scholarly journals Mastoiditis in adults: Diagnostic and therapeutic aspects

2004 ◽  
Vol 51 (1) ◽  
pp. 109-112
Author(s):  
S. Krejovic-Trivic ◽  
Dragoslava Djeric ◽  
Aleksandar Trivic
Keyword(s):  
Hearing Loss ◽  
Early Diagnosis ◽  
Middle Ear ◽  
Medical Records ◽  
Pathological Process ◽  
The Other ◽  
Adequate Treatment ◽  
Long Period ◽  
Intravenous Antibiotics ◽  
History Of

The purpose of the present study is to report our experience in the diagnosis and treatment of mastoiditis in adults. Five patients with an active chronic otitis and mastoiditis were presented. All of them had a history of chronic ear discharge for long period of time and have been diagnosed and treated sufficiently. All relevant data were analyzed from the medical records. The most common symptoms of the disease were otalgia, otorrhea and hearing loss, but the physical signs of mastoiditis (swelling, erithema and tenderness of the retroauricular region) were presented in all cases. Localization and enlargement of the pathological process within the middle ear spaces was determined by CT. All patients were treated surgically and with intravenous antibiotics. In one patient the other treatment was applied due to a specific (TBC) process in the ear. Early diagnosis and adequate treatment (surgeiy combined with an effective antibiotics therapy) is most important to prevent a serious complications of mastoiditis (extracranial and/or intracranial).

Middle Ear Disease in Children with Congenital Velopharyngeal Insufficiency

2004 ◽  
Vol 41 (4) ◽  
pp. 364-367 ◽  
Author(s):  
Patrick Sheahan ◽  
Ian Miller ◽  
Michael J. Earley ◽  
Jerome N. Sheahan ◽  
Alexander W. Blayney
Keyword(s):  
Hearing Loss ◽  
Cleft Palate ◽  
Middle Ear ◽  
Medical Records ◽  
Velopharyngeal Insufficiency ◽  
Type I ◽  
Significant Difference ◽  
History Of ◽  
Ear Infections ◽  
Middle Ear Disease

Objective To examine the incidence and natural history of middle ear disease in children with congenital velopharyngeal insufficiency (VPI) without cleft palate. Setting and Subjects Children with congenital VPI attending the combined cleft clinic at a tertiary cleft center. The diagnosis of congenital VPI in all cases was confirmed be the observation of hypernasality, nasal air escape, or both by a speech and language therapist and the demonstration of incompetence of the velopharyngeal sphincter by means of nasoendoscopy or videofluoroscopy. Children with overt cleft palate or postsurgical VPI were excluded. Design The children's medical records were reviewed, and a questionnaire regarding history of ear problems was sent to all parents. Children were divided into those with Pruzansky type I VPI (showing bifid uvula, midline diastasis of soft palate, or submucous cleft of the hard palate) and Pruzansky type II VPI (no visible stigmata). Main Outcome Measures Incidence of reported ear problems, ear infections, hearing loss, and surgical intervention for middle ear disease in the whole group and in each of the subgroups. Results Seventy-one parents returned completed questionnaires. The overall incidence of middle ear disease was 63%, with 28% reported to have below-normal hearing. There was no significant difference between children with Pruzansky types I and II VPI with respect to incidence of otopathology or hearing loss. Conclusions Irrespective of the presence of any visible palatal abnormalities, children with congenital VPI showed a substantial incidence of otopathology and should thus be closely monitored.

Diphtheria: the patch remains

2003 ◽  
Vol 117 (10) ◽  
pp. 807-810 ◽  
Author(s):  
Raj Nandi ◽  
Mriganka De ◽  
Simon Browning ◽  
Prabhati Purkayastha ◽  
A. K. Bhattacharjee
Keyword(s):  
Early Diagnosis ◽  
Respiratory Tract ◽  
Respiratory Distress ◽  
Retrospective Analysis ◽  
Fatal Disease ◽  
Disease Characteristics ◽  
Intravenous Antibiotics ◽  
Number Of Patients ◽  
History Of ◽  
Clinical Records

