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Bilateral mastoidectomy

Lilun Li, Bryan Ward, Margaret Cocks, Amir Kheradmand, Howard W Francis
OBJECTIVE: IgG4-related disease (IgG4-RD) is an idiopathic inflammatory condition that causes pseudotumor formation in single or multiple organs, including those of the head and neck. Temporal bone involvement is rare, with only 3 cases of unilateral temporal bone IgG4-RD described in the literature. We report the first known case of IgG4-RD of bilateral temporal bones and describe its clinical presentation, diagnosis, and treatment. METHODS: The patient was a 52-year-old man with latent tuberculosis (TB) who presented with a 10-year history of bilateral profound hearing loss and vestibular dysfunction...
October 10, 2016: Annals of Otology, Rhinology, and Laryngology
Phayvanh P Sjogren, Richard K Gurgel, Albert H Park
OBJECTIVES: To determine whether a canal wall down mastoidectomy can provide long-term benefit for children with aural stenosis. METHODS: Retrospective case series of children with congenital aural stenosis having undergone a canal wall down mastoidectomy over a twelve-year period at a tertiary children's hospital. RESULTS: Data from thirteen children who underwent a total of twenty canal wall down mastoidectomies for aural stenosis were reviewed...
November 2016: International Journal of Pediatric Otorhinolaryngology
Juan Carlos Cisneros, Paula Tardim Lopes, Ricardo Ferreira Bento, Robinson Koji Tsuji
Lateral and sigmoid sinus malformations are uncommon and dangerous anatomical variations that surgeons may encounter when performing a retroauricular approach. We report three cases of rare temporal bone venous sinus anomalies seen in patients who underwent cochlear implant surgery. The first patient had a diagnosis of CHARGE syndrome and presented a bilateral persistent petrosquamosal sinus with sigmoid sinus agenesis, which made mastoidectomy for cochlear implantation difficult. The second patient presented an anomalous venous lake in the occipital region, which communicated the left dural venous sinuses with a conglomerate of pericranial vessels in the left nuchal region, also consistent with left sinus pericranii...
July 20, 2016: Auris, Nasus, Larynx
Ricardo Ferreira Bento, Eloisa Maria Mello Santiago Gebrim, Ana Tereza de Matos Magalhães, Larissa Vilela Pereira, Anna Carolina de Oliveira Fonseca
INTRODUCTION: Hearing preservation has not yet been reported in patients undergoing resection of intracochlear schwannomas. This study describes a minimally invasive procedure for intracochlear schwannoma resection with simultaneous cochlear implantation that resulted in good hearing. OBJECTIVE: This study aims to describe a minimally invasive procedure for intracochlear schwannoma resection with simultaneous cochlear implantation. DATA SYNTHESIS: The technique described in this study was developed for a 55-year-old male with a 20-year history of bilateral progressive hearing loss and tinnitus that had a mass in the left apical turn of the cochlea measuring 0...
July 2016: International Archives of Otorhinolaryngology
M Deniz, C Uslu, C Koldaş, B Deniz
OBJECTIVE: The objective of this study was to evaluate the long-term surgical outcomes and recurrence rates of three surgical techniques that are commonly used for cholesteatoma. PATIENTS AND METHODS: The hospital records of 132 patients with primary cholesteatoma who underwent surgery between January 1996 and December 2006 were evaluated retrospectively. Twelve cases had bilateral disease, and a total of 144 ears were treated. The patients were divided into three groups according to surgical technique: modified radical mastoidectomy (MRM) (n = 48 ears), radical mastoidectomy (RM) (n = 42 ears), and intact canal wall mastoidectomy (ICWM) (n = 54 ears)...
2015: B-ENT
Anu Laulajainen-Hongisto, Riste Saat, Laura Lempinen, Antti A Aarnisalo, Jussi Jero
OBJECTIVES: To evaluate the clinical picture and microbiological findings of children hospitalized due to acute otitis media and to analyze how it differs from acute mastoiditis. METHODS: A retrospective review of the medical records of all children (0-16 years) hospitalized due to acute otitis media in the Department of Otorhinolaryngology at the Helsinki University Hospital, between 2003 and 2012. Comparison with previously published data of children with acute mastoiditis (n=56) from the same institute and period of time...
