Case Report: 56-year-old Woman Presenting with Progressive Hearing Loss, Chronic Otitis Media and Pulsatile Tinnitus

Introduction: Glomus tumors are rare benign lesions of the middle ear that are often associated with symptoms of progressive hearing loss and pulsatile tinnitus. Diagnosis is often delayed due to the slow growth of the tumor, and surgical resections of the mass are the mainstay treatment. Case Presentation: A 56-year-old Latin American female was admitted to the hospital with a year-long history of intermittent pulsatile buzzing noise, progressive hearing loss, pain and discharge of the left ear. High-resolution Computerized Tomography and Magnetic Resonance Imaging revealed evidence of an enhancing mass lesion, which extended into the external auditory canal. A tympanomastoidectomy was performed. Most of the mass was removed, but some remained because of massive bleeding. The patient received 3 months of radiation therapy after the tympanic paraganglioma was surgically removed. Conclusion: This case exposed the audiological findings, the location, and the extent of the tumor. Management options consist of radiation therapy and surgical management, depending on the size of the tumor. Early detection of glomus tumors is essential to prevent non-reversible complications.

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EARLY INTERVENTION OF PARS TENSA RETRACTION POCKETS IN CHILDREN BY CARTILAGE REINFORCED TYMPANOPLASTY

Journal of Nepal Medical Association ◽

10.31729/jnma.429 ◽

1970 ◽

Vol 43 (156) ◽

Author(s):

Toran KC ◽

S Shrestha ◽

P K Kafle

Keyword(s):

Hearing Loss ◽

Early Intervention ◽

Medical Treatment ◽

Tympanic Membrane ◽

Pediatric Population ◽

Chronic Otitis Media ◽

Management Options ◽

Pars Tensa ◽

Retraction Pockets ◽

Grade Iii

Posterosuperior retraction pockets involving pars tensa of a tympanic membrane is not an uncommonproblem particularly in pediatric population. This occurs as a sequelae of chronic otitis media with effusion.The management options include “wait and watch,” medical treatment and surgery. But in patients inwhom retraction is severe and seems to be irreversible the treatment should be surgery at the earliest. Weperformed cartilage reinforced tympanoplasty in 29 ears of 28 children who had grade III and IVposterosuperior retraction pockets of the pars tensa. Their average pre-operative hearing loss was 16.6 and19.4dB for grade III and IV retraction pockets respectively with 10 and 12.4dB post operative gain. Norecurrences were noted except few minor complications. We suggest that such procedures are safe andshould be performed at the earliest rather than to keep under surveillance and medical treatment only.Key Words: Pars tensa retraction pockets, Tympanic membrane atelectasis, atelectatic ear, Tympanoplasty.

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PO-0902: Effect of post radiation therapy chronic otitis media on dose parameters associated with sensory neural hearing loss

Radiotherapy and Oncology ◽

10.1016/s0167-8140(15)33208-4 ◽

2013 ◽

Vol 106 ◽

pp. S349-S350

Author(s):

N. Bhandare ◽

V. Moiseekov ◽

W. Song ◽

C. Morris ◽

P. Antonelli ◽

...

Keyword(s):

Hearing Loss ◽

Radiation Therapy ◽

Otitis Media ◽

Chronic Otitis Media ◽

Post Radiation ◽

Sensory Neural ◽

Sensory Neural Hearing Loss

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Management Options for Patients With Nasopharyngeal Carcinoma Undergoing Cochlear Implantation

Ear Nose & Throat Journal ◽

10.1177/0145561320947274 ◽

2020 ◽

pp. 014556132094727

Author(s):

Chee-Yee Lee ◽

Wei-Chieh Lin ◽

Chung-Ching Lin ◽

Chuan-Jen Hsu ◽

Hung-Pin Wu

Keyword(s):

Hearing Loss ◽

Nasopharyngeal Carcinoma ◽

Cochlear Implant ◽

Otitis Media ◽

Hearing Aids ◽

Cochlear Implantation ◽

Chronic Otitis Media ◽

Management Options ◽

Implant Surgery ◽

Cochlear Implant Surgery

Objectives: Cochlear implantation (CI) has been successfully used to restore hearing in patients with severe to profound hearing loss. In addition to hearing loss, irradiated patients with nasopharyngeal carcinoma (NPC) also often have chronic otitis media and Eustachian tube (ET) dysfunction. These features may result in difficulties in CI. We conducted this study to review the management options for irradiated patients with NPC undergoing CI. Furthermore, we investigated the results of CI in irradiated patients with NPC with chronic otitis media and obstructive ET dysfunction, accordingly to different treatment strategies. Methods: We retrospectively reviewed the data of patients with NPC who underwent CI in our hospital between 2006 and 2020. All subjects were found to be eligible according to the following inclusion criteria: had NPC, received irradiation, underwent cochlear implant surgery, and had chronic otitis media with obstructive ET dysfunction. Results: A total of 9 patients with obstructive ET dysfunction and chronic otitis media underwent cochlear implant surgery. Seven patients with an inflamed ETs underwent a 2-stage operation. Two patients with obliterated ETs, we performed a single-stage CI surgery. Only 1 patient had otitis media effusion after the surgery. Conclusion: With the proper management of chronic otitis media and ET dysfunction, cochlear implant is an effective treatment for irradiated patients with NPC when conventional hearing aids failed.

