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https://www.readbyqxmd.com/read/27659376/encountering-a-high-jugular-bulb-during-ear-surgery
#1
R Fox, R Nash, T Tatler
Encounters with jugular bulb abnormalities during ear surgery are a rare but recognised problem. A high riding jugular bulb is present in 10%-15% of patients and its variable position within the temporal bone can lead to problems as brisk venous haemorrhage can result if the bulb is inadvertently opened. The case of a 52-year-old woman with a central tympanic membrane perforation who underwent elective endaural myringoplasty and experienced brisk bleeding on raising the tympanomeatal flap is presented.
September 23, 2016: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27411661/modified-endaural-approach-for-the-treatment-of-condylar-fractures-a-review-of-75-cases
#2
S M Balaji
BACKGROUND: There are several treatment approaches for mandibular condyle fractures. Type of fracture, clinical experience, and preference of the operating surgeon dictate the approach. Given this highly varied outcome, this manuscript intends to document the treatment experience of 75 patients with extracapsular condyle fractures using author's modification of the traditional endaural approach in the region. MATERIALS AND METHODS: A retrospective chart review was performed on patients with mandibular condylar fractures who visited the author's center between 2004 and 2014...
May 2016: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/27380272/jugulotympanic-paragangliomas-in-southern-finland-a-40-year-experience-suggests-individualized-surgical-management
#3
Taija K Nicoli, Saku T Sinkkonen, Turkka Anttila, Antti Mäkitie, Jussi Jero
Treatment of jugulotympanic paragangliomas (JTPGLs) remains challenging with no clear guidelines for management or follow-up. The aim of this retrospective case-note study was to assess long-term results of operatively and conservatively managed JTPGLs between years 1974-2013. A total of 36 patients with JTPGLs were identified. Clinical characteristics and management outcomes of patients were reviewed. Data were extracted on demographics, symptoms, timing of diagnosis, tumor location and size, embolization, and management, including pre- and post-operative imaging, analysis of operative techniques, and follow-up...
July 5, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27334993/perilymphatic-fistula-after-underwater-diving-a-series-of-11-cases
#4
Jean-Baptiste Morvan, Emmanuel Gempp, Damien Rivière, Pierre Louge, Nicolas Vallee, Pierre Verdalle
INTRODUCTION: Onset of cochleovestibular symptoms (hearing loss, dizziness or instability, tinnitus) after a dive (scuba or breath-hold diving) warrants emergency transfer to an otology department. One priority is to investigate the possibility of the development of decompression sickness with a view to hyperbaric oxygen treatment of bubble-induced inner-ear damage. If this injury is ruled out, inner-ear barotrauma should be considered together with its underlying specific injury pattern, perilymphatic fistula...
June 2016: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/27304446/diagnosis-and-management-of-a-tympanic-membrane-hemangioma
#5
Glen Watson, Amanda McSorley, Vivek Kaushik
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 of constant right-sided pulsatile tinnitus and associated neck discomfort. The lesion and a cuff of healthy tympanic membrane were excised, and the resulting defect was repaired with a temporalis fascia graft. At 3 months, the neotympanum was well healed and the patient's symptoms had resolved...
June 2016: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/27221576/sustained-inner-ear-steroid-delivery-via-bioabsorbable-stent-a-tolerability-and-feasibility-study-on-guinea-pigs
#6
Philippe Lavigne, François Lavigne, Issam Saliba
OBJECTIVE: To determine the feasibility and tolerability of a steroid-eluting middle ear device on an animal model. STUDY DESIGN: Prospective experimental. SETTING: Experimental animal study. SUBJECTS AND METHOD: Mometasone furoate (MF)-eluting miniature sticks were implanted through a myringotomy incision into the middle ear of 10 guinea pigs. Two additional ears of 2 animals served as controls. Fourteen days after implantation, perilymphatic fluid was collected through an endaural cochleostomy...
October 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27220294/-analyses-of-the-clinical-characteristics-of-unilateral-conductive-hearing-loss-with-intact-tympanic-membrane
#7
Chaoying Tang, Jishuai Zhang, Weiju Han, Weidong Shen, Jun Liu, Zhaohui Hou, Pu Dai, Shiming Yang, Dongyi Han
OBJECTIVE: To analyze the clinical characteristics of unilateral conductive hearing loss with intact tympanic membrane, and summarize the key diagnostic points, differential diagnosis and observe the effects of surgical treatment. METHODS: We reviewed data from 82 patients with unilateral conductive hearing loss with intact tympanic membranes who accepted the exploratory tympanotomy from April 2011 to September 2013. There were 41 males and 41 females, aged from 7 to 66( averaged 26...