September 2015: International Journal of Pediatric Otorhinolaryngology
Daniele Bernardeschi, Yann Nguyen, Mustapha Smail, Didier Bouccara, Bernard Meyer, Evelyne Ferrary, Olivier Sterkers, Isabelle Mosnier
AIM OF THE STUDY: To review indications, anatomical results, and complications of cochlear implant (CI) surgery in adults for which middle ear and mastoid obliterations were performed. PATIENTS AND METHODS: Thirty cases (26 patients, 4 bilaterally implanted) of 837 CI surgeries (3.5%) performed between January 2009 and December 2013 have been included in this retrospective study. The mean follow-up was 21 ± 18 months (mean ± SD, range 3-58). There were 11 males and 15 females...
April 2015: Otology & Neurotology
Myung Hoon Yoo, Hong Ju Park, Tae Hyun Yoon
OBJECTIVE: Patients with chronic otitis media with/without cholesteatoma present a significant challenge to safe cochlear implantation (CI). The aim of our study is to describe our experience and propose management options for CI in patients with chronic otitis media. STUDY DESIGN: Retrospective case study. SETTING: Tertiary academic center. SUBJECT AND METHODS: We enrolled the 9 ears of 8 subjects who received CI in the ear with chronic otitis media from 2006 to 2013 by a single surgeon...
November 2014: American Journal of Otolaryngology
Chang Woo Kim, Joong Seob Lee, Chan Hum Park, Sae Young Kwon, Dong-Kyu Kim, Jun Ho Lee
We evaluated the advantages and outcomes of performing bilateral simultaneous middle ear surgery for chronic otitis media. For comprehensive analysis, we compared three subgroups, bilateral mastoidectomy (MM), unilateral mastoidectomy with contralateral tympanoplasty (MT), and bilateral tympanoplasty (TT). A total of 176 ears of 85 patients with chronic otitis media or cholesteatoma underwent bilateral same-day surgery. The side with worse hearing was chosen for the first operation. In the absence of any intra-operative complications, the contralateral operation was then performed...
June 2015: European Archives of Oto-rhino-laryngology
Wen P Liu, Mahdi Azizian, Jonathan Sorger, Russell H Taylor, Brian K Reilly, Kevin Cleary, Diego Preciado
IMPORTANCE: To our knowledge, this is the first reported cadaveric feasibility study of a master-slave-assisted cochlear implant procedure in the otolaryngology-head and neck surgery field using the da Vinci Si system (da Vinci Surgical System; Intuitive Surgical, Inc). We describe the surgical workflow adaptations using a minimally invasive system and image guidance integrating intraoperative cone beam computed tomography through augmented reality. OBJECTIVE: To test the feasibility of da Vinci Si-assisted cochlear implant surgery with augmented reality, with visualization of critical structures and facilitation with precise cochleostomy for electrode insertion...
March 2014: JAMA Otolaryngology—Head & Neck Surgery
Rajeev Kumar, Ashutosh Hota, Kapil Sikka, Alok Thakar
The objective of this study is to describe the complication of temporomandibular joint (TMJ) ankylosis consequent to otitis media. The method applied is prospective case series and data collection done in tertiary referral centre from April 2012 to April 2013. Case description of three adolescent male patients with unilateral TMJ ankylosis consequent to ipsilateral chronic suppurative otitis media. Further literature review of TMJ ankylosis in relation to otitis media for evaluation for predisposing conditions...
December 2013: Indian Journal of Otolaryngology and Head and Neck Surgery
M Panduranga Kamath, Suja Sreedharan, A Raghavendra Rao, Vinay Raj, Krishnam Raju
The purpose of this study is to compare the efficacy of myringoplasty with or without cortical mastoidectomy in terms of freedom from discharge, graft take up and improvement in hearing. This is a Clinical prospective study of 120 patients from among a group of patients with chronic suppurative otitis media. A detailed history and examination was conducted including pure tone audiogram. Patients were randomly divided into two groups; group A would undergo myringoplasty only and group B would undergo cortical mastoidectomy with myringoplasty...
December 2013: Indian Journal of Otolaryngology and Head and Neck Surgery
Colleen T Plein, Alexander J Langerman, Miriam I Redleaf
We report a case involving a patient with bilateral middle cranial fossa encephaloceles extending into the middle ear and causing conductive hearing loss. An obese, 47-year-old woman with a history of a seizure disorder presented with a slow-onset subjective hearing loss. Examination revealed opaque tympanic membranes, and audiometry showed a mixed hearing loss bilaterally. Myringotomy demonstrated soft tissue behind each tympanic membrane. Biopsy, computed tomography, magnetic resonance imaging, and mastoidectomy confirmed the diagnosis of bilateral middle cranial fossa encephaloceles...
