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https://www.readbyqxmd.com/read/29342052/preauricular-approach-for-cholesteatoma-resection-after-surgical-overclosure-of-the-external-auditory-canal-and-cochlear-implantation
#1
Steven A Telian
: Chronic suppurative otitis media can have long-term effects on hearing if not managed effectively. When combined with cholesteatoma the condition may require creation of an open mastoid cavity. Recurrence of cholesteatoma is a concern when cochlear implantation is performed with overclosure of the external auditory meatus. A 61-year-old female with recurrent cholesteatoma in this setting was treated using a preauricular approach to provide adequate visualization while preventing the need to remove the implant or risking injury to the internal components...
January 16, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29342049/the-impact-of-the-transcanal-endoscopic-approach-and-mastoid-preservation-on-recurrence-of-primary-acquired-attic-cholesteatoma
#2
Livio Presutti, Lukas Anschuetz, Alessia Rubini, Marco Ruberto, Matteo Alicandri-Ciufelli, Marco Dematte, Marco Caversaccio, Daniele Marchioni
OBJECTIVE: We aim to investigate the factors associated with recurrent disease following surgery for primary acquired attic cholesteatoma. We hypothesize that minimal invasive, mucosal sparing operation techniques have beneficial effects on the outcome in terms of recurrence. STUDY DESIGN: Retrospective study. SETTING: Tertiary referral center. PARTICIPANTS: A total of 110 patients presenting with primary acquired attic cholesteatoma were enrolled in the study...
January 16, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29339964/cerebral-venous-thrombosis-with-papilloedema-secondary-to-skull-base-plasmacytoma
#3
Peter W MacIntosh, Amy Y Lin, Jin Suh Kim, Fernando D Testai, Heather E Moss
A 60-year-old woman with history of multiple myeloma was in remission after stem cell transplant 6 years prior. She was undergoing work-up for headaches that were thought to be secondary to a right mastoiditis seen on magnetic resonance imaging (MRI). On routine eye exam, papilloedema was noted. A lumbar puncture was performed, with elevated opening pressure with normal constituents. She was an atypical age for idiopathic intracranial hypertension, and her mastoiditis raised concern for secondary cerebral venous sinus thrombosis...
October 2017: Neuro-ophthalmology
https://www.readbyqxmd.com/read/29336656/the-use-of-mastoid-vibration-with-canalith-repositioning-procedure-to-treat-persistent-benign-paroxysmal-positional-vertigo-a-case-report
#4
Sean F Griech, Melissa A Carroll
The Canalith Repositioning Procedure (CRP) was originally described as a non-invasive treatment for Benign Paroxysmal Positional Vertigo (BPPV) by Epley. Since its inception, the maneuver has undergone several modifications; and currently is performed in the absence of induced mastoid vibration (oscillation). Clinically, mastoid vibration may be used to assist in treatment of persistent cases of BPPV, where a simple CRP may fail to improve symptoms. This case describes a patient with a three-month history of BPPV (right posterior canalithiasis), who was previously treated unsuccessfully with standard CRP...
January 16, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29335001/different-clinical-presentation-and-management-of-temporal-bone-fibrous-dysplasia-in-children
#5
REVIEW
Józef Mierzwiński, Justyna Kosowska, Justyna Tyra, Karolina Haber, Maria Drela, Dariusz Paczkowski, Paweł Burduk
BACKGROUND: Fibrous dysplasia is a slowly progressive benign fibro-osseous disorder that involves one or multiple bones with a unilateral distribution in most cases. It is a lesion of unknown etiology, uncertain pathogenesis, and diverse histopathology. Temporal bone involvement is the least frequently reported type, especially in children. We reviewed available articles regarding fibrous dysplasia with temporal bone involvement in children and added four patients aged 7 to 17 years who were diagnosed and treated in our institution from 2006 to 2017...
