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Repeated foreign body placement in bilateral external ear canals: Where psychology meets otorhinolaryngology
Abstracts / International Journal of Pediatric Otorhinolaryngology 74 (2010) 1095–1099
no recurrences have been reported to date. The histology is similar to normal salivary glands suggesting this lesion may represent a hamartoma rather than a neoplasm. Despite the presence of other congenital anomalies in this patient, there are no reports in the literature correlating SGAT with any other feature or genetic abnormality. Complete resection is the primary management and recurrences have not been reported. doi:10.1016/j.ijporl.2010.03.061
Concurrent pneumolabyrinth and pneumo-internal auditory canal: An extremely unusual finding of otic capsule violating fracture Heung Eog Cha, Chang Hyun Cho, Gyu Cheol Han, Seung Won Chung * The Department of Otorhinolaryngology-Head and Neck Surgery, Gachon University of Medicine & Science, Graduate School of Medicine, 1198 Guwal-dong, Nam dong-gu, Incheon 405-760, South Korea Pneumolabyrinth is condition in which the vestibule or cochlea is filled with air. It is rarely detected even in otic capsule violating fracture. Air trapped in internal auditory canal, which is also extremely unusual finding of temporal bone fracture involving otic capsule is reported from only one literature. Here, we report on a patient showing unilateral concurrent pneumocochlea, pneumovestibule and penumo-internal auditory canal (IAC). To the best of our knowledge, air trapping concurrently inside the cochlea, vestibule, and internal auditory canal has not been reported before in the literature. doi:10.1016/j.ijporl.2010.03.062
Resolution of hypoglossal nerve palsy associated with retropharyngeal abscess after prompt medical and surgical treatment Evan J. Propst a,*, Jeremy D. Prager a, Sally R. Shott a, Bernadette Koch b, Joel E. Mortensen c, John H. Greinwald a a Division of Pediatric Otolaryngology, Department of Otolaryngology, Head and Neck Surgery, Cincinnati Children’s Hospital Medical Center, MLC 2018, 3333 Burnet Avenue, Cincinnati, OH 45229-3039, United States b Division of Radiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States c Division of Pathology and Laboratory Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States
Isolated hypoglossal nerve palsy due to retropharyngeal abscess is extremely rare. We report two patients with this finding, both of whom presented with concomitant retropharyngeal abscess/cellulitis. In one patient, the hypoglossal nerve palsy presented early in the course of the infection, whereas in the other patient, the hypoglossal nerve palsy occurred as the patient was clinically improving. Both patients were treated with intravenous antibiotics and surgical drainage. These cases suggest that hypoglossal nerve palsy should be an indication for aggressive therapy of a retropharyngeal abscess, and that hypoglossal nerve palsy may be reversible if managed expeditiously. doi:10.1016/j.ijporl.2010.03.063
1097
Repeated foreign body placement in bilateral external ear canals: Where psychology meets otorhinolaryngology Yasin Bez a,*, Vefa Kinis b, Baris Naiboglu c a Dicle University School of Medicine, Department of Psychiatry, 21280 Diyarbakir, Turkey b Ergani State Hospital, ENT Clinic, Diyarbakir, Turkey c Haydarpasa Research and Training Hospital, 2. ENT Clinic, Istanbul, Turkey
Various types of foreign bodies in external ear canals are commonly seen especially in children. They are usually managed without any severe complications if handled by trained personnel. Presentation of foreign bodies in both external ear canals is rarely encountered. Furthermore, repeated admission of a child with bilateral external ear involvement is also not reported before. Here, we present a 4 years old boy with repeated admission after inserting stones into his ear canals and discuss the behavioral correlates and their implications to otorhinolaryngology practice. doi:10.1016/j.ijporl.2010.03.064
Wegener’s granulomatosis in an adolescent presenting with pachymeningitis, mastoid effusion and Horner’s syndrome Gavriel D. Kohlberg, Mai Thy Truong, Kay W. Chang * Stanford Department of Otolaryngology-Head & Neck Surgery, Stanford University Medical Center, 801 Welch Road, Stanford, CA 94305, United States
Wegener’s granulomatosis (WG) classically affects the upper and lower respiratory tracts as well as the renal system, while central nervous system (CNS) involvement is rare. We report a 17year-old patient with WG who presented with a 2-month history of meningeal signs, left Horner’s syndrome, multiple cranial neuropathies and a left middle ear effusion. MRI demonstrated left middle ear and mastoid effusions, pachymeningitis with diffuse left temporal dural enhancement, and right sinus destructive changes. In this report, we will review diagnostic and therapeutic approaches to Wegener’s granulomatosis, with a particular emphasis on CNS manifestations and the adolescent population. doi:10.1016/j.ijporl.2010.03.065
Carotid anomaly in CHARGE association: A case report Matt A. Wilson a,*, J. Fredrik Grimmer a, John Hawkins b a Division of Otolaryngolgy-Head and Neck Surgery, University of Utah School of Medicine, 50 North Medical Drive Rm# 3C120, Salt Lake City, UT 84132, USA b Department of Surgery, University of Utah School of Medicine, 50 North Medical Drive, Salt Lake City, UT 84132, USA
