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Facial, ear, larynge

M Aleman, M Spriet, D C Williams, J E Nieto
BACKGROUND: Auditory loss is a common deficit in horses with temporohyoid osteoarthropathy (THO), however, recovery of function is unknown. HYPOTHESIS/OBJECTIVES: To investigate neurologic function with emphasis in audition in horses with THO after treatment. To describe anatomical alterations of the petrous temporal bone that might result in auditory loss. ANIMALS: Twenty-four horses with a clinical diagnosis of THO. METHODS: Prospective study...
January 2016: Journal of Veterinary Internal Medicine
F Rogister, O Kaye, M Tebache, J Daele
This retrospective analysis is concerned with 10 patients suffering from granulomatosis with polyangitis (GPA, Wegener's disease), who were followed up in a tertiary care Ear, Nose, and Throat (ENT) department. The inaugural events took place in the ENT field (8 patients), the lung (2 patients), the vestibule (1 patient), or the oral cavity (1 patient). The ENT manifestations during the disease evolution involved the rhinologic (osetocartilaginous--6 cases; mucosal--9 cases), the otologic (3 cases), or the laryngeal area (2 cases)...
February 2015: Revue Médicale de Liège
Hans L J Hoeve, Alice S Brooks, Liesbeth S Smit
We report on a family with a not earlier described multiple congenital malformation. Several male family members suffer from laryngeal obstruction caused by bilateral vocal cord paralysis, outer and middle ear deformity with conductive and sensorineural hearing loss, facial dysmorphisms, and underdeveloped shoulder musculature. The affected female members only have middle ear deformity and hearing loss. The pedigree is suggestive of an X-linked recessive inheritance pattern. SNP-array revealed a deletion and duplication on Xq28 in the affected family members...
July 2015: International Journal of Pediatric Otorhinolaryngology
Mohsen Ziyaeifard, Rasoul Azarfarin, Rasoul Ferasatkish, Majid Dashti
INTRODUCTION: Mucopolysaccharidoses (MPSs) are a group of heredity storage diseases, transmitted in an autosomal recessive manner, associated with the accumulation of glycosaminoglycans (GAGs) in various tissues and organs. The concerned patients have multiple concomitant hereditary anomalies. Considering the craniofacial abnormality in these patients, airway management may be difficult for anesthesiologists. In these patients, preanesthetic assessment is necessary and performed with the accurate assessment of airways, consisting of the physical exam and radiography, MRI or CT of head and neck...
May 2014: Research in Cardiovascular Medicine
Qiang Zong, Kai Zhang, Guangliang Han, Shengye Yang, Lijiang Wang, Hongxing Li
BACKGROUND: In neurosurgery, the most common type of facial and pharyngeal pain is trigeminal neuralgia. In contrast, glossopharyngeal neuralgia is relatively rare, and laryngeal neuralgia is the most rarely observed. CASE PRESENTATION: A case of laryngeal neuralgia combined with intermediate nerve neuralgia that was admitted to our hospital in May 2012 was reported here. The patient was a 58-year-old middle-aged female, who experienced 2 years of paroxysmal burning and stabbing pain near the thyroid perichodrium, in the skin covering the right front side of the neck, and deep in inner ear...
2014: BMC Surgery
Stani Ajay Akkara, Ankit Singhania, Ajay George Akkara, Arti Shah, Mayur Adalja, Nirali Chauhan
Though tuberculosis (TB) primarily affects lungs, extra pulmonary tuberculosis (EPTB) is also common, especially in high disease load areas and mainly manifests in ENT region. To study the different manifestations of tuberculosis in ENT region in terms of presentation, disease process, treatment and outcome. Records of patients diagnosed and treated for TB in the ENT region at our institute's DOTS centre for a two and half year period were analysed for presenting complaints, examination findings, diagnostic features, treatment modes and outcome...
January 2014: Indian Journal of Otolaryngology and Head and Neck Surgery
John N Dorsch
Although patients with Bell palsy and trigeminal neuralgia occasionally present to primary care physicians, most of the syndromes in this article are somewhat rare in primary care practice. It is important to recognize signs and symptoms of these syndromes so that appropriate management is carried out. Patients may experience sensory and/or motor symptoms of the head and neck due to disorders of the cranial and cervical nerves. The syndromes and symptoms discussed in this article include ear pain, sinus pain, herpes zoster (HZ) oticus (Ramsay Hunt), HZ ophthalmicus, facial nerve paralysis in adults and children, superior laryngeal neuralgia, trigeminal neuralgia, glossopharyngeal neuralgia, nervus intermedius (geniculate) neuralgia, and Raeder paratrigeminal syndrome...
