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F Rogister, Y Goffart, J Daele
This case study describes three newborns referred to our otolaryngologic service for investigating and treating a cystic dilatation of the lacrimal duct. These dilatations corresponded to unilateral or bilateral dacryocystoceles, with or without complications. The first newborn exhibited respiratory distress at birth and received early surgery and endoscopic marsupialization of intranasal and bilateral cysts. The second newborn did not show any signs of complications, and after conservative treatment for a week, the cyst spontaneously resolved...
2016: B-ENT
N Weegerink, J Van Goethem, S De Schepper, T Van de Velde, B Schmelzer
OBJECTIVE: Here we describe the clinical and histopathological characteristics of a nine-year-old girl with an intraorbital mass of the left orbit, and review the relevant literature. RESULTS: Imaging data and surgical biopsy revealed an intraconal cystic lesion in the medial-inferior quadrant of the left orbit. The cyst was lined with ciliated pseudostratified epithelium, consistent with a respiratory epithelial cyst of the orbit. Cyst marsupialisation and partial mass removal alleviated symptoms, and no cyst recurrence was observed during follow-up...
2016: B-ENT
M Dhiwakar, S Damodharan, K M Rajeshwari, S Mehta
BACKGROUND: Giant cell reparative granuloma of the facial skeleton is a rare presentation of hyperparathyroidism. METHODOLOGY: A 17-year-old girl presented with progressive expansile bony growths of the mandible and maxilla. The case was investigated using biopsies, blood tests, imaging, and surgery. RESULTS: Biopsies confirmed giant cell reparative granuloma. Blood testing revealed very high parathyroid hormone levels, and brown tumours due to primary hyperparathyroidism weresuspected...
2016: B-ENT
N Segal, S Schneider, A S Parra, D Benharroch
OBJECTIVE: Nasopharyngeal branchial cleft cysts are rare, and only case reports have been published. We present a patient whose nasopharyngeal cyst contained a malignant lymphoma, and we review previous reports of this condition. METHODS: Case report with a relevant literature review. RESULTS: Sixteen case reports of nasopharyngeal branchial cleft cysts in 24 patients were included. The average age was 36 years; most cysts were on one side...
2016: B-ENT
K Ostermann, P Lurquin, M Horoi, P Cotton, V Hervé, M P Thill
OBJECTIVES: Somatic tinnitus originates from increased activity of the dorsal cochlear nucleus, a cross-point between the somatic and auditory systems. Its activity can be modified by auditory stimulation or somatic system manipulation. Thus, sound enrichment and white noise stimulation might decrease tinnitus and associated somatic symptoms. The present uncontrolled study sought to determine somatic tinnitus prevalence among tinnitus sufferers, and to investigate whether sound therapy with counselling (tinnitus retraining therapy; TRT) may decrease tinnitus-associated somatic symptoms...
2016: B-ENT
M N Zakaria, B Jalaei, D Sidek
OBJECTIVE: Few studies have investigated the auditory steady state response (ASSR) thresholds evoked by ipsilateral and contralateral stimulation. The present study was conducted to compare 40-Hz ASSR thresholds between ipsilateral and contralateral recordings at specific test frequencies. METHODS: Twenty young female subjects with normal hearing bilaterally (hearing level ≤ 20 dB HL across speech frequencies) were included in the study. One-octave-wide narrow band CE-chirp® stimuli centred at 500, 1000, 2000 and 4000 Hz with 40 Hz modulation frequency (MF) were presented ipsilaterally and contralaterally to each subject through insert earphones...
2016: B-ENT
A M Sadeghi, M Flynn, T Davison, M Schulte, M Hillbratt
OBJECTIVES: Variability in Baha® sound processor fittings arise from several sources including the nature of the implant-to-bone transmission and transcranial attenuation in patients with single-sided sensorineural deafness. One method of improving the predictability of Baha fittings is to measure the individual patient's actual bone conduction thresholds via the implant, thereby removing the influence of skin thickness and/or implant location site. METHODOLOGY: One hundred thirty eight adult wearers of the Baha System participated in the study...
