Middle ear lipoma

1993 ◽  
Vol 107 (12) ◽  
pp. 1151-1152 ◽  
Author(s):  
V. Abdullah ◽  
P. Williamson ◽  
A. Gallimore ◽  
N. S. Shah
Keyword(s):  
Eustachian Tube ◽  
Middle Ear ◽  
World Literature ◽  
De Novo ◽  
Ct Scans ◽  
The Third ◽  
First Case ◽  
The Uk ◽  
The Right ◽  
A Site

We report a case of primary middle ear lipoma diagnosed in the right ear of a five-year-old child with concurrent bilateral middle ear effusions. The lipoma occupied a site favoured by congenital cholesteatoma and was occlusive to the eustachian tube contributing to its dysfunction. This is the first case of de novo middle ear lipoma diagnosed in the UK, and the third in world literature. Our CT scans are suggestive of a similar but smaller lesion in the left ear of the same child.

Case of thyroid hemiagenesis and ectopic lingual thyroid presenting as goitre

2008 ◽  
Vol 122 (8) ◽  
Author(s):  
Y S Yang ◽  
K H Hong
Keyword(s):  
World Literature ◽  
Thyroid Tissue ◽  
Ectopic Thyroid ◽  
Lingual Thyroid ◽  
Thyroid Hemiagenesis ◽  
The World ◽  
Right Lobe ◽  
The Right ◽  
A Site ◽  
Common Manifestation

AbstractObjective:We report an extremely rare case of thyroid hemiagenesis with ectopic lingual thyroid.Method:Case report and review of the world literature concerning thyroid hemiagenesis with ectopic lingual thyroid and heredity.Results:Ectopic thyroid is an uncommon embryological aberration characterised by the presence of thyroid tissue in a site other than its usual, pretracheal location. The lingual thyroid is the most common manifestation of benign ectopic thyroid tissue, but is still a rare clinical entity. Thyroid hemiagenesis is also a very rare abnormality, in which one thyroid lobe fails to develop. We report a case of left thyroid hemiagenesis and goitre in the right lobe in a 26-year-old woman with an ectopic lingual thyroid.Conclusion:To our knowledge, this is the first report in the world literature of thyroid hemiagenesis with ectopic lingual thyroid.

scholarly journals Atypical Insufficiency Fractures Associated with Long-Term Bisphosphonate Therapy: 3 Case Reports

2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Sandrine Malochet Guinamand
Keyword(s):  
Case Reports ◽  
Femoral Fractures ◽  
Bisphosphonate Therapy ◽  
Fracture Site ◽  
Atypical Fracture ◽  
Mineral Research ◽  
The Third ◽  
First Case ◽  
The Right

Atypical femoral fractures as defined by the American Society for Bone and Mineral Research (ASBMR) are linked with long-term bisphosphonate therapy. We report the cases of 3 patients treated with bisphosphonates, and presenting non femoral atypical fracture. Our first patient presented with a series of fractures after being treated with risedronate: the left tibia, bilateral tibial plateau successively, the left femoral and tibial metaphysis, the right tibia and calcaneus, the left talus, and the left talar dome. The second patient had been taking alendronate and presented with a spontaneous fracture of the spine of the left scapula. The third patient had been treated with alendronate and presented with a fracture of the upper right tibial diaphysis with an unusual oblique orientation. These fractures could be suggestive of bisphosphonate therapy failure or stress fractures. However, the number of fractures in our first case, the fracture site in the second and the fracture line orientation in the third brings to mind the hypothesis of atypical non femoral fractures associated with bisphosphonate therapy. We therefore suggest the possibility of a new type of atypical fracture in patients treated with bisphosphonates, and whose causal relationship with bisphosphonates is even more difficult to demonstrate.

scholarly journals Features of treatment in children with fractures of the distal metaphysis of the shin bones: cases report

2020 ◽  
Vol 10 (4) ◽  
pp. 453-460
Author(s):  
Alexander I. Dorokhin ◽  
Anastasia A. Adrianova ◽  
Vladimir I. Khudik ◽  
Dmitriy S. Sorokin ◽  
Alexey K. Goryunov
Keyword(s):  
Ct Scans ◽  
X Rays ◽  
Treatment Results ◽  
Main Method ◽  
The Third ◽  
First Case ◽  
Fractures In Children ◽  
Poor Treatment ◽  
Rehabilitation Period