March 2014: Primary Care
G Dumas, S Schmerber, I Atallah, J-P Brion, C A Righini
AIMS: The aim of our case study is to illustrate diagnostic and therapeutic difficulties as well as gravity related to tuberculous otitis media with intracranial complications. CASE PRESENTATION: A diabetic male patient of 65 years old was treated for subacute otitis media with mixed hearing loss. Early bacteriologic samples from ear exudates revealed opportunistic pathogens. Clinical evolution after four months was marked by the appearance of mastoiditis with facial paralysis...
2012: Revue de Laryngologie—Otologie—Rhinologie
Małgorzata Wierzbicka, Mariusz Puszczewicz, Anna Bartochowska, Witold Szyfter
OBJECTIVE: Wegener granulomatosis (WG) presents nasal, laryngeal and otologic symptoms as an initial signs of the disease and finally can affect the ENT region in 3/4 patients. The authors want to analyze 7 cases of WG with early aural symptoms, connected with the diagnostics dilemma, discuss the problems of otologic manifestation in WG and present the newest concepts of diagnostics and treatment of this condition. MATERIAL AND METHODS: All patients were treated in the ENT University Department in Poznań in the years 2002-2010...
July 2012: Otolaryngologia Polska. the Polish Otolaryngology
Kwang Ho Cho, Jin Sung Cheong, Yeon Soo Ha, Baik Hwan Cho, Gen Murakami, Yukio Katori
Using D2-40 immunohistochemistry, we assessed the distribution of peripheral lymphatic vessels (LVs) in the head-and-neck region of four midterm fetuses without nuchal edema, two of 10 weeks and two of 15 weeks' gestation. We observed abundant LVs in the subcutaneous layer, especially in and along the facial muscles. In the occipital region, only a few LVs were identified perforating the back muscles. The parotid and thyroid glands were surrounded by LVs, but the sublingual and submandibular glands were not...
January 2012: Journal of Anatomy
Antonio Gómez-Torres, Antonio Medinilla Vallejo, Antonio Abrante Jiménez, Francisco Esteban Ortega
The Ramsay-Hunt syndrome is the association of facial palsy and varicella-zoster virus infection with involvement of the ear canal and eardrum. It may be associated with deafness, tinnitus and dizziness. It can sometimes affect the lower cranial nerves. A case of an immunocompetent patient with affectation of the VII, VIII and X cranial nerves is presented.
January 2013: Acta Otorrinolaringológica Española
Yuan-Yung Lin, Chuan-Hsiang Kao, Chih-Hung Wang
Varicella zoster virus (VZV) infection of the head and neck region may present with various clinical symptoms, involving different entities and different routes of viral spreading. We present a case of VZV infection of the pharynx and larynx with multiple cranial nerve (CN) neuropathies (CN VII, VIII, IX, and X) of a 52-year-old woman who complained of the sudden onset of hoarseness, odynophagia, dysphagia, and hearing loss in the left ear, followed by left-side facial weakness lasting for 1 week. Endoscopic examination revealed multiple mucosal erosions over the oropharynx, with extension upward to the nasopharynx and downward to the mucosa overlying the epiglottis, arytenoid, and vocal cord...
August 2011: Laryngoscope
Pablo Santos Gorjón, Ana Cristina Morales Martín, Pedro Blanco Pérez, Juan Luis Gómez González, Juan Carlos del Pozo de Dios, Alberto Romo Melgar
Merkel cell carcinoma is an unusual, aggressive skin tumour, with a tendency to recurrence after its surgical extirpation. Five cases of tumours in the cervicofacial region seen at our Centre in the last five years are presented, along with a review of the literature, focusing on its etiopathogeneis, approach and treatment.