Introduction: Vascular anomalies outside the chest are rare in the CHARGE population and can make surgical interventions more
no recurrences have been reported to date. The histology is similar to normal salivary glands suggesting this lesion may represent a hamartoma rather than a neoplasm. Despite the presence of other congenital anomalies in this patient, there are no reports in the literature correlating SGAT with any other feature or genetic abnormality. Complete resection is the primary management and recurrences have not been reported. doi:10.1016/j.ijporl.2010.03.061
Concurrent pneumolabyrinth and pneumo-internal auditory canal: An extremely unusual finding of otic capsule violating fracture Heung Eog Cha, Chang Hyun Cho, Gyu Cheol Han, Seung Won Chung * The Department of Otorhinolaryngology-Head and Neck Surgery, Gachon University of Medicine & Science, Graduate School of Medicine, 1198 Guwal-dong, Nam dong-gu, Incheon 405-760, South Korea Pneumolabyrinth is condition in which the vestibule or cochlea is filled with air. It is rarely detected even in otic capsule violating fracture. Air trapped in internal auditory canal, which is also extremely unusual finding of temporal bone fracture involving otic capsule is reported from only one literature. Here, we report on a patient showing unilateral concurrent pneumocochlea, pneumovestibule and penumo-internal auditory canal (IAC). To the best of our knowledge, air trapping concurrently inside the cochlea, vestibule, and internal auditory canal has not been reported before in the literature. doi:10.1016/j.ijporl.2010.03.062
Resolution of hypoglossal nerve palsy associated with retropharyngeal abscess after prompt medical and surgical treatment Evan J. Propst a,*, Jeremy D. Prager a, Sally R. Shott a, Bernadette Koch b, Joel E. Mortensen c, John H. Greinwald a a Division of Pediatric Otolaryngology, Department of Otolaryngology, Head and Neck Surgery, Cincinnati Children’s Hospital Medical Center, MLC 2018, 3333 Burnet Avenue, Cincinnati, OH 45229-3039, United States b Division of Radiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States c Division of Pathology and Laboratory Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States
Isolated hypoglossal nerve palsy due to retropharyngeal abscess is extremely rare. We report two patients with this finding, both of whom presented with concomitant retropharyngeal abscess/cellulitis. In one patient, the hypoglossal nerve palsy presented early in the course of the infection, whereas in the other patient, the hypoglossal nerve palsy occurred as the patient was clinically improving. Both patients were treated with intravenous antibiotics and surgical drainage. These cases suggest that hypoglossal nerve palsy should be an indication for aggressive therapy of a retropharyngeal abscess, and that hypoglossal nerve palsy may be reversible if managed expeditiously. doi:10.1016/j.ijporl.2010.03.063
1097
Repeated foreign body placement in bilateral external ear canals: Where psychology meets otorhinolaryngology Yasin Bez a,*, Vefa Kinis b, Baris Naiboglu c a Dicle University School of Medicine, Department of Psychiatry, 21280 Diyarbakir, Turkey b Ergani State Hospital, ENT Clinic, Diyarbakir, Turkey c Haydarpasa Research and Training Hospital, 2. ENT Clinic, Istanbul, Turkey
Various types of foreign bodies in external ear canals are commonly seen especially in children. They are usually managed without any severe complications if handled by trained personnel. Presentation of foreign bodies in both external ear canals is rarely encountered. Furthermore, repeated admission of a child with bilateral external ear involvement is also not reported before. Here, we present a 4 years old boy with repeated admission after inserting stones into his ear canals and discuss the behavioral correlates and their implications to otorhinolaryngology practice. doi:10.1016/j.ijporl.2010.03.064
Wegener’s granulomatosis in an adolescent presenting with pachymeningitis, mastoid effusion and Horner’s syndrome Gavriel D. Kohlberg, Mai Thy Truong, Kay W. Chang * Stanford Department of Otolaryngology-Head & Neck Surgery, Stanford University Medical Center, 801 Welch Road, Stanford, CA 94305, United States
Wegener’s granulomatosis (WG) classically affects the upper and lower respiratory tracts as well as the renal system, while central nervous system (CNS) involvement is rare. We report a 17year-old patient with WG who presented with a 2-month history of meningeal signs, left Horner’s syndrome, multiple cranial neuropathies and a left middle ear effusion. MRI demonstrated left middle ear and mastoid effusions, pachymeningitis with diffuse left temporal dural enhancement, and right sinus destructive changes. In this report, we will review diagnostic and therapeutic approaches to Wegener’s granulomatosis, with a particular emphasis on CNS manifestations and the adolescent population. doi:10.1016/j.ijporl.2010.03.065
Carotid anomaly in CHARGE association: A case report Matt A. Wilson a,*, J. Fredrik Grimmer a, John Hawkins b a Division of Otolaryngolgy-Head and Neck Surgery, University of Utah School of Medicine, 50 North Medical Drive Rm# 3C120, Salt Lake City, UT 84132, USA b Department of Surgery, University of Utah School of Medicine, 50 North Medical Drive, Salt Lake City, UT 84132, USA
Introduction: Vascular anomalies outside the chest are rare in the CHARGE population and can make surgical interventions more