A case of middle-ear cavernous lymphangioma with facial palsy

2010 ◽  
Vol 125 (4) ◽  
pp. 405-409 ◽  
Author(s):  
R Hirai ◽  
M Ikeda ◽  
H Kishi ◽  
Y Nomura ◽  
S Shigihara

AbstractObjective:Only a few benign tumours of the middle ear have been reported to lead to the development of facial palsy. Here, we describe a patient with middle-ear cavernous lymphangioma and facial palsy.Study design:Single case study.Patient:A 61-year-old man presented with left-sided hearing impairment and incomplete left facial palsy. A tumour was confirmed to be occupying the epi- to mesotympanum and to be joined to the facial nerve. The tumour was removed along with facial nerve tissue, which was resected at its horizontal portion, and the remaining facial nerve was fixed by end-to-end anastomosis. Complete facial paralysis occurred after the operation, but the patient's House–Brackmann grade gradually improved to grade III. Post-operative histopathological examination revealed infiltration of the lymphangioma into the facial nerve tissue, together with mild neural atrophy of the facial nerve.Conclusion:These findings suggested that tumour invasion was the cause of facial palsy in this patient.

2008 ◽  
Vol 122 (6) ◽  
Author(s):  
A V Kasbekar ◽  
N Donnelly ◽  
P Axon

AbstractObjective:We present the first reported case of a middle-ear lipoma presenting with facial nerve palsy. We review the available literature on middle-ear lipomas and alert the surgeon to the possibility of a lipoma occurring in this location.Case report:A 33-year-old man presented to our unit with a right-sided, House–Brackmann grade two, lower motor neurone facial palsy. A computed tomography scan revealed abnormal soft tissue in the epitympanic recess, extending to the region of the geniculate ganglion. At middle-ear exploration, a lump of fatty tissue was found filling the anterior middle-ear cleft, juxtaposed to the horizontal portion of the facial nerve. The patient's facial palsy resolved within a few weeks of surgery.Conclusion:Lipomas are a rare but real differential diagnosis of a mass in the middle ear. Early imaging is advised.


2006 ◽  
Vol 120 (9) ◽  
pp. 793-795 ◽  
Author(s):  
J D Snelling ◽  
A Bennett ◽  
P Wilson ◽  
M Wickstead

A case of piercing of the tympanic membrane, resulting in unusual consequences, is described. This is the first reported case of the long process of a dislocated incus resulting in trauma to the horizontal portion of a dehiscent facial nerve. Simultaneous depression of the stapes footplate resulted in a perilymph leak, but with delayed presentation.


2020 ◽  
Vol 7 (11) ◽  
pp. A538-544
Author(s):  
Vidya Viswanathan ◽  
Arpana Dharwadkar ◽  
Shruti Vimal ◽  
Parul Bhandari ◽  
Aditi Malhotra ◽  
...  

Background: Skin adnexal tumours are a category of rare tumours. They usually present as painless nodules and papules. The diagnosis of these tumours poses a challenge, because there is usually a discrepancy in clinical and histopathological diagnosis. Aims: To study the skin biopsies received in our department and compare their clinical and histopathological diagnosis. Material and methods: Prospective study of skin biopsies received in our department over a period of 1 year. The biopsies were processed and stained with haematoxylin and eosin and studied under the light microscope. Results: Out of the 26 cases studied, 25 were found to be benign tumours with a single case of keratoacanthoma. The most common tumour encountered was pilomatricoma and the least common was syringoma. Only four cases showed clinical correlation with histopathological diagnosis. Conclusion: It can be therefore concluded that skin adnexal tumours are rare tumours which need histopathological examination for their accurate diagnosis.


2021 ◽  
Vol 11 (4-S) ◽  
pp. 3-4
Author(s):  
Bhawna Dwivedi ◽  
Apurva Chatterjee ◽  
Tanya Gujral

One of the most prevalent neurological illnesses affecting the VII cranial nerve is paralysis of facial nerve. The loss of sophisticated and multidimensional capabilities such as expression of emotions via facial mimicry, face identification, and communication is caused by nerve paralysis. Through stimulation of the proprioceptors, the Kabat rehabilitation therapy for facial paralysis can trigger or restore the neuromuscular circuit, restoring the normal functionality of nerve terminals in the muscles.This study aims to show how a patient can gain functional & aesthetic benefits through detailed clinical evaluation followed by kabat rehabilitation. Functionality evaluation of the facial nerve was based on the SFGS,FDI and H- B scales Patients who were treated with kabat rehabilitation method restored motor capacities of the paralysed hemifacia. Keywords:  Kabat rehabilitation, facial nerve, facial palsy, proprioceptive facilitation, rehabilitation.