2016: B-ENT
Dutta M, Kundu S, Roy S, S Mukhopadhya
OBJECTIVE: Lipoblastoma(toses) are benign neoplasms of embryonic white fat in a state of arrested maturation, and are seldom encountered in the head-neck region. We discuss the clinical details of lipoblastomatosis in the retropharyngeal space of a 9-year-old boy,with an emphasis on the head-neck area, the histopathological maturity of the tumor, and the practical roles of imaging, cytogenetics, and immunostaining in the diagnosis. METHODS: Clinical record analysis; literature review...
2016: B-ENT
H Schmaltz, C Borel, S Ciftci, C Takeda-Raguin, C Debry, P Schultz, A Dupret-Bories
OBJECTIVE: To preoperatively reduce tumour size in patients with locally advanced and/or non-resectable squamous cell carcinoma with induction chemotherapy in order to achieve surgical excision with clear margins and preserve quality of life. METHODOLOGY: In this study, 16 patients with locally advanced and/or non-resectable squamous cell carcinoma underwent induction chemotherapy with docetaxel, cisplatin, and 5-fluorouricil or paclitaxel, carboplatin, and cetuximab...
2016: B-ENT
A Durmaz, Ü Yildizoğlu, F Arslan, Y Uysal
A congenital dacryocystocele with an intranasal cyst is an uncommon lesion that is usually treated by ophthalmologists, although sometimes an otorhinolaryngologist is consulted first because of nasal obstruction. The nasal cavity is narrow in newborns and can easily be obstructed, even by small lesions. Prolapse or expansion of the cyst into the nose may lead to respiratory distress and difficulty in feeding, since newborns are obligate nose breathers. Here we report a case of bilatera dacryocystocele with intranasal extension in a 3-day-old female infant...
2016: B-ENT
T L Kumral, Z Saltürk, G Yildirim, Y Uyar, G Berkiten, Y Atar, M Inan
OBJECTIVE: is to evaluate the sinonasal symptom scores and mucociliary clearance (MCC) after starting to use electronic cigarette METHODOLGY: This prospective randomized single-blind clinical trial was conducted between March 2013 and November 2013. Patients (n=98) admitted to smoking cessation clinic were divided into two groups; Electronic cigarette smokers (group 1) and non-electronic cigarette smokers (group 2). SNOT-22 and saccharin transit time for MCC were evaluated before starting electronic cigarettes and after the third months...
2016: B-ENT
J Dabiri, R Fakhoury, G Choufani, B Mine, S Hassid
UNLABELLED: PROBLEM/OBJECTIVES: Epistaxis is the most common manifestation of hereditary hemorrhagic telangiectasia (HHT); it is present in >90% of HHT patients > 45 years old. Depending on severity, treatment consists of managing bleeding via medical and surgical methods. The aim of our study was to evaluate the efficacy and safety of endonasal surgical arterial cauterization to treat chronic epistaxis in patients with HHT who are no longer responding to first-line therapies. METHODOLOGY: Five patients were included in our study...
2016: B-ENT
G Van Haesendonck, M Dieltjens, E Hamans, M J Braem, O M Vanderveken
PURPOSE: This prospective clinical trial assessed the therapeutic outcomes of patients with obstructive sleep apnea (OSA) treated with a novel duobloc custom-made titratable mandibular advancement device (OAm). MATERIAL AND METHODS: The modular Somnomed G2® OAm (Somnomed Europe AG, Zurich, Switzerland) with 'click-to-fit' adjustability provides instant feedback on the mandibular advancement. 161 consecutive patients with established diagnoses of OSA. Dental impressions were made and a bite registration in 75% of the maximal protrusion being the starting protrusion...
