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https://www.readbyqxmd.com/read/28736098/posterior-canal-wall-reposition-for-management-of-cholesteatoma-technique-and-results
#1
Mohammad Kamal Mobashir, Waleed M Basha, Abd ElRaof Said Mohamed, Mohammed Elsayed Elmaghawry
OBJECTIVE: The main goal of surgery in acquired middle ear cholesteatomas is the complete eradication of the disease with an ear free of discharge. This can be performed either by open or closed techniques with their benefits and drawbacks. We present the technique of reposition of the posterior canal wall for the management of cholesteatoma cases and its results and outcome. PATIENTS AND METHODS: This study included 31 patients with primary acquired middle ear cholesteatoma...
July 20, 2017: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/28717526/large-cholesterol-granuloma-of-the-middle-ear-eroding-into-the-middle-cranial-fossa
#2
Tessei Kuruma, Tohru Tanigawa, Yasue Uchida, Ogawa Tetsuya, Hiromi Ueda
BACKGROUND: Cholesterol granuloma of the middle ear is extremely rare in comparison to cholesterol granuloma of the petrous apex but sometimes shows an aggressive course. CASE REPORT: We report herein a case involving a large, aggressive cholesterol granuloma of the middle ear that eroded the middle cranial fossa. A 64-year-old woman presented with pain in the left ear and hearing loss. Cholesterol granuloma was finally diagnosed from diffusion-weighted imaging, and cortical mastoidectomy was performed with canal wall down tympanoplasty type III...
2017: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/28688558/bilateral-congenital-cholesteatoma-surgical-treatment-and-considerations
#3
Daniele Marchioni, Alessia Rubini, Mauricio Gonzalez-Navarro, Matteo Alicandri-Ciufelli, Adrian James, Livio Presutti
OBJECTIVES: To describe a multicenter study regarding surgical management of bilateral congenital cholesteatoma (BCC) and underline the importance of endoscopes in the management of this condition. In BCC, hearing preservation is more crucial than in unilateral cases. The endoscopic approach allows complete removal of cholesteatoma via a minimally invasive technique offering low residual disease rates while preserving the normal physiology of the middle ear and possibly the ossicular chain...
August 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28680491/relation-between-ossicular-erosion-and-destruction-of-facial-and-lateral-semicircular-canals-in-chronic-otitis-media
#4
Suphi Bulğurcu, İlker Burak Arslan, Bünyamin Dikilitaş, İbrahim Çukurova
Introduction  Chronic otitis media can cause multiple middle ear pathogeneses. The surgeon should be aware of relation between ossicular chain erosion and other destructions because of the possibility of complications. Objective  This study aimed to investigate the rates of ossicular erosion in cases of patients with and without facial nerve canal destruction, who had undergone mastoidectomy due to chronic otitis media with or without cholesteatoma. Methods  We retrospectively analyzed three hundred twenty-seven patients who had undergone tympanomastoidectomy between April 2008 and February 2014...
July 2017: International Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/28666703/a-comparative-study-of-med-el-fmt-attachment-to-the-long-process-of-the-incus-in-intact-middle-ears-and-its-attachment-to-disarticulated-stapes-head
#5
Tao Chen, Liu-Jie Ren, Dong-Ming Yin, Jia Li, Lin Yang, Pei-Dong Dai, Tian-Yu Zhang
The Vibrant Soundbridge(©) (VSB) active middle-ear implant provides an effective treatment for mild-to-severe sensorineural hearing loss in the case of normal middle ear anatomy and mixed hearing loss in middle ear malformation. The VSB floating mass transducer (FMT), with proper couplers, can be installed on various structures of the ossicular chain, e.g., the short and long process of the incus, the stapes head, and the stapes footplate. A long process (LP) coupler is most commonly used for FMT attachment to the long process of the incus with intact ossicular chain, while CliP and Bell couplers are two standardized and reliable methods for FMT attachment to the stapes head with missing incus and malleus...
June 23, 2017: Hearing Research
https://www.readbyqxmd.com/read/28657970/trends-in-otitis-media-incidence-after-conjugate-pneumococcal-vaccination-a-national-observational-study
#6
Marie Gisselsson-Solen
BACKGROUND: Pneumococcal conjugate vaccine (PCV) was introduced in 2000. The first 7-valent vaccine was followed by a 13-valent vaccine (PCV13) with the same conjugate, and a 10-valent vaccine (PCV10), conjugated to protein D from H. influenzae. The vaccines offer some protection against pneumococcal acute otitis media (AOM), and, with PCV10, possibly also some protection against H. influenzae AOM. PCV7 was introduced in Sweden in 2009, but from 2010, Swedish counties were free to use either PCV13 or PCV10...
June 27, 2017: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/28623942/the-palisade-cartilage-tympanoplasty-technique-a-systematic-review-and-meta-analysis
#7
REVIEW
Caroline C Jeffery, Cameron Shillington, Colin Andrews, Allan Ho
BACKGROUND: Tympanoplasty is a common procedure performed by Otolaryngologists. Many types of autologous grafts have been used with variations of techniques with varying results. This is the first systematic review of the literature and meta-analysis with the aim to evaluate the effectiveness of one of the techniques which is gaining popularity, the palisade cartilage tympanoplasty. PubMed, EMBASE, and Cochrane databases were searched for "palisade", "cartilage", "tympanoplasty", "perforation" and their synonyms...