January 15, 2018: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29327305/five-year-postoperative-outcomes-of-modified-staged-canal-wall-up-tympanoplasty-for-primary-acquired-cholesteatoma
#6
Masahiro Komori, Naoaki Yanagihara, Jun Hyodo, Ryosei Minoda, Yasuyuki Hinohira
OBJECTIVE: For successful canal wall up tympanoplasty (CWUT) for the treatment of cholesteatoma, the restoration of stable middle ear aeration is also important; however, little is known about the dynamics of such aeration or the optimal surgical procedure. In this study, alternative additional surgical procedure was selected based on the grade of middle ear aeration during the second-stage operation. SUBJECTS AND METHODS: Patients included in this study underwent staged CWUT surgeries with mastoid cortex plasty (MCP) for well-aerated ears (grade 3) and bony mastoid obliteration (BMO) for poorly aerated ears (grade 2-0)...
January 11, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29327047/histopathological-and-inflammatory-features-of-chronically-discharging-open-mastoid-cavities-secondary-analysis-of-a-randomized-clinical-trial
#7
Darius Henatsch, Sultan Alsulami, Adriaan M Duijvestijn, Jack P Cleutjens, Carine J Peutz-Kootstra, Robert J Stokroos
Importance: Many patients with an open radical mastoid cavity experience therapy-resistant otorrhea. Little is known about the underlying histopathological substrate of unstable cavities and the correlation with treatment failure. Objective: To study the histopathological and inflammatory features of chronically discharging open radical mastoid cavities and the influence of different treatments. Design, Setting, and Participants: This secondary analysis of a randomized clinical trial was a histopathology study of tissue samples of a cohort of 30 patients with a chronically discharging open mastoid cavity...
January 11, 2018: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/29306568/mycology-of-chronic-suppurative-otitis-media-cholesteatoma-disease-an-evaluative-study
#8
Gautam Bir Singh, Medozhanuo Solo, Ravinder Kaur, Rubeena Arora, Sunil Kumar
AIMS & OBJECTIVES: To detect the prevalence of fungus in chronic suppurative otitis media-cholesteatoma disease and to evaluate its clinical significance. STUDY DESIGN: Prospective observational study conducted in a sample size of 46 patients at a tertiary care university teaching hospital. MATERIALS & METHODS: Forty six patients suffering from chronic suppurative otitis media-cholesteatoma disease were recruited in this prospective study...
December 2, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29302305/lemierre-syndrome-a-diagnostic-dilemma-in-paediatric-patients
#9
Fatemeh Rafati, Vishal Bhalla, Varun Chillal, Mani Thyagarajan
Lemierre's syndrome is a rare disease of the head and neck, characterized by an initial infection, usually within the oropharynx, which can develop into a septic thrombophlebitis. It can involve the jugular vein, facial veins and respiratory tract. A 7-year-old child attended our institution with a 1-week history of fever and cough. Initial imaging demonstrated a large left sided empyema with multiple cavitating lung lesions and persisting pneumothoraces secondary to the development of a bronchopleural fistula...
December 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29299507/outpatient-management-of-cholesteatoma-with-canal-wall-reconstruction-tympanomastoidectomy
#10
Richard Kao, Todd Wannemuehler, Charles W Yates, Rick F Nelson
Objectives: The postoperative wound infection rate for canal wall reconstruction (CWR) tympanomastoidectomy with mastoid obliteration in the treatment of chronic otitis media with cholesteatoma has been reported to be 3.6%. Postoperative administration of 24-48 hours of intravenous antibiotics has been recommended. We aim to determine the infection rate of CWR with postoperative outpatient oral antibiotics. Study Design: Institutional review board-approved retrospective case review...
December 2017: Laryngoscope Investigative Otolaryngology
https://www.readbyqxmd.com/read/29298539/cholesteatoma-surgery-with-the-canal-wall-up-technique-combined-with-mastoid-obliteration-results-from-primary-surgery-in-230-consecutive-cases
#11
Johanna Westerberg, Elina Mäki-Torkko, Henrik Harder
OBJECTIVE: To evaluate the canal wall up (CWU) technique combined with mastoid obliteration used in cholesteatoma surgery from the aspects of safety and function. STUDY DESIGN: Retrospective chart review. Information was extracted from a medical database and complementary data from patient files and audiograms were collected and recorded retrospectively. SETTING: A tertiary-stage hospital and a secondary-stage hospital. Surgeons of various levels of experience...
