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temporal bone trauma

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https://www.readbyqxmd.com/read/29194857/computed-tomographic-characteristics-of-pneumolabyrinth-in-a-french-bulldog-with-otitis-media-and-externa
#1
Audrey Belmudes, Jérôme Couturier, Guillaume Gory, Eddy Cauvin, Guillaume Condamin, Michael Rabillard, Delphine Rault
A four-year-old female French bulldog was presented for evaluation of acute, left-sided peripheral vestibular syndrome. Computed tomographic (CT) examination of the head revealed the presence of air within the left cochlea and vestibule, consistent with pneumolabyrinth. This was concurrent with ipsilateral otitis media and externa. Pneumolabyrinth is an uncommon finding in humans and is most frequently due to head trauma and temporal bone fracture. This is the first report describing pneumolabyrinth in a dog, apparently of nontraumatic origin in this case...
December 1, 2017: Veterinary Radiology & Ultrasound
https://www.readbyqxmd.com/read/29194215/cochlear-implant-insertion-axis-into-the-basal-turn-a-critical-factor-in-electrode-array-translocation
#2
Renato Torres, Mylène Drouillard, Daniele De Seta, Jean-Loup Bensimon, Evelyne Ferrary, Olivier Sterkers, Daniele Bernardeschi, Yann Nguyen
HYPOTHESIS: An inappropriate insertion axis leads to intracochlear trauma during cochlear implantation (CI). BACKGROUND: Few studies assessed the relationship between the insertion axis and the electrode scalar location. METHODS: Preimplantation cone-beam CT (CBCT) was performed on 12 human temporal bones. In five temporal bones, an optimal insertion axis was planned, due to the impossibility to attain the ST centerline from the posterior tympanotomy, because of facial canal position...
November 29, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/29180997/inherent-x-linked-genetic-variability-and-cellular-mosaicism-unique-to-females-contribute-to-sex-related-differences-in-the-innate-immune-response
#3
Zoltan Spolarics, Geber Peña, Yong Qin, Robert J Donnelly, David H Livingston
Females have a longer lifespan and better general health than males. Considerable number of studies also demonstrated that, after trauma and sepsis, females present better outcomes as compared to males indicating sex-related differences in the innate immune response. The current notion is that differences in the immuno-modulatory effects of sex hormones are the underlying causative mechanism. However, the field remains controversial and the exclusive role of sex hormones has been challenged. Here, we propose that polymorphic X-linked immune competent genes, which are abundant in the population are important players in sex-based immuno-modulation and play a key role in causing sex-related outcome differences following trauma or sepsis...
2017: Frontiers in Immunology
https://www.readbyqxmd.com/read/29142872/isolated-tympanic-plate-fracture-detected-by-cone-beam-computed-tomography-report-of-four-cases-with-review-of-literature
#4
Ashita Ritesh Kalaskar, Ritesh Kalaskar
The tympanic plate is a small part of the temporal bone that separates the mandibular condyle from the external auditory canal. Fracture of this small plate is rare and usually associated with other bony fractures, mainly temporal and mandibular bone. There is a limited amount of literature on this subject, which increases the chance of cases being overlooked by physicians and radiologists. This is further supported by purely isolated cases of tympanic plate fracture without evidence of other bony fractures...
October 2017: Journal of the Korean Association of Oral and Maxillofacial Surgeons
https://www.readbyqxmd.com/read/29134161/pneumatization-patterns-of-the-petrous-apex-and-lateral-sphenoid-recess
#5
Alexander Malone, Margherita Bruni, Robert Wong, Mark Tabor, K Paul Boyev
Introduction  The petrous apex poses a challenge for surgical intervention due to poor access. As intraoperative image guidance and surgical instrumentation improve, newer endoscopic approaches are increasingly favored. This study aims to provide normative data on the anatomy of the lateral sphenoid sinus recess and petrous apex. These normative data could assist in determining the efficacy of a transnasal transsphenoidal approach to lesions of the anteroinferior petrous apex. Methods  This is a retrospective study investigating normative data on all maxillofacial computed tomography (CT) scans performed at a level I trauma center over a 6-month period...
