Diagnosis and Management of Middle Ear Osteomas: A Case Report and Literature Review

1998 ◽  
Vol 77 (2) ◽  
pp. 134-139 ◽  
Author(s):  
John H. Greinwald ◽  
Eric J. Simko
Keyword(s):  
Middle Ear ◽  
Conductive Hearing Loss ◽  
Surgical Exploration ◽  
Young Males ◽  
Select Group ◽  
Long Term Follow Up ◽  
Conductive Hearing ◽  
Slow Growing

Osteomas of the middle ear are exceedingly rare benign neoplasms. To date, 16 cases have been reported in the literature, the vast majority of which appear as middle ear masses in young males with a progressive conductive hearing loss. In most patients, the diagnosis is confirmed by computed tomography (CT) or at the time of surgical exploration. Although these lesions have been described as slow-growing, no long-term follow-up has been reported. We present the seventeenth case of a middle ear osteoma in a 33-year-old man who remains asymptomatic and wthout evidence of tumor growth after nine years of follow-up. We suggest that asymptomatic middle ear osteomas can be appropriately managed without removal in a select group of patients.

scholarly journals Myopericytoma in the Antitragus of the Auricle: A Rare Tumor

2020 ◽  
pp. 014556132098457
Author(s):  
Tae Seong Eo ◽  
Jeong Hae Kie ◽  
Hyun Seung Choi ◽  
Junhui Jeong
Keyword(s):  
Large Firm ◽  
Rare Tumor ◽  
Long Term Follow Up ◽  
Slow Growing ◽  
Rule Out

A myopericytoma in the auricle is rare. If an auricle contains a large, firm, red-brown mass, excision should be considered because the mass may be a myopericytoma. After excision, histopathological and immunohistochemical diagnoses are essential to rule out malignancy. Long-term follow-up is required because the tumor is slow-growing.

A Trial of Biolite Ventilation Tubes in Children: Is Further Use Warranted?

1983 ◽  
Vol 91 (4) ◽  
pp. 437-440 ◽  
Author(s):  
Steven D. Handler ◽  
William P. Potsic ◽  
Roger R. Marsh
Keyword(s):  
Pilot Study ◽  
Middle Ear ◽  
Silicone Tube ◽  
Long Term Follow Up ◽  
Ventilation Tubes ◽  
Carbon Coated ◽  
Contralateral Ear ◽  
Over Time

A prospective controlled pilot study was undertaken in which Biolite (carbon-coated) ventilation tubes were placed in 44 ears and a conventional silicone tube in the contralateral ear. Long-term follow-up of these patients has revealed little difference in the incidence of tube occlusion or early extrusion. In addition, there were several disadvantages noted with the Biolite tubes: incomplete coating of the tube (especially within the lumen), shedding of the Biolite coating over time, “tattooing” of the tympanic membrane, poor otoscopic visibility, and the higher cost of these tubes. Since the Biolite tube has no documented advantages and, actually, several disadvantages, we believe its use in the treatment of middle ear disorders should be discontinued until significant benefits are demonstrated and present deficiencies are corrected.

scholarly journals A Long-term Follow-up Study of Middle Ear Surgery

1981 ◽  
Vol 74 (5special) ◽  
pp. 913-920
Author(s):  
Kotaro Ukai ◽  
Yasuro Miyoshi ◽  
Yasuo Sakakura ◽  
Mikikazu Yamagiwa ◽  
Yuichi Majima ◽  
...  
Keyword(s):  
Middle Ear ◽  
Middle Ear Surgery ◽  
Ear Surgery ◽  
Follow Up Study ◽  
Long Term Follow Up

Harvesting the ‘SEAD’: Long-Term Follow-Up of the Surgical Exploration and Discovery Program

2020 ◽  
Vol 77 (1) ◽  
pp. 96-103
Author(s):  
Linden K. Head ◽  
Brittany Greene ◽  
Nada Gawad ◽  
Stanley J. Hamstra ◽  
Tim Brandys
Keyword(s):  
Surgical Exploration ◽  
Long Term Follow Up ◽  
Discovery Program

Middle Ear Actinomycosis

2018 ◽  
Vol 15 (03) ◽  
pp. 144-147
Author(s):  
Gil Coutinho ◽  
Jorge Spratley ◽  
Inês Saldanha ◽  
Cristina Castro ◽  
Jorge Pinheiro ◽  
...  
Keyword(s):  
Middle Ear ◽  
Conductive Hearing Loss ◽  
Bone Erosion ◽  
Histopathological Examination ◽  
Soft Tissue Density ◽  
Computed Tomography Imaging ◽  
Oral Amoxicillin ◽  
Sulfur Granules ◽  
Conductive Hearing