January 3, 2018: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29290238/antimicrobial-treatment-of-ent-infections
#12
R Cohen, H Haas, M Lorrot, S Biscardi, O Romain, F Vie Le Sage, V Hentgen, E Grimprel
ENT infections are the most common childhood infections and the leading causes of antibiotic prescriptions. These infections are mainly due to viruses and most of them (even if bacterial species are implicated) resolve spontaneously. Therefore, the first message is to not prescribe antibiotics in the following situations: common cold, non-streptococcal pharyngitis, laryngitis, non-purulent otitis media, etc. For sore throat/pharyngitis, the antibiotic treatment decision is based mainly on the use of group A streptococcus rapid diagnostic tests...
December 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/29287882/changes-in-the-epidemiology-and-clinical-features-of-acute-mastoiditis-following-the-introduction-of-the-pneumococcal-conjugate-vaccine
#13
Oren Cavel, Riva Tauman, Eli Simsolo, Danny Yafit, Efrat Reindorf-Kfir, Oshri Wasserzug, Omer Unger, Ophir Handzel, Gadi Fishman, Yael Oestreicher-Kedem, Ari DeRowe
OBJECTIVES: Seven years after the introduction of the pneumococcal conjugate vaccines (PCV) in Israel, its effect on the incidence and severity of episodes of acute mastoiditis (AM) remains unclear. The primary objective of this study was to determine the incidence of AM and describe its clinical features in children during the years that followed the introduction of the PCV13 in comparison with the pre-PCV period. METHODS: Included in this retrospective comparative case series were all pediatric patients diagnosed with AM between Jan...
January 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29258939/retrosigmoid-approach-investigating-the-role-of-a-c-shaped-skin-incision-and-muscle-flaps-in-improving-functional-outcome-and-to-reduce-postoperative-pain
#14
Salvatore Chibbaro, Hélène Cebula, Antonino Scibilia, Giorgio Spatola, Julien Todeschi, Arthur Gubian, Louise Scheer, Gianfranco Ligarotti, Ali Moghaddamjou, Farouk Hajhouji, Filippo Flavio Angileri, Antonino Germanò, Christian Debry, Francois Proust, Mario Ganau
BACKGROUND: A case-control study was designed to investigate the impact on functional outcome and postoperative pain of a modified C-shaped skin incision and muscle flaps in patients undergoing minicraniotomy retrosigmoid approach (mCRSA). METHODS: Enrolled patients were prospectively studied and divided/assigned to Group A, standard straight/lazy S-shaped incision or Group B, modified C-shaped incision. The latter consisted of a 4 cm C-shaped skin incision with medial convexity (placed 8cm laterally to the external occipital protuberance, with the lower edge terminating 1,5-2cm above the mastoid tip); followed, upon sub-periosteal dissection, the muscle flaps are reflected superiorly and inferiorly by stiches...
December 16, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29258690/reliability-of-temporal-bone-high-resolution-ct-in-patients-with-facial-paralysis-in-temporal-bone-fracture
#15
Yuefeng Chen, Kai Zhang, Yanfeng Xu, Yanxu Che, Linna Guan, Yefeng Li
OBJECTIVE: This study aimed to investigate the reliability of temporal bone high-resolution CT (HRCT) in patients with traumatic facial paralysis. METHODS: HRCT with cross-sectional scanning and multi-planar reformation (MPR) was performed on 26 cases with traumatic facial paralysis, and the preoperative imaging manifestations were compared with surgical findings. RESULTS: Preoperative HRCT revealed fallopian canal damage at the posterior genu in 1 case, geniculate ganglion in 22 cases, labyrinthine segment in 4 cases, tympanic segment in 13 cases and mastoid segment in 0 case, while surgical findings confirmed fallopian canal damage at the posterior genu in 7 cases, geniculate ganglion in 23 cases, labyrinthine segment in 4 cases, tympanic segment in 17 cases and mastoid segment in 7 cases...