December 2017: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/29129760/the-key-role-of-proinflammatory-cytokines-matrix-proteins-rankl-opg-and-wnt-%C3%AE-catenin-in-bone-healing-of-hip-arthroplasty-patients
#6
Jean Cassuto, Agnetha Folestad, Jan Göthlin, Henrik Malchau, Johan Kärrholm
INTRODUCTION: We still lack understanding of why some implants fail while most remain stable after decades of use. Proinflammatory cytokines, matrix proteins and bone regulating cytokines of the RANKL/OPG (receptor activator of nuclear factor kappa B ligand/osteoprotegerin) and Wnt/β-catenin pathways are mandatory for normal bone repair but their spatial and temporal role in the healing of primary total hip arthroplasties (THA) has not been previously shown. MATERIALS AND METHODS: Twenty-four osteoarthritis patients with one-sided well-fixed primary THA were prospectively monitored during 18years (18Y) with repeated blood samples, clinical variables and radiographs...
November 10, 2017: Bone
https://www.readbyqxmd.com/read/29121383/a-novel-etiology-for-pneumolabyrinth-after-temporal-bone-fracture-without-otic-capsule-involvement
#7
Thomas J Muelleman, Vidur Bhalla, Hinrich Staecker
Pneumolabyrinth has been considered an indicator of otic capsule involvement in temporal bone fractures. We present a novel theory for the etiology of pneumolabyrinth in a trauma patient without an otic capsule fracture: passage of intrathecal air into the labyrinth. Our patient experienced transient bilateral pneumolabyrinth after head trauma due to a motor vehicle collision. The patient was noted to have extensive pneumocephalus and a unilateral temporal bone fracture that spared the otic capsule. Initial computed tomography (CT) scans demonstrated air in the cochlea and both internal auditory canals...
October 2017: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/29059669/clinical-investigation-of-the-nucleus-slim-modiolar-electrode
#8
Antje Aschendorff, Robert Briggs, Goetz Brademann, Silke Helbig, Joachim Hornung, Thomas Lenarz, Mathieu Marx, Angel Ramos, Timo Stöver, Bernard Escudé, Chris J James
AIMS: The Nucleus CI532 cochlear implant incorporates a new precurved electrode array, i.e., the Slim Modiolar electrode (SME), which is designed to bring electrode contacts close to the medial wall of the cochlea while avoiding trauma due to scalar dislocation or contact with the lateral wall during insertion. The primary aim of this prospective study was to determine the final position of the electrode array in clinical cases as evaluated using flat-panel volume computed tomography...
2017: Audiology & Neuro-otology
https://www.readbyqxmd.com/read/28943163/imaging-of-post-traumatic-hearing-loss
#9
M Mazón, E Pont, N Albertz, J Carreres-Polo, F Más-Estellés
OBJECTIVE: Hearing loss is the most frequent complication of temporal bone trauma. The role of the radiologist is of great importance; the adequacy and selection of the imaging technique, as well as its correct interpretation, are crucial to establish the diagnosis, prognosis and enable the selection of appropriate treatment. With the aim of systematizing the most relevant concepts in the evaluation of image studies in this scenario, this review will be outlined according to the hearing loss type...
September 21, 2017: Radiología
https://www.readbyqxmd.com/read/28942232/an-unusual-case-of-temporal-bone-encephalomeningocele-occurring-together-with-normal-pressure-hydrocephalus
#10
Bernard Tan Wen Sheng, David Low Yong Ming, Heng Wai Yuen
Temporal bone encephalomeningoceles are uncommon clinical entities that can be challenging to diagnose and treat. Common presenting complaints include symptoms of aural fullness, hearing loss, clear otorrhea and meningitis. Common etiologies are chronic middle ear disease and trauma. A significant proportion of cases are spontaneous, which occurs in relation to benign intracranial hypertension. Normal pressure hydrocephalus associated with temporal bone encepahomeningoceles has not been previously described...
