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Management of venous pulsatile tinnitus with normal otoscopic findings

September 21, 2015  |  Lei Jin, MD; Yucheng Wang, PhD


We conducted a retrospective study to analyze the therapeutic effects of ligation of the internal jugular vein in a series of adults with pulsatile tinnitus of venous origin. Our study group was made up of 12 patients-all women, aged 27 to 61 years (mean: 40 ± 6.1)-who had been...

Otic capsule dehiscence syndrome: Superior semicircular canal dehiscence syndrome with no radiographically visible dehiscence

August 27, 2015  |  P. Ashley Wackym, MD, FACS; Scott J. Wood, PhD; David A. Siker, MD; Dale M. Carter, MD


We conducted a prospective longitudinal study of two cohorts of patients who had superior semicircular canal dehiscence syndrome (SSCDS); one group had radiographically confirmed superior canal dehiscence (SCD), and the other exhibited no identified...

Temporomandibular joint herniation into external auditory canal

August 27, 2015  |  Jui-Hsien Hsu, MD; Cheng-Chien Yang, MD; Min-Tsan Shu, MD

Herniation of the TMJ into the EAC is a rare condition that mostly occurs in patients with bony wall defects in the anterior EAC.

Can vinegar be used in treating Pseudomonas ear infections in a patient with a perforated eardrum?

August 27, 2015  |  Muhamed Aslam Khan, MS, MRCSEd; Nazneen Khan, MBBS, DGO, DRCOG


Chronic Pseudomonas ear infections are difficult to treat, particularly in immunodeficient patients. Vinegar therapy is a time-tested measure for the treatment of these infections. It is inexpensive, simple, easy to administer, and very effective. However, some...

Intratympanic membrane congenital cholesteatoma

July 21, 2015  |  Hiroshi Sakaida, MD, PhD; Kazuhiko Takeuchi, MD, PhD

Cholesteatoma should be differentiated from other conditions with similar otoscopic findings, such as myringosclerosis.

Primary melanoma of the petrous temporal bone

July 21, 2015  |  Jonathan L. McJunkin, MD; Richard J. Wiet, MD, FACS


Melanoma is a malignant tumor of melanocytes that is predominantly found in the skin. In rare cases, it arises from mucosal melanocytes. We describe a case of a solitary melanoma of the petrous apex of the temporal bone in a 67-year-old woman who presented with sudden hearing...

Internal auditory canal osteoma: Case report and review of the literature

June 5, 2015  |  Sharon Ovnat Tamir, MD; Francoise Cyna-Gorse, MD; Olivier Sterkers, MD


We report a case of internal auditory canal osteoma and discuss this entity's etiology, natural history, and treatment options. The internal auditory canal osteoma is a rare entity with only a few reports published in the medical literature. Its diagnosis is based on two...

Bezold abscess

June 5, 2015  |  Yu-Hsuan Lin, MD; Ming-Yee Lin, MD

In some circumstances, the only sign or symptom of Bezold abscess is an unnoticed neck lump.

Dehiscent high jugular bulb attached to the tympanic membrane

June 5, 2015  |  Hiroshi Sakaida, MD, PhD; Kazuhiko Takeuchi, MD, PhD

The differential diagnosis of high jugular bulb includes cholesterol granuloma, aberrant carotid artery, and tumors such as paraganglioma or schwannoma.

Malignant otitis externa

April 28, 2015  |  Christina H. Fang, BS; James Sun, BS; Robert W. Jyung, MD

The advent of anti-pseudomonal antibiotics has significantly reduced the mortality of malignant otitis externa.

Is there a relationship between myeloperoxidase activity and conductive hearing loss in chronic otitis media complicated by cholesteatoma?

April 28, 2015  |  Ozlem Celebi Erdivanli, MD; Arif Sanli, MD


We conducted a prospective, controlled study of patients with chronic otitis media and cholesteatoma (1) to examine the expression of myeloperoxidase (MPO) using immunohistochemical staining techniques and (2) to investigate the relationship between MPO activity and the degree...

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.


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