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Where Do We Go From Here? Some Messages to Take Forward Regarding Children With Mild Bilateral and Unilateral Hearing Loss

Language Speech and Hearing Services in Schools ◽

10.1044/2019_lshss-19-00075 ◽

2020 ◽

Vol 51 (1) ◽

pp. 98-102

Author(s):

Dawna E. Lewis

Keyword(s):

Hearing Loss ◽

Current Evidence ◽

Unilateral Hearing Loss ◽

Newborn Hearing Screening ◽

Speech Understanding ◽

Management Options ◽

Progressive Hearing Loss ◽

Ongoing Research ◽

Newborn Hearing ◽

New Criteria

Purpose This epilogue discusses messages that we can take forward from the articles in the forum. A common theme throughout the forum is the ongoing need for research. The forum begins with evidence of potential progressive hearing loss in infants with mild bilateral hearing loss, who may be missed by current newborn hearing screening protocols, and supports the need for consensus regarding early identification in this population. Consensus regarding management similarly is a continuing need. Three studies add to the growing body of evidence that children with mild bilateral or unilateral hearing loss are at risk for difficulties in speech understanding in adverse environments, as well as delays in language and cognition, and that difficulties may persist beyond early childhood. Ambivalence regarding if and when children with mild bilateral or unilateral hearing loss should be fitted with personal amplification also impacts management decisions. Two articles address current evidence and support the need for further research into factors influencing decisions regarding amplification in these populations. A third article examines new criteria to determine hearing aid candidacy in children with mild hearing loss. The final contribution in this forum discusses listening-related fatigue in children with unilateral hearing loss. The absence of research specific to this population is evidence for the need for further investigation. Ongoing research that addresses difficulties experienced by children with mild bilateral and unilateral hearing loss and potential management options can help guide us toward interventions that are specific for the needs of these children.

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Hearing Outcome of Stapes Surgery in NIENT, Bangladesh

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v26i1.47950 ◽

2020 ◽

Vol 26 (1) ◽

pp. 31-36

Author(s):

Md Zakaria Sarkar ◽

AHM Ferdows Nur ◽

Utpal Kumar Dutta ◽

Muhammad Rafiqul Islam ◽

Debabrota Roy ◽

...

Keyword(s):

Hearing Loss ◽

Cross Sectional Study ◽

Surgical Trauma ◽

Group 14 ◽

Progressive Hearing Loss ◽

Cross Sectional ◽

Hearing Gain ◽

Hearing Outcome

Objective: The aim of this study was to evaluate hearing outcome after stapedotomy in patients with Otosclerosis. Methods: This cross sectional study was carried out from July 2017 to January 2019 in National Institute of ENT, Unit V. About 22 patients with Otosclerosis were included in this study. Diagnosis of Otosclerosis was based on the history, medical status with Otoscopy, Tuning fork tests and Audiometric tests. We compiled data on the pre and post operative air-bone gap (ABG) at 0.5, 1, 2 KHZ. The ABG was Calculated using AC and BC thresholds on the same audiogram. Post operative hearing gain was then Calculated from the ABG before the operation minus the ABG of the last follow up examination Results: In this study most of the cases were age group 14-30 years (72.7%), female (54.5%). Most common symptoms was progressive hearing loss, tinnitus (77.8%).The average preoperative hearing loss in this study was (AC) was 48.31±7.68. The average post opt. hearing (AC) at follow up was 28.95±10.30 with an average hearing gain of 15.40±8.53 dB which was significant. The average pre-operative ABG was 28.99 dB ± 8.10. The average post opt. ABG was analyzed at 1 follow up showed ABG 13.18±8.09 dB which was found to be significant. Conclusion: Stapedotomy is an effective surgical procedure for the treatment of otosclerosis which leads to improvement in patient’s quality of life. A favorable hearing outcome can be obtained by the combination of experienced hands with minimal surgical trauma and appropriate surgical technique. Bangladesh J Otorhinolaryngol; April 2020; 26(1): 31-36

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Progressive Hearing Loss in Goldenhar's Syndrome

International Journal of Audiology ◽

10.3109/14992027809043138 ◽

1978 ◽

Vol 7 (2) ◽

pp. 101-103

Author(s):

Agnete Parving

Keyword(s):

Hearing Loss ◽

Progressive Hearing Loss

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Intralabyrinthine Schwannomas: Disease Presentation, Tumor Management, and Hearing Rehabilitation

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0039-1678731 ◽

2019 ◽

Vol 80 (02) ◽

pp. 196-202 ◽

Cited By ~ 8

Author(s):

Baishakhi Choudhury ◽

Matthew Carlson ◽

Daniel Jethanamest

Keyword(s):

Magnetic Resonance Imaging ◽

Hearing Loss ◽

Magnetic Resonance ◽

Sensorineural Hearing Loss ◽

Sensorineural Hearing ◽

Resonance Imaging ◽

Hearing Rehabilitation ◽

Rare Tumors ◽

Auditory Rehabilitation ◽

Tumor Management

AbstractIntralabyrinthine schwannomas (ILS) are rare tumors that frequently cause sensorineural hearing loss. The development and increased use of magnetic resonance imaging in recent years have facilitated the diagnosis of these tumors that present with otherwise nondiscriminant symptoms such as tinnitus, vertigo, and hearing loss. The following is a review of the presentation, pathophysiology, imaging, and treatment with a focused discussion on auditory rehabilitation options of ILS.

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