This study analysed the number of patients admitted with diphtheria to a teaching hospital in the state of Assam in India over a period of five years and compared the disease characteristics and management with outcomes and incidences of diphtheria reported in the literature. It was a retrospective analysis of data elicited from clinical records of patients admitted to hospital.A total of 101 admissions were recorded during a five-year period between March 1997 to March 2002, mostly with pharyngeal diphtheria (90 per cent). The majority of patients had no history of immunization (70 per cent). Significant presenting features were a tonsillar patch, sore throat, respiratory distress and fever. All patients were treated with anti-diphtheritic serum and intravenous antibiotics. Steroids were given to 81 per cent of patients and tracheostomy was carried out in 10 per cent of cases. The mortality was 16 per cent.Diphtheria of the respiratory tract remains a potentially fatal disease commonly presenting with membranous pharyngitis. Early diagnosis and treatment with anti-diphtheritic serum and antibiotics remain the cornerstone of treatment. Inadequate immunization cover is deemed responsible for the continued menace of diphtheria.

Signs of temporomandibular joint dysfunction in individuals with different dentition defects and unequal preservation of antagonist pairs of teeth

2021 ◽  
pp. 52-58
Author(s):  
I.S. Redinov ◽  
Ye.A. Pylaeva ◽  
O.O. Strakh ◽  
B.A. Lysenko
Keyword(s):  
Hearing Loss ◽  
Early Diagnosis ◽  
Temporomandibular Joint ◽  
Pathological Process ◽  
Orthopedic Treatment ◽  
Temporomandibular Joint Dysfunction ◽  
Significant Frequency ◽  
System A ◽  
Lower Jaw ◽  
Opening And Closing

As a result of examination and questionnaire of 143 patients who applied for orthopedic treatment of defects of teeth and dental rows, it was found that signs of dysfunction of temporomandibular joint with preserved dental rows are diagnosed in 36—55% cases, and with defects of dental rows — in 45—90% cases. The absence of eighth teeth in the dental row does not significantly change the functional state of the dental-jaw system. A statistically significant frequency of signs of EHS dysfunction has been identified among individuals having terminal dentition defects.In patients with terminal dentition defects, each 3rd patient is diagnosed with cochleovestibular syndrome, and in each 2nd, sounds are determined in the area of VNHS when the lower jaw moves. It has been found that if 15—13 and 12—11 pairs of antagonist teeth are preserved, the signs of dysfunction are determined in 55—45% cases, if the number of teeth having antagonists is reduced to 10—5 (in 90.0% these are patients with preserved 7—8 pairs of antagonist teeth), then the frequency of dysfunction signs increases to 75.0% (t1-3=1.33; t2-3=2.00), in such patients significantly more often — in 75.0% of cases, mandibular deviation is diagnosed when opening and closing the mouth than in persons with a large number of preserved antagonist teeth, respectively 55.0% (t=2.66) and 45.0% (t=3.93) in 1 and 2 groups. Thus, the identification of such signs as crunching, clicking in the joints, hearing loss or tinnitus, suggests the presence of intra-articular disorders in such patients. The deviation of the jaw from its main trajectory when opening the mouth indicates the possible involvement of the masticators muscles in the pathological process. All this requires the dentist to carry out early diagnosis and timely orthopedic treatment.

Yiddish as an Expression of Jewish Cultural Identity in Galicia and Vienna

1999 ◽  
pp. 164-176
Author(s):  
Gabriele Kohlbauer-Fritz
Keyword(s):  
The Other ◽  
The Political ◽  
Self Awareness ◽  
Habsburg Empire ◽  
Substantial Impact ◽  
Language And Culture ◽  
Long Period ◽  
History Of ◽  
Austrian Capital ◽  
Cultural Movement