September 20, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28929071/an-evaluation-of-the-surgical-trauma-to-intracochlear-structures-after-insertion-of-cochlear-implant-electrode-arrays-a-comparison-by-round-window-and-antero-inferior-cochleostomy-techniques
#11
Kapil Sikka, Arvind Kairo, Chirom Amit Singh, T S Roy, Sanjeev Lalwani, Rakesh Kumar, Alok Thakar, Suresh C Sharma
To evaluate the extent of intracochlear damage by histologic assessment of cadaveric temporal bones after insertion of cochlear implants by: round window approach and cochleostomy approach. Cochlear implantation was performed by transmastoid facial recess approach in 10 human cadaveric temporal bones. In 5 temporal bones, electrode insertion was acheieved by round window approach and in the remaining 5 bones, by cochleostomy approach. The bones were fixed, decalcified, sectioned and studied histologically. Grading of insertion trauma was assessed...
September 2017: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/28855144/heterotopic-ossification-mechanistic-insights-and-clinical-challenges
#12
Ruoshi Xu, Jiajie Hu, Xuedong Zhou, Yingzi Yang
Bone formation is exquisitely controlled both spatially and temporally. Heterotopic ossification (HO) is pathological bone formation in soft tissues that often leads to deleterious outcomes. Inherited genetic forms of HO can be life-threatening and can happen as early as in infancy. However, there is currently no effective treatment for HO as the underlying cellular and molecular mechanisms have not been completely elucidated. Trauma-induced non-genetic forms of HO often occur as a common complication after surgeries or accidents, and the location of HO occurrence largely determines the symptom and outcome...
August 27, 2017: Bone
https://www.readbyqxmd.com/read/28796083/a-new-slim-modiolar-electrode-array-for-cochlear-implantation-a-radiological-and-histological-study
#13
Matti Iso-Mustajärvi, Hanna Matikka, Frank Risi, Sini Sipari, Teemu Koski, Tytti Willberg, Antti Lehtimäki, Jyrki Tervaniemi, Heikki Löppönen, Aarno Dietz
HYPOTHESIS: To explore the results of a new slim modiolar electrode array (SMA) with respect to intracochlear placement and trauma evaluated by detailed radiologic imaging and histology. BACKGROUND: Hearing and structure preservation is the goal of cochlear implantation for advanced hearing outcomes. Currently, this is most consistently achieved with thin lateral wall electrodes. Modiolar electrodes are located nearer the modiolus and may provide some electrophysiological advantages, but have a greater tendency for causing insertion trauma...
October 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28697349/styloid-process-fracture-associated-with-maxillofacial-trauma-incidence-distribution-and-management
#14
Pushpakant Tiwary, Nandakishore Sahoo, Ankur Thakral, Udayan Ranjan
PURPOSE: Fracture of the styloid process of the temporal bone has been infrequently reported. The present study evaluated the incidence, causes, distribution, and management of styloid process fracture in association with other maxillofacial fractures. MATERIALS AND METHODS: A prospective evaluation of patients with maxillofacial trauma over a period of 1 year was carried out and patients' characteristics, mode and distribution of injury, and length of styloid process were recorded...
October 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28678056/enlarged-vestibular-aqueduct-syndrome-sudden-hearing-loss-in-a-child-with-a-cerebral-shunt
#15
Wendi-Jo Wendt, Andrew Hashikawa
Enlarged vestibular aqueduct syndrome (EVAS) is the most common congenital ear anomaly that causes sensorineural hearing loss in children and may predispose a child to sudden hearing loss from sudden pressure changes or minor head trauma. We report a case of a 4-year-old boy with a history of a ventriculoperitoneal shunt and migraines who presented to the emergency department with parental and child care provider reports of acute hearing loss, without a history of trauma, infection, or hardware malfunction, who was diagnosed with bilateral EVAS...
July 4, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28653305/volumetric-evaluation-of-temporal-bone-structures-in-the-cases-with-bilateral-tinnitus-clinical-and-morphometrical-study
#16
Nuket Gocmen Mas, Orhan Kahveci, Sevda Lafcı Fahrioğlu, Nazan Okur, Sinan Canan, Nilufer Demirci Yonguc, Oktay Özel, Selim Karabekir
BACKGROUND: Tinnitus is the recognition of sound in the absence of any external auditory stimulus to the noise of ringing in the ears. Middle ear aeration carries important role for ossicular coupling and normal hearing. There is restricted morphometric data on the cases with bilateral tinnitus. MATERIAL AND METHODS: In this study we evaluated hearing findings of 18 cases with subjective nonpulsatile bilateral tinnitus and also morphometry and volumetry of temporal bone substructures on the Computed Tomography images using Stereological Method compared with the gender and age matched 12 healthy subjects...
