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Pain in ear

Seiji Kakehata, Takatoshi Furukawa, Tsukasa Ito, Toshinori Kubota, Kazunori Futai, Tomoo Watanabe
OBJECTIVE: To compare levels and causes of postoperative pain after cholesteatoma removal by transcanal endoscopic ear surgery (TEES) versus microscopic ear surgery (MES). STUDY DESIGN: Prospective case series. SETTING: Tertiary referral center. PATIENTS: One-hundred-and-sixty-one patients who had undergone middle ear surgery between February 2013 and April 2016. INTERVENTIONS: Comparison of postoperative pain between TEES and MES groups and among TEES and MES subgroups divided by range of bone removal...
June 15, 2018: Otology & Neurotology
Fengfeng Guo, Xiaobo Yu, Haiyue Jiang
Objective: To summarize the current progress of laser-assisted cartilage reshaping (LACR) for prominent ear. Methods: The domestic and abroad article concerning the LACR in treatment of prominent ear was reviewed and analyzed. Results: As a new technique, there were three types of LACR therapies that been used for prominent ear. LACR with the 1 064 nm Nd/YAG laser is painful and the penetration depth of the 1 064 nm Nd/YAG laser is greater than that of the 1540 nm Er/Glass laser which is caused more tissue injury...
June 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
Qing Zhu, Shulan Wang, Rui Chen, Xianbin Cai, Cuihua Jiang, Baolin Zhong, Tao Sun
RATIONALE: Glosssopharyngeal neuralgia (GPN) is a painful syndrome characterized by paroxysmal neuropathic pain in the pharynx, tonsil, posterior base of tongue, inner ear, and mandibular angle. The traditional therapies of GPN, including medication and surgical operation, are not always effective in pain controlling. Radiofrequency therapy is a minimally interventional technique to provide analgesia in chronic pain. PATIENT CONCERNS: Two patients who were refractory to medical treatment were hospitalized for primary GPN...
June 2018: Medicine (Baltimore)
Valerie Dahm, Wolf-Dieter Baumgartner, Rudolfs Liepins, Christoph Arnoldner, Dominik Riss
OBJECTIVES: The aim of this study was to evaluate the hearing benefit, advantages, and disadvantages in a series of patients using a new, nonimplantable, pressure-free, adhesive bone conduction hearing aid. METHODS: Twelve patients were included in the study at the ear, nose, and throat department of the Medical University of Vienna. All patients suffered from conductive hearing loss for at least 3 months. A sound field audiometry, Freiburg monosyllables word test and Oldenburg sentence test were carried out...
July 2018: Otology & Neurotology
Sara Ganaha, Sanjeet S Grewal, William P Cheshire, Ronald Reimer, Alfredo Quiñones-Hinojosa, Robert E Wharen
Glossopharyngeal neuralgia (GPN) is a condition characterized by sudden, severe pain in the distribution of the glossopharyngeal nerve. It can be triggered by talking, yawning, coughing, and swallowing. Classically, patients experience a unilateral lancinating and excruciating pain described as electrical shock-like pain in the areas around the ear, tongue, or the mandibular angle. Uncommon manifestations include cardiac arrhythmias and syncope during pain episodes. Surgery is indicated in refractory cases...
June 11, 2018: International Journal of Neuroscience
Kyung-A Hwang, Jeong Eun Kwon, YooHun Noh, BongKyun Park, Yong Joon Jeong, Sun-Mee Lee, Se-Young Kim, InHye Kim, Se Chan Kang
Degenerative arthritis, also known as osteoarthritis (OA), is the most common type of arthritis, which is caused by degenerative damage of the cartilage, which primarily protects the joints, leading to inflammation and pain. The objective of this study was to investigate the in vivo and in vitro effects of treatment with ZPE-LR (90% EtOH extract of Zanthoxylum piperitum) on pain severity and inflammation. When using an in vivo OA model MIA (monosodiumidoacetate-induced arthritis) rats, ZPE-LR (100 mg/kg) oral-administratio significantly inhibited MIA-induced change in loaded weight ratio on the left foot, and articular cartilage thickness...