2016: B-ENT
S A Karpishchenko, E V Bolozneva
PROBLEM: A 25-year-old man presented with a large osteoma in the right ethmoidal sinus. METHODOLOGY: The osteoma was removed by an endoscopic endonasal approach with a curved diamond drill and an electromagnetic navigation system. RESULT: Computed tomography 3 days after surgery showed complete removal of the osteoma and normal position of the right eyeball. No long-term follow-up results were available. CONCLUSIONS: This clinical case highlights the use of the endoscopic endonasal approach for the safe and reliable treatment of sinus osteomas, particularly large osteomas...
2015: B-ENT
E D'heygere, T Vauterin, J W Casselman, R Kuhweide, C Dick
BACKGROUND: Congenital laryngeal cysts are a rare, but potentially fatal, cause of airway obstruction in infants and children. Most laryngeal cysts are acquired. Here, we describe a congenital laryngeal cyst, its treatment, and its presentation immediately after birth. CASE REPORT: A newborn child developed stridor very shortly after birth, due to a large, congenital saccular cyst. The diagnosis was based on a laryngoscopy and imaging studies, which detected an extralaryngeal extension through the cricothyroid membrane...
2015: B-ENT
T Puls
Brain magnetic resonance imaging (MRI) is the gold standard for diagnosing a vestibular schwannoma (VS). The prevalence of VS ranges from 0.02-2.4%; the incidence is 20 per million per year. This case report describes two cases of VS identified on brain MRIs that were not related to the purpose of the MRI examination. A literature search was performed to find existing audiometric-based protocols for guiding MRI referrals. Asymmetric sensorineural hearing loss appeared to be the most important indication for excluding VS...
2015: B-ENT
I Courtmans, V Mancilla, C Ligny, S D Le Bon, A Naessens, I Foulon
OBJECTIVE: To evaluate the incidence of children with congenital CMV (cCMV) infection in a hearing rehabilitation center. METHODOLOGY: This was a retrospective review of 309 children followed in a rehabilitation center for mild to total sensorineural hearing loss (SNHL). Seventy-five children had dried blood spots that we retrieved and retrospectively analyzed for the presence of CMV DNA by real time PCR. The children were born in Belgium after January 1996. The etiology of the SNHL was investigated for each child...
2015: B-ENT
A Kiki, N Kiliç, H Oktay
UNLABELLED: PROBLEM/OBJECTIVES: Maxillary constriction and high palatal arch are associated with increased risk of chronic eustachian tube dysfunction and conductive hearing loss (CHL) due to chronic effusion. However, this relationship has not been clearly demonstrated. This study assessed CHL in school children with a narrowed maxilla and deep palatal vault. METHODOLOGY: Thirty-two children with maxillary constriction were randomly selected for the study group and 28 children with normal transverse maxillary development were selected for the control group...
2015: B-ENT
E Oorts, J Phillips, P Van de Heyning, M Yung, V Van Rompaey
OBJECTIVE: Chronic otitis media (COM) describes a variety of symptoms and physical findings that result from prolonged damage to the middle ear by infection and inflammation. The Health-Related Quality of Life measure for COM (COMQ-12) is a new questionnaire for the assessment of COM that evaluates the overall burden of disease from the patient's perspective. The aim of this study was to develop and appraise the psychometric properties of the Dutch version of the COMQ-12. MATERIALS AND METHODS: The Dutch version of the COMQ-12 was obtained through translation and back-translation...
2015: B-ENT
Y Ghavami, A Y Yau, K Ziai, M M Maducdoc, H R Djalilian
Head and neck inflammatory pseudotumors (IPs) are rare, idiopathic, non-neoplastic lesions that most commonly affect the orbit, but may involve other areas such as the larynx, oropharynx, paranasal sinuses, and meninges. We report the case of a 55-year-old man who presented with progressive left-sided hearing loss, aural fullness, and otalgia. Computed tomography and magnetic resonance imaging (MRI) detected a soft-tissue mass in the left temporomandibular joint (TMJ). Histopathologic examination showed overlying squamous epithelium with hyperkeratosis, parakeratosis, subepithelial fibrosis, and chronic inflammatory infiltrate, which were consistent with an IP...
2015: B-ENT
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