This chapter illustrates the backwardness of Yiddish in the easternmost province of the Habsburg Empire. In Galicia, Yiddish language and culture developed quite differently and at a much slower pace than in the other parts of Poland and Russia. At a time when the works of Isaac Leib Peretz, Mendele Mokher Seforim, and Sholem Aleichem were flourishing elsewhere, Yiddish culture in Galicia was still underdeveloped, emerging only fleetingly at the beginning of the twentieth century, inspired by the political and social movements that encouraged Jewish national self-awareness. No doubt one reason for this long period of dormancy was the particular historical situation that resulted from the policies of the Habsburg regime. Thus, a history of the Yiddish-language movement in Galicia and the Austrian capital, Vienna, must also be an account of its failure. The chapter shows that it was precisely in Galicia that a thriving cultural symbiosis emerged among the coexisting national groups, and this symbiosis had a substantial impact on the Yiddish cultural movement. Yet competition from the Polish and German languages ultimately ousted Yiddish almost completely.

scholarly journals Spontaneous Cerebrospinal Fluid Leakage and Middle Ear Encephalocele in Seven Patients

2000 ◽  
Vol 79 (5) ◽  
pp. 372-378 ◽  
Author(s):  
Rakesh B. Patel ◽  
Jed A. Kwartler ◽  
Richard M. Hodosh ◽  
Soly Baredes
Keyword(s):  
Cerebrospinal Fluid ◽  
Hearing Loss ◽  
Middle Ear ◽  
Diagnostic Methods ◽  
Cerebrospinal Fluid Leakage ◽  
Recurrent Meningitis ◽  
Lumbar Drain ◽  
Csf Leakage ◽  
History Of ◽  
Conductive Hearing

Isolated cases of spontaneous cerebrospinal fluid (CSF) leakage with and without middle ear encephalocele have been reported. These leaks are usually accompanied by episodes of recurrent meningitis, hearing loss, or chronic headache. In this article, we report seven new cases of spontaneous CSF leakage. Six of these patients had conductive hearing loss and serous otitis media, and three had recurrent meningitis. Prior to a definitive diagnosis, six patients had received myringotomy tubes, which produced profuse clear otorrhea. Three patients had positive beta-2 transferrin assays. Computed tomography and magnetic resonance imaging confirmed a defect in the temporal bone tegmen. A combined transmastoid and middle fossa surgical approach with a three-layer closure was used to repair the tegmen defect. All patients had a lumbar drain placed prior to surgery. In addition to describing the seven new cases, we review the history of CSF leakage and discuss diagnostic methods, surgical findings, and our recommendations for management.

scholarly journals Neuroendocrine Adenoma of the Middle Ear (NAME)

2009 ◽  
Vol 88 (4) ◽  
pp. 874-879 ◽  
Author(s):  
Karen Leong ◽  
Marian M. Haber ◽  
Venu Divi ◽  
Robert T. Sataloff
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Middle Ear ◽  
Conductive Hearing Loss ◽  
Carcinoid Tumors ◽  
Rare Tumor ◽  
Pathologic Findings ◽  
History Of ◽  
Conductive Hearing ◽  
Recurrent Otitis Media

Neuroendocrine adenoma of the middle ear (NAME) is a rare tumor. We report a case of NAME, the clinical and pathologic findings of which illustrate the biologic behavior of adenomatous tumors of the middle ear and their relationship with rare carcinoid tumors of the middle ear. A 29-year-old man presented with a history of recurrent otitis media, right conductive hearing loss, and aural fullness. The tumor was removed in its entirety. Otolaryngologists should be familiar with this unusual but important entity.

scholarly journals The Organization of "Nafhut Tayyib min Ghusn al Andalus al Rutayyib” by Allama al-Maqr’ri

2018 ◽  
Vol I (II) ◽  
pp. 157-166
Author(s):  
Dr. Nomana Khalid
Keyword(s):  
The Other ◽  
Comprehensive Overview ◽  
Long Period ◽  
History Of ◽  
Great Scholar ◽  
Muslims In Europe

“Allama al-Maqr’ri” was a great scholar and author of many books. He wrote a valuable and informative book on Spain. Muslims ruled over Spain for a long period of time. Allama al-Maqr’ri compiled Spain’s history, geographical status, conspicuous personalities as well as unique aspects of that time. This Arabic book named "Nafhut Tayyib min Ghusn al Andulus al Rutayyib”" consists on ten volumes and divided in two major parts. The first one consists of Spain’s history and the other part is about Lisin ud Din al-Khateeb. This article will provide a comprehensive overview of this precious book, its division, major parts and contents and provide the knowledge of the splendor history of Muslims in Europe. Keywords: Andalus, Maq’rri, History, Lisan ud Din