June 5, 2018: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
Joana Pacheco, João Raimundo, Filipe Santos, Mário Ferreira, Tiago Lopes, Luis Ramos, Anabela G Silva
OBJECTIVE: The aims of this study are to investigate the association between: (i) forward head posture (FHP) and pressure pain thresholds (PPTs); (ii) FHP and maladaptive cognitive processes; and (iii) FHP and neck pain characteristics in university students with subclinical neck pain. MATERIALS/METHODS: A total of 140 university students, 90 asymptomatic and 50 with subclinical neck pain, entered the study. Demographic data, anthropometric data, FHP, and PPTs were collected for both groups...
June 8, 2018: Somatosensory & Motor Research
Neerja Bharti, Suryabrata Chattopadhyay, Navneet Singla, Indu Bala, Yatindra K Batra, Jaimanti Bakshi
BACKGROUND: The management of glossopharyngeal neuralgia due to oropharyngeal carcinoma is particularly difficult because of rich innervations of the area, erosive nature of neoplasm and dynamic pain evoked by the functional movements like swallowing and chewing. Few case reports have shown the efficacy of pulsed radiofrequency (PRF) treatment in primary and secondary glossopharyngeal neuralgia in non-cancer patients. However, the efficacy of PRF ablation of the glossopharyngeal nerve in oral cancer patients is not known...
May 2018: Pain Physician
G Shankar Ganesh, Mamata Manjari Sahu, Pramod Tigga
BACKGROUND: The etiopathogenesis of orofacial pain remains complex and a number of pain referral patterns for this region have been reported in the literature. The purpose of this report is to describe the assessment and successful clinical management of orofacial pain possibly attributable to cervical origin. CASE DESCRIPTION: A 55-year-old male teacher with a 3-year history of pain in the right lower jaw, radiating to the ear, consulted our institute for assessment and management...
April 2018: Journal of Bodywork and Movement Therapies
Thaleia-Rengina Stathopoulou, Rui Pinelas, Gert Ter Haar, Ine Cornelis, Jaime Viscasillas
Otitis externa is a painful condition that may require surgical intervention in dogs. A balanced analgesia protocol should combine systemic analgesic agents and local anaesthesia techniques. The aim of the study was to find anatomical landmarks for the great auricular and the auriculotemporal nerves that transmit nociceptive information from the ear pinna and to develop the optimal technique for a nerve block. The study consisted of two phases. In phase I, one fox cadaver was used for dissection and anatomical localization of the auricular nerves to derive landmarks for needle insertion...
May 2018: Veterinary Medicine and Science
Isabel Loução de Amorim, Linda Azevedo Kauppila, Isabel Pavão Martins
Red ear syndrome (RES) is a rare disorder characterized by attacks of unilateral ear pain during which the ear becomes red. Episodes can occur spontaneously, or be triggered, in most cases, by rubbing or touching the ear. Both duration and frequency are variable. RES has been explained by a dysfunction of cervical spinal nerves (C3 root) and a dysregulation with disinhibition of brainstem trigemino-autonomic circuits, leading to sympathetic inhibition and parasympathetic hyperactivity producing vasodilation...
May 26, 2018: Headache
H X Yu, H Y Li, Z X Yin, J L Zhang, G Liu
Objective: To investigate the abnormal functional response of neural pathways of vestibular migraine (VM) patients, located the functional area, and inferred the possible mechanism. Method: Twenty patients of VM, 20 of migraine without aura (MwoA), and 20 of healthy controls (HC), underwent whole-brain blood oxygen level-dependent (BOLD) fMRI during ear irrigation with cold water. We chose the stimulation image and the diapause stimulation image. Analyses explored functional area with BOLD signal change of the three groups...
June 20, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Nathan Jacobs, Michele Bossy, Amish Patel
The Valsalva manoeuvre is the increase in intra-thoracic pressure achieved by attempted expiration against a closed upper airway. The contraction of abdominal and other accessory muscles of respiration attempt to decrease the intra-thoracic volume, whilst the airway is closed either by the forceful apposition of the vocal cords or else by firmly closing the lips and sealing off the nose (e.g. by pinching it). Valsalva described this manoeuver as a way of checking the patency of the Eustachian tube. However, it has found other uses, including as a way to terminate episodes of supraventricular tachycardia and stopping ear popping-pain on high altitude flights...