2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Daisuke Kamide ◽  
Takeshi Matsunobu ◽  
Akihiro Shiotani

Middle ear barotrauma is one of the common complications of SCUBA diving representing acute otalgia, hearing loss, and bleeding. But occurrence of facial palsy is rare. Here we report a case of a 30-year-old navy diver suffered middle ear barotrauma with transient facial palsy after SCUBA diving. He felt difficulty in equalizing the pressure in middle ear with Valsalva maneuver during diving, and suffered right facial palsy and aural fullness after diving. Clinical examination showed remarkable bulging of the right tympanic membrane and right facial palsy without other neurological findings. But facial palsy was disappeared immediately after myringotomy. We considered that the etiology of this case was neuropraxia of facial nerve in middle ear caused by over pressure of middle ear.


2003 ◽  
Vol 1 (2) ◽  
pp. 148-159
Author(s):  
Keith V. Bletzer

Migratory farm labor like other forms of migrant work both in and outside agriculture impedes on the opportunity to make choices. The following essay explores particular phases in the life of one man (a single case study) and examines how he considers turning points in his life that led to a long period of substance use, both as an immigrant in the country and as a working man in his home country, followed by a cessation of use and the beginning stages of recovery. / Para el migrante, viajar en busca de trabajo es díficil, ya sea que trabaje en agricultura o en otras labores. Este ensayo examina ciertas etapas en la vida de un hombre (estudio de un solo caso) que examina los cambios que le han ocurrido durante un período en que él consumía grandes cantidades de alcohol en los estados y en su país, seguido por un período de sobriedad (no tomaba alcohol, no usaba drogas) en este país en que él comienza una etapa de rehabilitación.


Author(s):  
Eleonora FIORE ◽  
Giuliano SANSONE ◽  
Chiara Lorenza REMONDINO ◽  
Paolo Marco TAMBORRINI

Interest in offering Entrepreneurship Education (EE) to all kinds of university students is increasing. Therefore, universities are increasing the number of entrepreneurship courses intended for students from different fields of study and with different education levels. Through a single case study of the Contamination Lab of Turin (CLabTo), we suggest how EE may be taught to all kinds of university students. We have combined design methods with EE to create a practical-oriented entrepreneurship course which allows students to work in transdisciplinary teams through a learning-by-doing approach on real-life projects. Professors from different departments have been included to create a multidisciplinary environment. We have drawn on programme assessment data, including pre- and post-surveys. Overall, we have found a positive effect of the programme on the students’ entrepreneurial skills. However, when the data was broken down according to the students’ fields of study and education levels, mixed results emerged.


10.33117/514 ◽  
2017 ◽  
Vol 13 (1) ◽  
pp. 94-108

Purpose-This paper examines the nature of services and processes of business incubation. Its specific objectives are to establish the nature of services offered by business incubation centers in Uganda, examine the incubation process and to establish the perception of business incu- batees about business incubation services using a case of FinAfrica a private social enterprise. Methodology-This paper presents findings from one incubation center FinAfrica as a case study. Ethnographic design is adopted while observation and interview methods are used to collect data. Results-Key services offered by FinAfrica incubation center include entrepreneurial training, provision of office space, legal and accounting services, mentoring, coaching, entrepreneurial networks and general office administration. The centre has a unique business incubation model which starts with motivating people to start businesses, capacity building, business registration, and ends with graduation after attaining capability for self-sustainability. Incubatees perceive the services offered by the incubation centre as helpful through training, affordable office space, entrepreneurial ecosystem and opportunities for a lean startup. Implications- While this study does not offer statistical inferences for generalisation because of the qualitative design and single case, the exploration of FinAfrica provides insights about how Incubation centers need to plan for positive and sustainable entrepreneurial impact for startups. There is need for more Government and other development partners’ involvement in business incubation and post incubation support for competiveness and growth. Originality/value- This study provides insights about the key services offered in the incubation process and provides insights into the perceived benefits of business incubation. It also contributes to literature about business incubation with practical evidence from an emerging economy whose focus is on private sector development and innovation promotion.


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