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Otology

Stapediovestibular ankylosis in an HIV/HCV-copositive patient

March 16, 2016  |  Stephan Radoslavov Lolov, MD, PhD, DSc

Abstract

To the best of the author's knowledge, no case of a patient with stapediovestibular ankylosis who was also coinfected with human immunodeficiency virus (HIV) and hepatitis C virus (HCV) has been previously described in the literature. This report describes the case of a 36-year...

The economic impact of revision otologic surgery

March 16, 2016  |  Sahar Nadimi, MD; John P. Leonetti, MD; George Pontikis, MD

Abstract

Revision otologic surgery places a significant economic burden on patients and the healthcare system. We conducted a retrospective chart analysis to estimate the economic impact of revision canal-wall-down (CWD) mastoidectomy. We reviewed the medical records of all 189 adults...

Laser myringoplasty for tympanic membrane retraction

February 24, 2016  |  Brian S. Chen, MD; John W. House, MD; James V. Crawford, MD

Only selected patients are good candidates for this procedure. Patients who are able to lift their TM with the Valsalva maneuver are ideal.

External auditory canal stenting with nonlatex glove and Gelfoam

February 24, 2016  |  Judy C. Pan, MD; Tucker M. Harris, MD

Abstract

External auditory canal stenosis, although uncommon, is a condition that is sometimes encountered by otolaryngologists. This condition has been shown to result from inflammatory changes that may be incited by many different causes. Various methods of stenting the canal open...

Slag injury to the tympanic membrane

January 22, 2016  |  Emily Marchiano, BA; Robert W. Jyung, MD

The presence of slag can be confirmed on CT, which can be used to evaluate damage to the ossicles and the proximity of the foreign body to nearby structures such as the carotid canal.

A case of lipoma arising in the eustachian tube

January 22, 2016  |  Jonathan Dabiri, MD; Georges Choufani, MD; Isabelle Delpierre, MD; Sergio Hassid, PhD

Abstract

We report a case of a lipoma inside the eustachian tube, an extremely rare location for this lesion. To the best of our knowledge, this is only the second such case that has been described in the literature. The patient was a 47-year-old man, a fighter pilot, who was referred...

Congenital choristoma (hairy polyp) of the eustachian tube: Surgical management of a rare clinical entity

January 22, 2016  |  Jonathan M. Melzer, MD, LT, MC, USN; Austin Morgan, MD, LT, MC, USN; David Darrow, MD

Macroscopically, choristomas can appear as soft, pedunculated masses that are hairy with a white or a violaceous hue. They can measure up to 6 cm in diameter.

Sensorineural hearing loss in beta-thalassemia patients treated with iron chelation

December 14, 2015  |  Ustun Osma, MD; Erdal Kurtoglu, MD; Hulya Eyigor, MD; Mustafa Deniz Yilmaz, MD; Nurdan Aygener

Abstract

The predictive value of pure-tone audiometry (PTA) in the early detection of ototoxicity has been questioned, particularly in the higher frequencies. Otoacoustic emissions testing appears to be more sensitive to cochlear insult than conventional PTA. We conducted a cross-...

Bone-anchored hearing aid implantation in a patient with Goldenhar syndrome

December 14, 2015  |  Griffin Santarelli, MD; Roberta E. Redfern, PhD; Aaron G. Benson, MD

Abstract

Patients with Goldenhar syndrome exhibit a number of characteristic symptoms, including middle and internal ear malformations that may cause profound hearing loss. Bone-anchored hearing aids have been used to treat these patients in the past, although complications may arise...

Sensorineural hearing loss associated with a factitious disorder

December 14, 2015  |  Ayako Maruyama, MD; Yoshihiro Noguchi, MD; Taku Ito, MD; Kenji Narushima, MD; Ken Kitamura, MD

Abstract

Factitious disorders are characterized by intentionally abnormal physical and/or psychological behavior, and affected patients often make up their symptoms and clinical histories. The most serious and chronic type of factitious disorder is Munchausen syndrome. We report the...

Facial nerve neurofibroma presenting with external auditory canal tumor and facial palsy

December 14, 2015  |  Yao-Ying Tseng, MD; Cheng-Chien Yang, MD; Chen-Chuan Li, MD; Min-Tsan Shu, MD

Facial nerve neurofibromas are benign and rare, and they generally present with facial palsy; however, hearing loss, tinnitus, and vertigo are also observed occasionally.

Langerhans cell histiocytosis involving the external auditory canal: An unusual ear tumor

October 31, 2015  |  Kang-Wei Fan, MD; Cheng-Chien Yang, MD; Chia-I Chou, MD; Min-Tsan Shu, MD

Langerhans cell histiocytosis has an unpredictable natural history, which ranges from rapidly fatal progressive disease to spontaneous resolution.

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