Administrative Procedure and Judicial Review: A ‘Common Core’ Research

2021 ◽  
pp. 3-20
Author(s):  
Giacinto della Cananea ◽  
Mads Andenas
Keyword(s):  
Comparative Analysis ◽  
Judicial Review ◽  
Public Law ◽  
The Other ◽  
International Level ◽  
Administrative Procedure ◽  
Long Period ◽  
History Of ◽  
Political Choices ◽  
National Systems

This chapter begins by explaining why judicial review of administration is interesting terrain for a comparative analysis, also in the light of European and international principles. It is helpful to bear in mind that, for a long period of time, a strand of thought in public law has contested not just the usefulness, but even the possibility of a meaningful comparison between national systems of judicial review. It is important, however, to take cognisance of two fundamental dimensions of change: one is the increasing specialization of the courts that exercise control over administrative power and the other is the emergence of common principles at European and international level. The chapter then highlights the importance of procedural fairness and propriety, although the legal relevance and significance of these principles will differ depending upon the history of any society and its political choices. It also addresses some methodological issues, including the nature of the 'factual analysis' and the choice of legal systems.

scholarly journals Penetrating Middle Ear Trauma: A Report of 2 Cases

2005 ◽  
Vol 84 (1) ◽  
pp. 32-35 ◽  
Author(s):  
Michael C. Neuenschwander ◽  
Ellen S. Deutsch ◽  
Anthony Cornetta ◽  
Thomas O. Willcox
Keyword(s):  
Hearing Loss ◽  
Physical Examination ◽  
Middle Ear ◽  
Conductive Hearing Loss ◽  
Penetrating Trauma ◽  
Ossicular Chain ◽  
The Other ◽  
Ear Injury ◽  
The Right ◽  
Conductive Hearing

Penetrating middle ear injury can result in hearing loss, vertigo, and facial nerve injury. We describe the cases of 2 children with penetrating trauma to the right ear that resulted in ossicular chain disruption; one injury was caused by cotton-tipped swabs and the other by a wooden matchstick. Symptoms in both children included hearing loss and otalgia; in addition, one child experienced ataxia and the other vertigo. Physical examination in both cases revealed a perforation in the posterosuperior quadrant of the tympanic membrane and visible ossicles. Audiometry identified a moderate conductive hearing loss in one child and a mild sensorineural hearing loss in the other. Both children underwent middle ear exploration and reduction of a subluxed stapes. We discuss the diagnosis, causes, and management of penetrating middle ear trauma. To reduce the morbidity associated with these traumas, otologic surgeons should act promptly and be versatile in choosing methods of repairing ossicular chain injuries.

Comparison of the Hearing Histories of Children with and without Cleft Palate

1996 ◽  
Vol 33 (2) ◽  
pp. 127-133 ◽  
Author(s):  
Patricia A. Broen ◽  
Karlind T. Moller ◽  
Jane Carlstrom ◽  
Shirley S. Doyle ◽  
Monica Devers ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Cleft Palate ◽  
Otitis Media ◽  
Middle Ear ◽  
Medical Records ◽  
Otitis Media With Effusion ◽  
Hearing Screening ◽  
Tube Placement ◽  
Ventilation Tube ◽  
Ventilation Tubes

Aggressive otologic management has been recommended for children with cleft palate because of the almost universal occurrence of otitis media with effusion (OME) in these children and the association of OME with hearing loss and possible language, cognitive, and academic delays. In this study, 28 children with cleft palate and 29 noncleft children were seen at 3-month intervals from 9 to 30 months to compare otologic treatment and management. Hearing and middle ear function were tested at each session; information on ventilation tube placement was obtained from medical records. Ventilation tubes were placed earlier and more often in children with cleft palate, but children with cleft palates failed the hearing screening more often. The correlation between age at first tube placement and frequency of hearing screening failures was significant for the children with cleft palate, indicating that the later tubes were first placed, the poorer the child's hearing.

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