May 2016: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/27220291/-analyses-of-the-factors-relevant-to-revision-tympanomastoid-surgery
#8
Li Li, Zhaomin Fan, Yuechen Han, Lei Xu, Dong Chen, Haibo Wang
OBJECTIVE: To analyze factors relevant to revisional tympanomastoid surgery for chronic otitis media(COM). METHODS: The clinical data of 159 patients (159 ears), who exhibited either wet ear or relapsed after the initial operation, and were subjected to revisional tympanomastoid surgery, were retrospectively analyzed in this study. Of those 159 consecutive patients, 85 were males and 74 were females, aged 11-64 years, with a median age of 36 years old. The situations in terms of intra-operative findings, surgical procedures, change dressing post-operation, dry ear time, and the improvement of aural ability during the second operation, were recorded and analyzed...
May 2016: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/26759396/benign-cylindroma-a-rare-differential-diagnosis-of-external-ear-canal-tumour
#9
David Schwarz, Uta Drebber, Monika Ortmann, Andreas Anagiotos
Cylindromas are rare adnexal skin tumours that usually occur in the head and neck area. This article reports a case of benign cylindroma arising in the external auditory canal. A 75-year-old man presented with a 3-month history of right aural fullness; no other symptoms were reported. Ear microscopy examination revealed a skin mass on the floor of the external ear canal. Α CT scan of the skull showed a well-circumscribed soft tissue mass, with no signs of underlying cortical bone erosion. Tumour resection through an endaural approach was performed...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/26739478/tympanoplasty-conchal-cavum-approach
#10
S Christopher Man, Desmond A Nunez
UNLABELLED: The three well recognized tympanoplasty approaches: permeatal, postaural, and endaural, each have advantages and disadvantages. The permeatal approach is suitable only for ears with adequate canal size. The postaural approach limits visualization of the posterior eardrum margin. The endaural approach limits the view of the eardrum's anterior margin. This study describes a modified endaural approach, developed to overcome these limitations. A retrospective case series review and collection of a prospective cohort of patient reported outcome data were undertaken to assess the technique...
2016: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/26657718/combination-of-transconjunctival-and-lateral-canthotomy-with-modified-endaural-approaches-in-midface-osteogenic-distraction
#11
Humberto Fernández-Olarte, Andrés Gómez-Delgado, Daniel Varón-Cardona, Sergio Trujillo-Saldarriaga
No abstract text is available yet for this article.
July 2016: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/26475332/impact-of-the-surgical-experience-on-cochleostomy-location-a-comparative-temporal-bone-study-between-endaural-and-posterior-tympanotomy-approaches-for-cochlear-implantation
#12
Clair Vandersteen, Thomas Demarcy, Coralie Roger, Eric Fontas, Charles Raffaelli, Nicholas Ayache, Hervé Delingette, Nicolas Guevara
The goal of this study was to evaluate, in the hands of an inexperienced surgeon, the cochleostomy location of an endaural approach (MINV) compared to the conventional posterior tympanotomy (MPT) approach. Since 2010, we use in the ENT department of Nice a new surgical endaural approach to perform cochlear implantation. In the hands of an inexperienced surgeon, the position of the cochleostomy has not yet been studied in detail for this technique. This is a prospective study of 24 human heads. Straight electrode arrays were implanted by an inexperienced surgeon: on one side using MPT and on the other side using MINV...
September 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/26466967/repair-of-the-foramen-of-huschke-using-an-extended-endaural-approach
#13
Myung Hoon Yoo, Jun Woo Park, Hwan Seo Lee, Chan Joo Yang, Hong Ju Park
No abstract text is available yet for this article.
September 2016: Laryngoscope
https://www.readbyqxmd.com/read/26381006/management-of-acquired-atresia-of-the-external-auditory-canal
#14
Münir Demir Bajin, Taner Yılmaz, Rıza Önder Günaydın, Oğuz Kuşçu, Tevfik Sözen, Shamkal Jafarov
OBJECTIVE: The aim was to evaluate surgical techniques and their relationship to postoperative success rate and hearing outcomes in acquired atresia of the external auditory canal. MATERIALS AND METHODS: In this article, 24 patients with acquired atresia of the external auditory canal were retrospectively evaluated regarding their canal status, hearing, and postoperative success. RESULTS: Acquired stenosis occurs more commonly in males with a male: female ratio of 2-3:1; it seems to be a disorder affecting young adults...