June 17, 2017: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28607885/comparative-evaluation-of-tympanoplasty-with-or-without-mastoidectomy-in-treatment-of-chronic-suppurative-otitis-media-tubotympanic-type
#8
Anjana Agrawal, Puneet Bhargava
To study the role of tympanoplasty alone and tympanoplasty done along with cortical mastoidectomy in CSOM in term of graft uptake, improvement of hearing and removal of disease. This is retrospective study of patient at tertiary referral centre, conducted in between October 2015 and October 2016, study was done on 40 patients of either sex in the age group 20-50 years. Tympanoplasty alone was done in 20 cases and tympanoplasty along with cortical mastoidectomy was done in rest 20 cases. Patient were reviewed post operatively on 2, 4, 8 and 16 weeks to inspect post operative graft uptake and PTA was done at fourth month to evaluate hearing improvement...
June 2017: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/28607883/evaluation-of-requirements-for-staging-the-procedure-of-reconstruction-of-middle-ear-after-canal-wall-down-mastoidectomy
#9
C Ravishankar, R K Datta
Cholesteatoma is a progressive destructive ear disease which can affect any age group. It has been found to be more severe in children and young adults. It erodes the surrounding bone of middle ear, mastoid and ossicles. It causes partial to total deafness, unpleasant smelling discharge, pain, tinnitus, vertigo and facial paralysis. It can even cause meningitis, brain abscess and death. The post-operative outcome of hearing, and the state of the reconstructed middle-ear cavity after concurrent and staged reconstruction of middle ear after canal wall down mastoidectomy was studied in 30 ears with middle-ear cholesteatoma...
June 2017: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/28598950/drill-induced-cochlear-injury-during-otologic-surgery-intracochlear-pressure-evidence-of-acoustic-trauma
#10
Renee M Banakis Hartl, Jameson K Mattingly, Nathaniel T Greene, Nyssa F Farrell, Samuel P Gubbels, Daniel J Tollin
HYPOTHESIS: Drilling on the incus produces intracochlear pressure changes comparable to pressures created by high-intensity acoustic stimuli. BACKGROUND: New-onset sensorineural hearing loss (SNHL) following mastoid surgery can occur secondary to inadvertent drilling on the ossicular chain. To investigate this, we test the hypothesis that high sound pressure levels are generated when a high-speed drill contacts the incus. METHODS: Human cadaveric heads underwent mastoidectomy, and fiber-optic sensors were placed in scala tympani and vestibuli to measure intracochlear pressures (PIC)...
August 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28589110/citelli-s-abscess-following-otitis-media-a-case-report
#11
Anjan-Kumar Sahoo, Chappity Preetam, Dillip-Kumar Samal, Sourav Sarkar
INTRODUCTION: Citelli's abscess is an extratemporal complication of otitis media. It occurs when pus from the mastoid tip trickles down along the posterior belly of the digastric muscle to the occipital and cervical region. It is a very unusual presenting complication of chronic otitis media with no available data in the until now. CASE REPORT: A 10-year-old female was presented to our outpatient department with a 1 month history of hi-grade fever and headache and pain around the left half of the face...
May 2017: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/28570420/semicircular-canal-pressure-changes-during-high-intensity-acoustic-stimulation
#12
Anne K Maxwell, Renee M Banakis Hartl, Nathaniel T Greene, Victor Benichoux, Jameson K Mattingly, Stephen P Cass, Daniel J Tollin
HYPOTHESIS: Acoustic stimulation generates measurable sound pressure levels in the semicircular canals. BACKGROUND: High-intensity acoustic stimuli can cause hearing loss and balance disruptions. To examine the propagation of acoustic stimuli to the vestibular end-organs, we simultaneously measured fluid pressure in the cochlea and semicircular canals during both air- and bone-conducted sound presentation. METHODS: Five full-cephalic human cadaveric heads were prepared bilaterally with a mastoidectomy and extended facial recess...
August 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28558458/-clinical-characteristics-in-children-with-cleft-palate-associated-with-middle-ear-cholesteatoma
#13
Y Yang, M Chen, J S Hao, W Liu, J Zhang
Objective: To summarize the characteristics of children diagnosed as cleft palate associated with middle ear cholesteatoma. Methods: There were five middle ear cholesteatoma cases who had previously received cleft palate repairment surgery. All of the patients were followed up for 17 to 47 months. Median follow-up time was 31 months. Results: There were three males and two females with three to eleven years old , and the average of age was seven years and ten months. The time of cleft palate repairment surgery was from six months to four years, and the average age was one year and nine months...
