change...

Salivary gland choristoma of the middle ear

February 2, 2015  |  Shubin Chen, MD; Yongxin Li, MD

Abstract

Salivary gland choristoma of the middle ear is a rare entity. It is believed to be a developmental abnormality that may be associated with anomalies of adjacent structures. We describe the case of a 6-year-old girl who had a salivary gland choristoma in the middle ear that was...

Metastatic breast carcinoma presenting as unilateral pulsatile tinnitus: A case report

February 2, 2015  |  Andrew Moore, MRCS, DOHNS; Max Cunnane, BMBS, BMedSci; Jason C. Fleming, MRCS, DOHNS, MEd

Abstract

Pulsatile tinnitus is a rare symptom, yet it may herald life-threatening pathology in the absence of other symptoms or signs. Pulsatile tinnitus tends to imply a vascular cause, but metastatic disease also can present in this way. Clinicians should therefore adopt a specific...

Vestibular dehiscence syndrome caused by a labyrinthine congenital cholesteatoma

February 2, 2015  |  Francesco Fiorino, MD; Francesca B. Pizzini, MD, PhD; Barbara Mattellini, MD; Franco Barbieri, MD

Abstract

A 40-year-old man presented with conductive hearing loss and pressure- and sound-related vestibular symptoms. Computed tomography and diffusion-weighted magnetic resonance imaging revealed the presence of a cholesteatoma involving the vestibular labyrinth. The patient underwent...

Spontaneous bilateral dural arteriovenous fistulas with pulsatile tinnitus

January 19, 2015  |  Tzu-Chieh Lin, MD; Hsiung-Kwang Chung, MD; Jeng-Nan Hsu, MD

Abstract

Pulsatile tinnitus with normal otoscopic findings often presents a diagnostic challenge to otolaryngologists and can be attributed to serious vascular malformations such as dural arteriovenous fistulas (DAVFs). Spontaneous DAVFs are relatively rare. A 65-year-old woman...

Contralateral hearing loss after vestibular schwannoma excision: A rare complication of neurotologic surgery

January 19, 2015  |  Robert H. Deeb, MD; Jack P. Rock, MD; Michael D. Seidman, MD, FACS

Abstract

We report a rare case of contralateral hearing loss after vestibular schwannoma excision in a 48-year-old man who underwent surgery via a suboccipital approach for removal of a nearly 2-cm lesion involving the right cerebellopontine angle. Postoperatively, the patient awoke...

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