December 5, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29250758/refractory-facial-paralysis-a-case-report
#16
Yu-Wei Hsu, Jiunn-Tay Lee, Yi-Shu Liao, Shin Nieh, Chun-An Cheng, Chia-Kuang Tsai
PURPOSE: To present a case of salivary gland malignancy initially mimicking Bell's palsy. CASE REPORT: A 75-year-old woman with hypertension visited our neurological outpatient department,complaining of persistent right facial paralysis for more than a year after oral glucocorticoid therapy with recent development of vertigo and unsteady gait. She was previously diagnosed as having Bell's palsy and was prescribed oral glucocorticoid. However, her right facial muscles were still completely paralyzed, with no signs of improvement...
June 15, 2017: Acta Neurologica Taiwanica
https://www.readbyqxmd.com/read/29238674/incidence-and-preoperative-predictive-indicators-of-incudal-necrosis-in-csom-a-prospective-study-in-a-tertiary-care-centre
#17
Piyush Tripathi, Shivani Nautiyal
Both type of CSOM, tubotympanic which is considered safe as well as atticoantral which is considered unsafe may lead to erosion of the ossicular chain. Discontinuity of the ossicular chain is typically confirmed only during an operation. Knowing before surgery whether the patient has an ossicular discontinuity is important because it allows the surgeon to know the possibility of performing an ossiculoplasty and obtaining patient consent. The aims is to (1) study the incidence of incus necrosis in safe and unsafe CSOM...
December 2017: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/29235448/how-do-the-reference-montage-and-electrodes-setup-affect-the-measured-scalp-eeg-potentials
#18
Shiang Hu, Yongxiu Lai, Pedro Antonio Valdés-Sosa, Maria Luisa Brings-Vega, Dezhong Yao
OBJECTIVE: Human scalp electroencephalogram (EEG) is widely applied in cognitive neuroscience and clinical studies due to its non-invasiveness and ultra-high time resolution. However, the representativeness of the measured EEG potentials for the underneath neural activities is still a problem under debate. This study aims to investigate systematically how both reference montage and electrodes setup affect the accuracy of EEG potentials. APPROACH: First, the standard EEG potentials are generated by the forward calculation with a single dipole in the neural source space, for eleven channel numbers (10, 16, 21, 32, 64, 85, 96, 128, 129, 257, 335)...
December 13, 2017: Journal of Neural Engineering
https://www.readbyqxmd.com/read/29226211/an-18-subject-eeg-data-collection-using-a-visual-oddball-task-designed-for-benchmarking-algorithms-and-headset-performance-comparisons
#19
Kay Robbins, Kyung-Min Su, W David Hairston
This data note describes an 18-subject EEG (electroencephalogram) data collection from an experiment in which subjects performed a standard visual oddball task. Several research projects have used this data to test artifact detection, classification, transfer learning, EEG preprocessing, blink detection, and automated annotation algorithms. We are releasing the data in three formats to enable benchmarking of EEG algorithms in many areas. The data was acquired using a Biosemi Active 2 EEG headset and includes 64 channels of EEG, 4 channels of EOG (electrooculogram), and 2 mastoid reference channels...
February 2018: Data in Brief
https://www.readbyqxmd.com/read/29225513/an-abrupt-bleeding-of-the-anteriorly-displaced-sigmoid-sinus-a-rare-complication-of-myringoplasty
#20
Sarah Zaher Addeen, Mohammad Al-Mohammad
Background: The location of the sigmoid sinus within the mastoid cavity is quite variable. An anteriorly- displaced vertical segment of the sigmoid sinus constitutes an uncommon but dangerous anatomical variation that surgeons rarely encounter during surgery. In this variation, the sigmoid sinus lays underneath a very thin bony flap, which makes it easily damaged. Thus, an abrupt fatal bleeding might occur. Despite the many hypotheses about its origin (Chronic otitis media, hypopneumatization, etc...
2017: BMC Ear, Nose, and Throat Disorders
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