May 2018: Journal of the Intensive Care Society
Ruggero Lapenna, Michele Ori, Puya Mobaraki Dehgani, Giampietro Ricci
OBJECTIVE: To present the first reported case of a temporal lobe abscess in a patient with ectodermal dysplasia (ED). To increase awareness among neurotologists of the otological manifestations and complications of ED, we describe a conservative approach in comparison with the surgical strategies to repair bony defects of the tegmen tympani. STUDY DESIGN: Clinical capsule report. PATIENT: A 44-year-old man with ED presented with retroauricular pain and high-grade fever after Eustachian tube catheterizations to treat an effusive otitis media...
May 21, 2018: Otology & Neurotology
Julia Forstenpointner, Stephan Wolff, Patrick W Stroman, Olav Jansen, Stefanie Rehm, Ralf Baron, Janne Gierthmühlen
Referred and projecting pain can be observed in acute and chronic pain states. We present the case of a 69-year-old female patient with postherpetic neuralgia (PHN) in dermatome Th2/3 who reported that touching the ipsilateral earlap (dermatome C2) would enhance pain and dynamic mechanical allodynia (DMA) in the affected Th2/3-dermatome. The aim was to investigate possible underlying mechanisms of this phenomenon using the capsaicin experimental pain sensitization model, quantitative sensory testing (QST) and functional spinal and supraspinal MRI (fMRI)...
May 16, 2018: Pain
Michelle Phillips, Marlon Saria, Amy Eisenberg, Daniel F Kelly, Garni Barkhoudarian
INTRODUCTION: Patients with intracranial masses are often advised to avoid airflight due to concerns of worsening neurological symptoms or deterioration. However, many patients often travel cross-country or internationally to tertiary care centers for definitive care. This study assesses the safety of commercial airflight for brain and skull base tumor patients without severe or progressive neurological deficits. METHODS: Patients that had traveled to our institution for surgery via commercial airflight from 2014 to 2017 were identified...
May 17, 2018: Journal of Neuro-oncology
Suzan Gonçalves Rosa, César Augusto Brüning, Ana Paula Pesarico, Ana Cristina Guerra de Souza, Cristina Wayne Nogueira
Appropriate treatment of pain requires analgesics and anti-inflammatory drugs generally associated with undesirable side effects and not fully effective in a significant proportion of patients. Organoselenium compounds elicit a plenty of pharmacological effects in different animal models. Among these compounds, the 2,2`-dipyridyl diselenide (DPD) has a potent antioxidant effect and low toxicity. In this way, the aim of this study was to investigate the possible DPD antinociceptive effect and its mechanism of action, as well as the safety of the compound...
July 2018: Journal of Trace Elements in Medicine and Biology
Frances Mei Hardin, Roy Xiao, Brian B Burkey
OBJECTIVE: Eagle syndrome, a spectrum of disease resulting from an elongated styloid process and/or calcified stylohyoid ligament, lacks standardized recommendations regarding indications for surgical intervention and approach. STUDY DESIGN: Retrospective cohort study. SETTING: Single tertiary care institution. SUBJECTS: Patients treated surgically for Eagle syndrome between January 2011 and June 2017. METHODS: Patients were diagnosed with Eagle syndrome based on thorough clinical workup and assessment...
May 9, 2018: American Journal of Otolaryngology
Roderick P Venekamp, Paul Mick, Anne Gm Schilder, Desmond A Nunez
BACKGROUND: Acute otitis media (AOM) is one of the most common childhood illnesses. While many children experience sporadic AOM episodes, an important group suffer from recurrent AOM (rAOM), defined as three or more episodes in six months, or four or more in one year. In this subset of children AOM poses a true burden through frequent episodes of ear pain, general illness, sleepless nights and time lost from nursery or school. Grommets, also called ventilation or tympanostomy tubes, can be offered for rAOM...
May 9, 2018: Cochrane Database of Systematic Reviews
Renee Fabus, Abbey L Berg, Yula C Serpanos, Mary Jo Cooley Hidecker
OBJECTIVE: This study investigates the use of a parental questionnaire to determine its effectiveness as a screening tool in identifying speech-language and/or auditory impairments in children. PATIENTS AND METHODS: Parents completed speech-language (n = 36) or audiology (n = 23) questionnaires prior to their child's speech-language and/or auditory evaluations. The speech-language and audiology evaluations were conducted by clinicians at three different universities not familiar with the administration and scoring of the parental questionnaires...
May 7, 2018: Folia Phoniatrica et Logopaedica
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