May 7, 2017: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/28555605/surgical-treatment-for-epstein-barr-virus-otomastoiditis-complicated-by-facial-nerve-paralysis-a-case-report-of-two-young-brothers-and-review-of-literature
#14
Evelien van Eeten, Hubert Faber, Dirk Kunst
We report the case of two young brothers with Epstein-Barr virus (EBV) otomastoiditis complicated by a facial nerve paralysis. The boys, aged 7 months (patient A) and 2 years and 8 months (patient B), were diagnosed with a facial nerve paralysis House-Brackmann (HB) grade IV (A) and V (B). After unsuccessful pharmacological treatment, patient A underwent mastoidectomy and atticoantrotomy and patient B underwent a transmastoidal surgical decompression of the facial nerve. They recovered to HB grades I and II facial nerve palsy (FNP), respectively...
April 2017: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/28533184/multi-institutional-development-of-a-mastoidectomy-performance-evaluation-instrument
#15
Thomas Kerwin, Brad Hittle, Don Stredney, Paul De Boeck, Gregory Wiet
OBJECTIVE: A method for rating surgical performance of a mastoidectomy procedure that is shown to apply universally across teaching institutions has not yet been devised. This work describes the development of a rating instrument created from a multi-institutional consortium. DESIGN: Using a participatory design and a modified Delphi approach, a multi-institutional group of expert otologists constructed a 15-element task-based checklist for evaluating mastoidectomy performance...
May 20, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28532970/improving-resident-familiarity-with-the-translabyrinthine-approach-to-the-internal-auditory-canal
#16
Matthew M Dedmon, Brendan P O'Connell, Austin S Adams, George B Wanna, David S Haynes
OBJECTIVE: To increase otolaryngology resident experience with drilling and dissection of the internal auditory canal (IAC) via a translabyrinthine approach. STUDY DESIGN: Pilot study involving temporal bone education and drilling with completion of pre- and post-drilling surveys. METHODS: Participants observed an educational presentation on IAC anatomy and drilling, followed by manipulation of IAC nerves using a prosected cadaveric temporal bone...
April 12, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28499303/-long-term-follow-up-and-patient-satisfaction-after-tympanoplasty-with-titanium-clip-prothesis
#17
Guido Wolferts, Daniel Schicke, K-Wolfgang Delank
Aim of the present study is to evaluate the long term results of ossiculoplasty using titanium clip prosthesis. A retrospective analysis with prospective follow-up has been done including for all patients who had a Clip-PORP implanted between the years 2002-2013. Following this, audiometric hearing results were measured with clinical examination including otoscopy and quality of life evaluation using Glasgow benefit inventory. 48 patients (51 ears, 29 men, 19 women, average age 44.1 years) received followed up after an average duration of 6...
May 12, 2017: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/28479521/the-retrolabyrinthine-presigmoid-approach-to-the-anterior-cerebellopontine-region-expanding-the-limits-of-trautmann-triangle
#18
Fernando Alonso, Simone E Dekker, James Wright, Christina Wright, Andrea Alonso, Margaret Carmody, R Shane Tubbs, Nicholas C Bambakidis
OBJECTIVE: The anatomic area exposed through exposure of Trautmann triangle may not be sufficient. We studied the additional exposure provided by skeletonizing the sigmoid sinus (SS). METHODS: In 5 human cadaveric heads, thin-cut computed tomography images of 2 sides of the temporal bone were obtained for a total of 10 sides. The estimated surgical working angle was calculated based on the relationship of the SS to the posterior semicircular canal (PSC), superior petrosal sinus, and jugular bulb on imaging...
August 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28468213/can-serum-neutrophil-to-lymphocyte-ratio-be-a-predictive-biomarker-to-help-differentiate-active-chronic-otitis-media-from-inactive-chronic-otitis-media
#19
Hasan Deniz Tansuker, Sinan Eroğlu, Alper Yenigün, Ümit Taşkin, Mehmet Faruk Oktay
OBJECTIVES: The authors' aim was to investigate whether serum neutrophil to lymphocyte ratio might be used as a predictive biomarker to help differentiate active from inactive chronic otitis media (COM). METHODS: Two hundred fifty-nine patients having inactive COM received tympanoplasty without mastoidectomy and were identified as Group 1. On the other hand, 254 patients having active COM received tympanoplasty with mastoidectomy and were identified as Group 2. Routine hemogram tests were performed preoperatively for both the groups...
May 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28463634/comparing-30-day-morbidity-and-mortality-in-pediatric-and-adult-otologic-surgery
#20
Zachary G Schwam, Elias Michaelides, Jennifer R Schwam, Phoebe Kuo, Michael A Hajek, Benjamin L Judson, Christopher Schutt
Objective To determine differences in timing and rate of postoperative adverse events among pediatric and adult populations undergoing specific otologic procedures. Study Design Administrative database study. Setting Multi-institutional database. Subjects and Methods The National Surgical Quality Improvement Program (NSQIP) and NSQIP-Pediatric (NSQIP-P) were used to extract data from 819 adults (years 2005-2010) and 7020 children (years 2012-2014) undergoing tympanoplasty and (tympano)mastoidectomy, respectively...
April 1, 2017: Otolaryngology—Head and Neck Surgery
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