This case study discusses the treatment of distal methapyphiseal fractures of shin in children. The choice of this problem based on wide expansion of fractures and poor treatment results. Age of children ranges from 10 to 16 years. Examination was done with X-rays, computed tomography (CT), and ultrasound, especially in cases where damaged ligamentous apparatus was suspicious. The main method of treatment was surgicalosteosynthesis by pins, plates, and screws. In the rehabilitation period, the legs were immobilized by Plaster of Paris for 46 weeks. The first case demonstrated the probability of damage of the distal tibiofibularis ligaments and necessity of their reconstruction. In the management of the second case, the efficacy of CT scans in validation of the fracture is presented. The treatment of the teenager presented in the third case was based on biomechanical principles. In majority of cases, outcomes in the period of 68 weeks after trauma were good and satisfactory. In our opinion, diagnosis and treatment of distal methapyphiseal fractures of the shin in children must be different that was proved in the examination of bones and ligaments injuries. Creation of the special structure classification for understanding and effective treatment of these kinds of methepyphiseal fractures in children is believed to be necessar.

scholarly journals Effects of freediving on middle ear and eustachian tube function

2020 ◽  
Vol 50 (4) ◽  
pp. 350-355
Author(s):  
Moritz F Meyer ◽  
◽  
Kristijana Knezic ◽  
Stefanie Jansen ◽  
Heinz D Klünter ◽  
...  
Keyword(s):  
Eustachian Tube ◽  
Middle Ear ◽  
Cumulative Effect ◽  
Eustachian Tube Function ◽  
Diving Depth ◽  
Middle Ear Pressure ◽  
Tube Function ◽  
Hyperbaric Medicine ◽  
The Right ◽  
Peak Pressures

(Meyer MF, Knezic K, Jansen S, Klünter HD, Pracht ED, Grosheva M. Effects of freediving on middle ear and eustachian tube function. Diving and Hyperbaric Medicine. 2020 December 20;50(4):350–355. doi: 10.28920/dhm50.4.350-355. PMID: 33325015.) Introduction: During descent in freediving there is exposure to rapidly increasing pressure. Inability to quickly equalise middle ear pressure may cause trauma to the ear. This study aimed to evaluate the occurrence of pressure-related damage to the middle ear and the Eustachian tube during freediving and to identify possible risk factors. Methods: Sixteen free divers performed diving sessions in an indoor pool 20 metres’ freshwater (mfw) deep. During each session, each diver performed four own free dives and up to four safety dives. Naso- and oto-endoscopy and Eustachian tube function tests were performed on the right and left ears before diving, between each session and after the last session. The otoscopic findings were classified according to the Teed classification (0 = normal tympanic membrane to 4 = perforation). Additionally, ENT-related complaints were assessed using a questionnaire. Results: Participants performed 317 dives (on average 20 dives per diver, six per session). The average depth was 13.3 mfw. Pressure-related changes (Teed 1 and 2) were detected in 48 % of ears. Teed level increased significantly with an increasing number of completed sessions (P < 0.0001). Higher pressure-related damage (Teed 2) occurred in less experienced divers, was associated with significantly lower peak pressures in the middle ear and led to more ear-related symptoms. A preference for the Frenzel technique for middle ear pressure equalisation during freediving was shown. Conclusions: Pressure exposure during freediving had a cumulative effect on the middle ear. Factors such as diving depth, diving experience and number of diving sessions correlated with the occurrence of higher Teed levels.

Conclusion

2017 ◽  
Author(s):  
Hannah Lambie-Mumford
Keyword(s):  
Human Right ◽  
Right To Food ◽  
Policy Makers ◽  
Political Role ◽  
The Third ◽  
Current Context ◽  
Food Provision ◽  
Definition Of ◽  
The Uk ◽  
The Right

Chapter 8 focuses on the consequences of the rise of emergency food provision for the progressive realisation of the human right to food in the UK. The chapter discusses the opportunities that the right to food approach provides and its appropriateness in the current context and sets out three key conclusions. The first is that there is a need to challenge minimalist approaches to the definition of food insecurity, ways in which responses are framed and solutions understood. The second conclusion relates to the importance of rights-based policies to move us forward from the current situation, where the findings suggest there is an increasing reliance on emergency food provision in the context of a retrenched welfare state. The third conclusion relates to the important social and political role emergency food charities could have in the realisation of the right to food. The conclusion chapter ends with recommendations for a range of stakeholders including emergency food charities, policy makers, NGOs, the food industry, communities and individuals and researchers.

scholarly journals Osseous hamartoma arising from the Eustachian tube

2013 ◽  
Vol 3 (2) ◽  
pp. 25 ◽  
Author(s):  
Ai Kawamoto ◽  
Yukio Katori ◽  
Yohei Honkura ◽  
Masaki Ogura ◽  
Takeshi Oshima ◽  
...  
Keyword(s):  
Eustachian Tube ◽  
World Literature ◽  
Fat Cells ◽  
Tympanostomy Tube ◽  
Resonance Imaging ◽  
Tube Insertion ◽  
Secretory Otitis Media ◽  
Bony Tissue ◽  
Bulky Mass ◽  
The Right

A fairly quite rare case of osseous tumor arising from the Eustachian tube (ET) is described. A 56-year-old man presented with a smooth bulky mass in the nasopharynx and secretory otitis media in the right ear. Computed tomography and magnetic resonance imaging indicated a solid tumor-like region occupying the nasopharynx with apparent extension to the right ET. Transnasal endoscopic surgery demonstrated that the tumor had originated from the ET, and the tumor was partially removed in the area where it had expanded into the nasopharynx. The pathological diagnosis was an osseous hamartoma consisting of bony tissue, fat cells and fibroblasts. To our knowledge, this is the first reported case of osseous hamartoma arising from the ET in the world literature. The patient presented symptoms of nasal obstruction and unilateral aural fullness. Reduction surgery and tympanostomy tube insertion were useful for accurate diagnosis and resolution of the symptoms.