July 2011: Acta Otorrinolaringológica Española
Kyu Eun Lee, Hoon Yub Kim, Won Seo Park, Jun-Ho Choe, Mi Ra Kwon, Seung Keun Oh, Yeo-Kyu Youn
BACKGROUND: While the bilateral axillo-breast approach (BABA) to endoscopic neck surgery resolves various benign and malignant thyroid and parathyroid diseases with minimal adverse effects and excellent cosmetic outcomes, it involves circumareolar incisions. Many patients, especially young female patients, are reluctant to have their breast involved. Consequently, we developed the postauricular and axillary approach (PAA) that uses postauricular incisions. METHODS: From June 2006 to December 2007, we treated 10 patients with PAA endoscopic neck surgery...
April 2009: World Journal of Surgery
S Hans, D Brasnu
Pain is very frequent in otolaryngology disease: headaches, facial pain, earaches, and neck pain. The search for nasal pathology with maxillary sinus, sphenoidal, or ethmoidal involvement is part of the workup for headache. Facial pain should first suggest symptomatic neuralgia through involvement of the cranial nerves - trigeminal, glossopharyngeal, superior laryngeal - even if asymptomatic neuralgia are the most frequent. Earaches should be investigated through a search for involvement of the ear at the pinna, the external acoustic conduit, and the tympanic membrane...
October 2007: Annales D'oto-laryngologie et de Chirurgie Cervico Faciale
Karel Vrticka
In the year 1955, Sedlácková described a syndrome of congenitally shortened velum accompanied by hypernasal speech, facial dysmorphisms and further anomalies, as well as mental retardation. In the following years, she also reported on cardiac malformations and submucous clefts. In 1978, Shprintzen's group published a very similar pattern apart from overt clefts, coined it as velocardiofacial syndrome (VCFS) and explained it in 1992 by microdeletion 22q11.2. Between 1996 and 2001, Vrticka and colleagues demonstrated del 22q11...
2007: Folia Phoniatrica et Logopaedica
M Maradin, K Fumić, H Hansikova, M Tesarova, L Wenchich, S Dorner, V Sarnavka, J Zeman, I Barić
Fumaric aciduria is a rare, autosomal recessive disorder caused by deficient activity of fumarate hydratase (FH). Common clinical features are hypotonia, failure to thrive, severe psychomotor retardation and seizures. Facial dysmorphism and brain malformations are frequent. Recently, some FH gene mutations have been associated with inherited cutaneous and uterine leiomyomas and papillary renal cell cancer. Our patient had a relatively mild phenotype, a previously not reported genotype and familial tumour predisposition...
October 2006: Journal of Inherited Metabolic Disease
Andrea L Gropman, Wallace C Duncan, Ann C M Smith
The Smith-Magenis syndrome is a rare, complex multisystemic disorder featuring, mental retardation and multiple congenital anomalies caused by a heterozygous interstitial deletion of chromosome 17p11.2. The phenotype of Smith-Magenis syndrome is characterized by a distinct pattern of features including infantile hypotonia, generalized complacency and lethargy in infancy, minor skeletal (brachycephaly, brachydactyly) and craniofacial features, ocular abnormalities, middle ear and laryngeal abnormalities including hoarse voice, as well as marked early expressive speech and language delays, psychomotor and growth retardation, and a 24-hour sleep disturbance...
May 2006: Pediatric Neurology
Elibieta Jezewska, Joanna Jabłońska, Andrzej Kukwa, Anna Scińska-Bieńkowska
Study the epidemiological and clinical features of patients attending the emergency in the Clinic during 12 months to think whether the emergency is still needed as a one of method of curing. 4892 patients attended the emergency. Parameters analyzed were: age, sex, hour and day of arrival, place of living, initial signs, hospitalization and surgical services. The most frequent reasons for coming to the emergency were: ear disease (32.2%--middle ear otitis), nose disease (662 patients), bleeding nose (559 patients)...
2004: Otolaryngologia Polska. the Polish Otolaryngology
William S Teachey
It has been long recognized in the otolaryngic community that despite great effort dedicated to the physiology and pathology of the ear, nose, throat/head and neck, there are a number of symptoms, including pain in various locations about the head and neck, which cannot be explained by traditional otolaryngic principles. The tenets of myofascial dysfunction, however, as elucidated by Dr. Janet Travell, explain most of these previously unexplained symptoms; furthermore, treatment based on Dr. Travell's teachings is effective in relieving these symptoms...
December 2004: Current Pain and Headache Reports
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