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Otology

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...

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.

Long-term effects of intracochlear electrical stimulation with looped patterns on tinnitus: A case study

April 30, 2016  |  Remo A. Arts, PhD; Erwin L. George, PhD; Andreas Griessner, PhD; Clemens Zierhofer, PhD; Robert J. Stokroos, PhD

Abstract

Electrical stimulation by cochlear implant (CI) has been proven to be a viable treatment option for tinnitus in many recent studies. In addition, intracochlear electrical stimulation independent of an acoustic input appears to suppress tinnitus, at least in the short term. We...

Improved visualization of a dehiscent facial nerve with otoendoscopy

April 30, 2016  |  James G. Naples, MD; John W. House, MD; Benjamin J. Wycherly, MD

In middle ear surgery, endoscopy is a valuable instrument for second-look procedures in cholesteatoma.

Ear and temporal bone meningioma

April 30, 2016  |  Lester D. Thompson, MD

Because of anatomic restrictions, most tumors are smaller than 1.5 cm, removed in multiple, gritty tissue fragments.

Sympathetic hearing loss: A review of current understanding and report of 2 cases

April 30, 2016  |  Patrick F. Morgan, MD; Peter G. Volsky, MD; Barry Strasnick, MD, FACS

Abstract

Sympathetic hearing loss (SHL) is a rare complication that appears to occur when the immune system is primed against sequestered inner ear antigens. SHL has been implicated in delayed hearing loss after acoustic tumor removal, revision stapedectomy, and temporal bone fractures...

Efficacy of allograft fascia lata in tympanic membrane repair

April 30, 2016  |  Ashley O'Connell Ferster, MD; Joel Jones, MD; John Davis, AuD; Brittany Weber, MD; Mary Hawkshaw, RN, BSN, CORLN; Robert T. Sataloff, MD, DMA, FACS

Abstract

We conducted a retrospective study to determine the efficacy of allograft fascia lata in both primary and revision tympanic membrane surgery (myringoplasty). Our patient population included 64 patients-31 men and 33 women, aged 19 to 98 years (mean: 49.5)-who had undergone...

The effects of round window membrane injury and the use of a model electrode application on hearing in rats

March 16, 2016  |  Murat Koc, MD; Abdullah Dalgic, MD; Mehmet Ziya Ozuer, MD

Abstract

We conducted an animal experiment to investigate the effects of mechanical trauma to the round window with the placement of a model electrode inserted into the scala tympani on the cochlear reserve, and to determine the efficacy of topical steroids in preventing hearing loss in...

Endolymphatic sac tumor in association with von Hippel-Lindau syndrome

March 16, 2016  |  Kevin Shaigany, BS; Alejandro Vazquez, MD; Kelvin M. Kwong, MD; James K. Liu, MD; Robert W. Jyung, MD

Patients with ELST present most commonly with sensorineural hearing loss, tinnitus, and vertigo, in a pattern reminiscent of Ménière disease.

Is the emergency department management of ENT foreign bodies successful? A tertiary care hospital experience in Australia

March 16, 2016  |  Ritesh Gupta, MBBS, MS(ENT); Rugare Percy Nyakunu, MBBS, BMedSci; Jorian Russell Kippax, MBChB, FACEM

Abstract

We evaluated the role of the emergency department (ED) in the management of ear, nose, and throat foreign bodies in an Australian tertiary care hospital. We retrospectively reviewed all cases of ENT foreign-body presentations in the ED over a 2-year period. We identified 168...

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