June 27, 2017: Folia Morphologica (Warsz)
https://www.readbyqxmd.com/read/28646272/rhesus-cochlear-and-vestibular-functions-are-preserved-after-inner-ear-injection-of-saline-volume-sufficient-for-gene-therapy-delivery
#17
Chenkai Dai, Mohamed Lehar, Daniel Q Sun, Lani Swarthout Rvt, John P Carey, Tim MacLachlan, Doug Brough, Hinrich Staecker, Alexandra M Della Santina, Timothy E Hullar, Charles C Della Santina
Sensorineural losses of hearing and vestibular sensation due to hair cell dysfunction are among the most common disabilities. Recent preclinical research demonstrates that treatment of the inner ear with a variety of compounds, including gene therapy agents, may elicit regeneration and/or repair of hair cells in animals exposed to ototoxic medications or other insults to the inner ear. Delivery of gene therapy may also offer a means for treatment of hereditary hearing loss. However, injection of a fluid volume sufficient to deliver an adequate dose of a pharmacologic agent could, in theory, cause inner ear trauma that compromises functional outcome...
August 2017: Journal of the Association for Research in Otolaryngology: JARO
https://www.readbyqxmd.com/read/28551022/the-relationship-between-post-traumatic-ossicular-injuries-and-conductive-hearing-loss-a-3d-ct-study
#18
Olivier Maillot, Arnaud Attyé, Claire Boutet, Kamel Boubagra, Romain Perolat, Marion Zanolla, Sylvie Grand, Sébastien Schmerber, Alexandre Krainik
PURPOSE: After a trauma, the conductive ossicular chain may be disrupted by ossicular luxation or fracture. Recent developments in 3D-CT allow a better understanding of ossicular injuries. In this retrospective study, we compared patients with post-traumatic conductive hearing loss (CHL) with those referred without CHL to evaluate the relationship between ossicular injuries and CHL. We also assessed the added value of 3D reconstructions on 2D-CT scan to detect ossicular lesions in patients surgically managed...
May 24, 2017: Journal of Neuroradiology. Journal de Neuroradiologie
https://www.readbyqxmd.com/read/28534710/systematic-review-radiological-and-histological-evidence-of-cochlear-implant-insertion-trauma-in-adult-patients
#19
Emma Hoskison, Scott Mitchell, Chris Coulson
INTRODUCTION: Cochlear implantation (CI) has developed from its origins in the 1980s. Initially, CI was for profound bilateral hearing impairment. However, candidacy for CI have become more widespread in recent years with unilateral implantation and an emphasis on hearing preservation. Evidence supports full electrode insertion in an atraumatic fashion into the scala tympani (ST) provides optimal hearing outcomes. The main aim of this systematic review was to elucidate the degree of trauma associated with CI insertion...
May 23, 2017: Cochlear Implants International
https://www.readbyqxmd.com/read/28448419/venous-sinus-thrombosis-in-blunt-trauma-incidence-and-risk-factors
#20
Shira E Slasky, Yayone Rivaud, Matthew Suberlak, Oluwole Tairu, Adam D Fox, Pamela Ohman-Strickland, Esther Bilinisky
PURPOSE: The aim of our study was to determine the incidence and risk factors of dural venous sinus thrombosis and epidural hemorrhage in the setting of a blunt trauma causing a calvarial fracture crossing a dural venous sinus. METHODS: A retrospective review of 472 blunt trauma patients with calvarial fracture crossing a dural venous sinus was performed. Two hundred ten patients who underwent computed tomography venography were identified and evaluated for the presence of dural venous sinus thrombosis and/or epidural hemorrhage...
November 2017: Journal of Computer Assisted Tomography
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