Effect of surface tension and surfactant administration on Eustachian tube mechanics

2002 ◽  
Vol 93 (3) ◽  
pp. 1007-1014 ◽  
Author(s):  
Samir N. Ghadiali ◽  
Julie Banks ◽  
J. Douglas Swarts
Keyword(s):  
Mechanical Properties ◽  
Surface Tension ◽  
Eustachian Tube ◽  
Middle Ear ◽  
Surface Condition ◽  
Normal Mucosa ◽  
Experimental Manipulation ◽  
Middle Ear Pressure ◽  
The Right ◽  
Effect Of Surface

Development of otitis media has been related to abnormal Eustachian tube (ET) mechanics. ET is a collapsible tube that is periodically opened to regulate middle ear pressure and to clear middle ear fluid into the nasopharynx. The ability to perform these physiological functions depends on several mechanical properties, including the ET's opening pressure (Popen), compliance (ETC), and hysteresis (η). In this study, a previously developed modified force-response protocol was used to determine ET mechanical properties after experimental manipulation of the mucosal surface condition. Specifically, these properties were measured in the right ear of six cynomologous monkeys under baseline conditions after “washing out” the normal ET mucous layer and after instillation of a pulmonary surfactant, Infasurf. Removal of the normal mucosa did not significantly alter Popen but did result in a decrease in ETC and η ( P < 0.05). Treatment of the mucosa with Infasurf was effective in reducing Popen and increasing both ETC and η to baseline values ( P < 0.05). These results indicate that the mucosa-air surface tension can affect the overall ETC and η properties of the ET. In addition, this study indicates that surfactant therapy may only be beneficial in patients with rigid or inelastic ETs (large Popen and low ETC and η).

Patulous eustachian tube complicating gastric bypass surgery

2008 ◽  
Vol 123 (9) ◽  
pp. 1058-1060 ◽  
Author(s):  
M Alhammadi ◽  
R Jönsson ◽  
T Olbers ◽  
O Yassin
Keyword(s):  
Weight Loss ◽  
Gastric Bypass ◽  
Eustachian Tube ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery ◽  
English Literature ◽  
Normal Breathing ◽  
First Case ◽  
The Right ◽  
Patulous Eustachian Tube

AbstractObjective:We report the first case in the English literature of a patulous eustachian tube occurring after laparoscopic Roux-en-Y gastric bypass surgery for obesity.Method:Case report of a 44-year-old woman who was referred to our ENT clinic complaining of autophonia and bilateral aural fullness. The patient had noticed these symptoms after she had undergone a laparoscopic Roux-en-Y gastric bypass surgery to aid weight loss.Result:On the basis of the medical history, clinical examination and immittance measurement (revealing a change in acoustic immittance synchronous with normal breathing in the right ear), a diagnosis of patulous eustachian tube was made, more severe in the right ear than the left.Conclusion:We report a case of patulous eustachian tube occurring after laparoscopic gastric bypass surgery for weight loss, which could be considered as one of the possible complications of this surgery. Our patient began to notice the symptoms of patulous eustachian tube after a 20 kg weight loss.

Two Cases of Pulmonary Disease with Hemiplegia Developing by Stages. Prof. H. Senator, Berliner Klinische Wochenschrift. Nos. 4, 5, and 6. 1879.

1879 ◽  
Vol 25 (109) ◽  
pp. 122-123
Author(s):  
Edward G. Geoghegan
Keyword(s):  
Pulmonary Disease ◽  
Whole Body ◽  
The Third ◽  
First Case ◽  
Motor Paralysis ◽  
The Right ◽  
Short Time

The first case was one of putrid bronchitis, with chronic ulcerating pneumonia. The first paralytic symptom was weakness, with increase of temperature and sweating in the right arm, followed next day by almost complete motor paralysis of this limb. On the third day the arm was convulsed, and subsequently the whole body was seized with tetanic spasms, causing opisthotonism (three attacks). In a few days the inferior branches of the facial became paralysed on the right side. Next the speech was affected, and lastly came motor paralysis of the right leg. The patient, without looking, had no idea in what position his right limbs lay. During this short time rapid atrophy of theright arm had taken place.

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