December 2013: Ear, Nose, & Throat Journal
P Clarós, M S Diouf, A Clarós
Hearing rehabilitation after bilateral radical mastoidectomy has different options. The Bonebridge is a new type of middle ear implant bone conduction. It leaves the external ear canal opened and offers acoustic and aesthetic advantages that make it a new alternative of choice. We report our first case of Bonebridge implanted on a 17 years old patient. He had bilateral conductive hearing loss secondary to a bilateral radical mastoidectomy with open technique and meatoplasty for a bilateral cholesteatoma. The surgical technique is described...
2012: Revue de Laryngologie—Otologie—Rhinologie
Heather A Osborn, Sharon L Cushing, Karen A Gordon, Adrian L James, Blake C Papsin
OBJECTIVE: Early treatment of profound bilateral sensorineural hearing loss with cochlear implantation has become routine, resulting in an increased proportion of children implanted at younger ages. These children are at a relatively high risk for acute otitis media (AOM), and are more likely to develop mastoiditis in the implanted ear. Despite the significant risks associated with mastoiditis, including compromise of the implant, there are no specific guidelines on the management of this population...
November 2013: Cochlear Implants International
Brett Bell, Nicolas Gerber, Tom Williamson, Kate Gavaghan, Wilhelm Wimmer, Marco Caversaccio, Stefan Weber
HYPOTHESIS: A previously developed image-guided robot system can safely drill a tunnel from the lateral mastoid surface, through the facial recess, to the middle ear, as a viable alternative to conventional mastoidectomy for cochlear electrode insertion. BACKGROUND: Direct cochlear access (DCA) provides a minimally invasive tunnel from the lateral surface of the mastoid through the facial recess to the middle ear for cochlear electrode insertion. A safe and effective tunnel drilled through the narrow facial recess requires a highly accurate image-guided surgical system...
September 2013: Otology & Neurotology
Kazım Bozdemir, Behçet Tarlak, Hasan Cakar, Ahmet Doblan, Ahmet Kutluhan, Imdat Dilek, Nuran Adıyaman Süngü
A 39-year-old male was admitted to our clinic with symptoms of headache, dizziness, nausea, otalgia, otorrhea, tinnitus, and hearing loss in both ears for 3 weeks. Physical examination revealed edema in the tympanic membrane and external ear canal, and pain by palpation in the mastoid area bilaterally. There was no nystagmus, and the rest of the physical examination was otherwise normal. Temporal bone high resolution computed tomography (CT) showed a lesion causing erosion in the mastoid cortex, tegmen tympani, ossicles, and in the bone covering the sigmoid sinus bilaterally...
2013: Case Reports in Otolaryngology
Dirk Beutner, Jan C Luers, Maria Grosheva
OBJECTIVES/HYPOTHESIS: The hypoglossal-facial-anastomosis is the most often applied procedure for the reanimation of a long lasting peripheral facial nerve paralysis. The use of an interposition graft and its end-to-side anastomosis to the hypoglossal nerve allows the preservation of the tongue function and also requires two anastomosis sites and a free second donor nerve. We describe the modified technique of the hypoglossal-facial-jump-anastomosis without an interposition and present the first results...
October 2013: Laryngoscope
Henryk Skarzynski, Lukasz Olszewski, Piotr H Skarzynski, Artur Lorens, Anna Piotrowska, Marek Porowski, Maciej Mrowka, Adam Pilka
The objective of this study was to present 5 years of surgical experience, and the extended results of hearing preservation (based on 3-year follow-up), with the Med-El Vibrant Soundbridge (VSB) in which the floating mass transducer (FMT) is placed directly against the round window membrane, and the fascia is used only as covering tissue to keep it in position. A retrospective survey of surgical and audiological data was conducted to evaluate the performance and stability of patient hearing, with audiometric measurements performed over fixed time intervals up to 36 months...
March 2014: European Archives of Oto-rhino-laryngology
B Viswanatha, Sarojamma, M S Vijayashree, D Sumatha
A 12 year old female patient, who had attico antral type of ear disease on right side, was brought to tertiary care centre for the management of fever, vomiting and headache. Patient had unilateral attico antral type of ear disease with bilateral intracranial complication. Along with the right attico antral type of ear disease and right lateral sinus thrombosis, patient had brain abscess in the left occipital lobe. Brain abscess was drained first and later mastoidectomy was done to eradicate the source of infection and to prevent further complications due to ear disease...
March 2012: Indian Journal of Otolaryngology and Head and Neck Surgery
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