August 2015: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/26192031/modification-of-blair-approach-with-a-modified-endaural-component-to-access-the-parotid-region
#15
Humberto Fernández Olarte, Andrés Gómez-Delgado, Andrea Rivera-Guzmán
OBJECTIVE: The aim of this study is to present our experience with a modification of the Blair approach to the parotid area, by means of a modified endaural component, which provides both excellent exposure and optimal functional and esthetic results, mainly over the preauricular area. PATIENTS AND METHODS: A retrospective case series study was performed. It included surgical cases of patients who were operated on the parotid region in which the mentioned approach was indicated...
September 2015: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/26075160/cochlear-implant-surgery-by-the-veria-technique-how-and-why-experience-from-1400-cases
#16
REVIEW
J M Hans, Rohit Prasad
The Veria technique for Cochlear implantation is a non mastoidectomy technique which is done throught the endaural route for the cochleostomy with a transcanal tunnel drilled in the posterior canal wall. This technique has been used for implanting in more than 1400 cases. This technique uses a specially designed perforator to make the tunnel in the posterior canal wall. Though the conventional technique has been successful it is more time consuming and is prone to various complications especially in children with small facial recess, cochlear malformations and cochlear rotation...
June 2015: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/26000077/retrospective-study-of-facial-nerve-function-following-temporomandibular-joint-arthroplasty-using-the-endaural-approach
#17
Frederick Liu, Helen Giannakopoulos, Peter D Quinn, Eric J Granquist
The aim of this retrospective case-control study is to evaluate the incidence of facial nerve injury associated with temporomandibular joint (TMJ) arthroplasty using the endaural approach for the treatment of TMJ pathology. The sample consisted of 36 consecutive patients who underwent TMJ arthroplasty. A total of 39 approaches were performed through an endaural incision. Patients undergoing total joint replacement and/or with preexisting facial nerve dysfunction were excluded from the study. Five patients were lost to follow-up and were excluded from the study...
June 2015: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/25621235/meatoplasty-in-a-cwd-procedure-using-an-endaural-approach-a-case-series-of-31-cases
#18
Chetan Bansal, V P Singh
A canal wall down, inside outside mastoidectomy requires an adequate meatoplasty for a dry outcome of the procedure. For an inside outside CWD procedure an endaural route is the best procedure. However the limitation in this approach is the meatoplasty. Thirty-one cases of unsafe disease with a sclerotic mastoid were taken up for an inside outside mastoidectomy using an endaural route. A procedure is described for the creation of a large adequate meatoplasty raising a posterior skin flap and removing the conchal cartilage via endaural route and the results discussed here...
March 2015: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/25569371/retained-dental-needle-migration-across-the-skull-base-to-the-cochlea-presenting-as-hearing-loss
#19
Justin T Casey, J Eric Lupo, Herman A Jenkins
OBJECTIVES: Long-term retained foreign bodies in the human body have been reported across many specialties, but relatively few exist in the ENT literature. PATIENTS: We present a case report of a patient with a broken dental needle fragment in the posterior oral cavity with subsequent migration to the cochlea over the course of 4 years, eventually leading to hearing loss. CT scan and middle ear exploration demonstrated a 4-cm metallic fragment abutting the base of the cochlea, immediately adjacent to the internal carotid artery...
February 2015: Otology & Neurotology
https://www.readbyqxmd.com/read/25459316/endoscopic-transcanal-removal-of-symptomatic-external-auditory-canal-exostoses
#20
REVIEW
Elliott D Kozin, Aaron K Remenschneider, Parth V Shah, Edward Reardon, Daniel J Lee
Exostoses are bony outgrowths of the external auditory canal (EAC) that can lead to cerumen entrapment, recurrent infections, and conductive hearing loss. When surgical removal is indicated, a drill or osteotome may be used via a post-auricular, endaural, or transcanal approach. Studies suggest that exostoses removed by transcanal osteotome result in decreased morbidity when compared to open, drilled approaches; however, inadvertent injury to the facial nerve or inner ear is a theoretical concern given the restrictive geometry of the EAC and challenges of visualizing the tip of the chisel through the microscope...
March 2015: American Journal of Otolaryngology
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