AbstractMiddle ear actinomycosis is an atypical and exceedingly rare anaerobic infection. The authors report a case of a 7-year-old girl with persistent right side otalgia, conductive hearing loss, and headache. Otoscopic findings included a thickened, intact, and bulging tympanic membrane. Computed tomography imaging revealed soft tissue density filling the middle ear with areas of bone erosion. Typical sulfur granules were found on surgical exploration. Actinomycosis was diagnosed by histopathological examination. Penicillin was prescribed for 5 weeks followed by oral amoxicillin for 6 months. Recovery was uneventful and with a 2-year follow-up, no recurrence or complications were observed.

Long-term follow-up as an indispensable parameter for reliable assessment of the audiologic outcome after middle ear surgery

2021 ◽  
pp. 103150
Author(s):  
Konstantinos Mantsopoulos ◽  
Vivian Thimsen ◽  
Miguel Goncalves ◽  
Matti Sievert ◽  
Sarina Katrin Müller ◽  
...  
Keyword(s):  
Middle Ear ◽  
Middle Ear Surgery ◽  
Ear Surgery ◽  
Reliable Assessment ◽  
Long Term Follow Up

Conductive hearing loss after surgical treatment of otosclerosis—long-term observations

2020 ◽  
Vol 74 (6) ◽  
pp. 1-5
Author(s):  
Witold Szyfter ◽  
Wojciech Gawęcki ◽  
Anna Bartochowska ◽  
Andrzej Balcerowiak ◽  
Marta Pietraszek ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Surgical Treatment ◽  
Medical Records ◽  
Conductive Hearing Loss ◽  
Good Method ◽  
Stapes Footplate ◽  
Conductive Hearing ◽  
Frequent Observation

Introduction: Surgical treatment of otosclerosis has been a commonly accepted method of treatment for many years. The improvement of hearing after surgery is sometimes even spectacular, and good results are obtained in many centres in over 90% of the entire operated population. However, in the years following the procedure, some patients develop permanent or progressive conductive hearing loss. The aim of the study is to present a group of patients with conductive hearing loss that appeared after the first otosclerosis surgery and to analyse the causes of its occurrence. Material and Methods: Retrospective analysis was performed on patients who were first operated on in the years 2000-2009. Their medical records were analysed by the end of 2019, which made it possible to obtain results on at least 10 years of postoperative follow-up. The group consisted of 1118 patients, aged 14-82, including 802 women and 316 men. Results: Reoperations due to conductive hearing loss were performed on 93 patients, who accounted for 8.3% of the originally operated patients. They were much more often performed on patients after stapedectomies (19.7%) than on patients after stapedotomy (5.5%). Intraoperatively, prosthesis displacement was found to be the most frequent observation (44.1%) and was often associated with erosion or necrosis of the long process of incus (28%). Less frequent reasons of hearing loss were: adhesions around the prosthesis (10.8%), too small hole in the stapes footplate (8.6%), too short prosthesis (8.6%), progression of otosclerosis (7.5%), too long prosthesis (6.4%), presence of a granuloma around the prosthesis (5.4 %), and displacement of incus (4.3%). Conclusions: Surgical treatment in otosclerosis is a widely accepted and good method. It allows improvement in hearing in the vast majority of patients treated in this way. Unfortunately, over the years, some patients develop conductive hearing loss again. Reoperation gives a chance to find the cause and improve hearing in most of these cases.

Bilateral Occurrence of Congenital Middle Ear Cholesteatoma

2002 ◽  
Vol 127 (5) ◽  
pp. 480-482 ◽  
Author(s):  
Mohamed A. El-Bitar ◽  
Sukgi S. Choi
Keyword(s):  
Middle Ear ◽  
Early Stage ◽  
Congenital Cholesteatoma ◽  
Pediatric Age Group ◽  
Middle Ear Cholesteatoma ◽  
Long Term Follow Up ◽  
Group A ◽  
High Index Of Suspicion

Congenital cholesteatoma of the middle ear is a relatively rare entity that is becoming more frequently encountered in the pediatric age group. A high index of suspicion is needed to recognize this entity at an early stage. More challenging is the bilateral occurrence of the lesion that, although still rare, should always be remembered when examining children with congenital cholesteatoma, not only on the initial visit but also on subsequent follow–up. We report the eleventh case of bilateral congenital middle ear cholesteatoma and stress the importance of long–term follow–up in these cases.

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