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SP373 – Facial nerve paresis and sensorineural hearing loss
Program Poster Presentations
SP373 – Facial nerve paresis and sensorineural hearing loss Susan Fulmer, MD (presenter); Valerie Flanary, MD OBJECTIVES: To review a rarely described relationship between sensorineural hearing loss, internal auditory canal stenosis, and facial nerve paresis. METHODS: Case report and literature review. RESULTS: We present two patients with internal auditory canal stenosis, diagnosed by high-resolution computed tomography, who also have congenital facial nerve palsy and profound sensorineural hearing loss. Neither of these patients had any other inner-ear anomalies that would contribute to their profound sensorineural hearing loss. Physical findings found in both patients include inability to attain complete eye closure since birth and asymmetric involvement of the different branches of the facial nerve. CONCLUSIONS: Although uncommon, internal auditory canal stenosis should be included in the differential diagnosis of congenital facial nerve paresis in patients with a concurrent sensorineural hearing loss.
SP371 – Evidence of infection in children with secondary post-tonsillectomy Muhammad Shakeel, DO-HNS (presenter); Mrinal Supriya, DO-HNS; Ahmed Al-Adhami; Haytham Kubba, MD, FRCS
SP378 – Facial squamous cell carcinomas in xeroderma pigmentosum Massoud Boroojerdi (presenter); Mohsen Naraghi, MD
OBJECTIVES: To look for clinical, hematological and biochemical evidence of infection in children presenting with secondary post-tonsillectomy hemorrhage (SPTH). METHODS: A retrospective chart review was performed on all children (less than 15 years) presenting with SPTH, between 2004 and 2006, at a tertiary referral hospital. The levels of clinical and biochemichal markers of infection including, temperature, white cell count (WCC), neutrophil count and C-reactive protein (CRP), were noted. A temperature more than 37.5C was regarded as abnormal. SPSS for Windows v16 (Chicago, IL) was used for data collection and analysis. RESULTS: A total of 1701 patients underwent tonsillectomy⫹/-adenoidectomy. Ninety-seven (5.7%) patients re-attended with SPTH. The mean age of patients was 8 years (Range 2-15, IQR 5-11). Of these 97 patients, 36 (37%) had an elevated WCC. CRP was available for 17/36 (48%) and was elevated in only 4/17 (23.5%) cases. Temperature was noted in 28/36 (78%) and was raised in 6/28 (21%) patients. Sixty-one (63%) of 97 patients had a normal WCC. CRP was checked for 31 (51%) patients and was elevated in 11/31 (35.5%) cases. Temperature was recorded for 46/61 (75%) and 2/46 patients (4%) had a raised temperature. CONCLUSIONS: Most children with SPTH do not have consistent features of systemic infection. Routine use of antibiotics in pediatric patients with SPTH remains to be justified.
OBJECTIVES: 1) Present an unusual case of xeroderma pigmentosum with multiple and huge tumors of face. 2) Review different treatment modalities. 3) Discuss about result of therapy. METHODS: A 9-year-old boy presented clinically because of a rapidly growing ulcerative lesion of the face that was biopsied and found to be squamous cell carcinoma. Left globe was completely degenerated and was covered by tumor. There were multiple separated satellite lesions on the skin of forehead, lower lip, and right cheek. CT scanning revealed large mass over the left facial skeleton with involvement of soft tissue of this region and asymmetric globes. The large tumor was resected with 1cm safe margin. The depth of resection was anterior wall of maxilla. The defect was reconstructed with split-thickness skin graft. RESULTS: Pathology examination of all lesions was SCC. Chemoprophylaxis with oral isotretinoin then was performed. No recurrence was seen within 12-month follow-up. CONCLUSIONS: The described case presents an unusual and neglected case of XP, with multiple and huge tumors of face and sever neurologic and ocular abnormality. Due to the chronic nature of the disease, it is necessary to excise the least amount of tissue consistent with tumor removal while preserving margin, in order to preserve skin for future procedures.
POSTERS
tious disease are common. The purpose of our study is to study ENT health check-ups for school children and investigate causes of disease in a remote area. METHODS: Three Indonesian ENT doctors, several general doctors in Lombok, and assistant staffs from JICA have a combined joint team. We surveyed a total 2,486 children (age range 6-18 yrs, mean age 12.7 yrs) from primary school, secondary school, and high school. Their physical status was measured in body height and weight. Body mass index are calculated after their data and compared with those of Japanese children matched in age. RESULTS: There were 397 out of 1,217 primary school cases (32.6%), 211 of 667 secondary school cases (31.7%), and 171 of 602 (28.4%) high school cases diagnosed in ear disease. Out of the 1,217 primary school there were 121 cases (9.9%), 59/667 (8.8%) secondary, and 9/502 (1.5%) high school cases diagnosed as sinusitis. CONCLUSIONS: Their physical status was inferior to that of Japanese children matched in age. In Indonesia, infectious disease of school children was considered due to nutrition problems and lack of medical service.
P205
SP373 – Facial nerve paresis and sensorineural hearing loss Susan Fulmer, MD (presenter); Valerie Flanary, MD OBJECTIVES: To review a rarely described relationship between sensorineural hearing loss, internal auditory canal stenosis, and facial nerve paresis. METHODS: Case report and literature review. RESULTS: We present two patients with internal auditory canal stenosis, diagnosed by high-resolution computed tomography, who also have congenital facial nerve palsy and profound sensorineural hearing loss. Neither of these patients had any other inner-ear anomalies that would contribute to their profound sensorineural hearing loss. Physical findings found in both patients include inability to attain complete eye closure since birth and asymmetric involvement of the different branches of the facial nerve. CONCLUSIONS: Although uncommon, internal auditory canal stenosis should be included in the differential diagnosis of congenital facial nerve paresis in patients with a concurrent sensorineural hearing loss.
SP371 – Evidence of infection in children with secondary post-tonsillectomy Muhammad Shakeel, DO-HNS (presenter); Mrinal Supriya, DO-HNS; Ahmed Al-Adhami; Haytham Kubba, MD, FRCS
SP378 – Facial squamous cell carcinomas in xeroderma pigmentosum Massoud Boroojerdi (presenter); Mohsen Naraghi, MD
OBJECTIVES: To look for clinical, hematological and biochemical evidence of infection in children presenting with secondary post-tonsillectomy hemorrhage (SPTH). METHODS: A retrospective chart review was performed on all children (less than 15 years) presenting with SPTH, between 2004 and 2006, at a tertiary referral hospital. The levels of clinical and biochemichal markers of infection including, temperature, white cell count (WCC), neutrophil count and C-reactive protein (CRP), were noted. A temperature more than 37.5C was regarded as abnormal. SPSS for Windows v16 (Chicago, IL) was used for data collection and analysis. RESULTS: A total of 1701 patients underwent tonsillectomy⫹/-adenoidectomy. Ninety-seven (5.7%) patients re-attended with SPTH. The mean age of patients was 8 years (Range 2-15, IQR 5-11). Of these 97 patients, 36 (37%) had an elevated WCC. CRP was available for 17/36 (48%) and was elevated in only 4/17 (23.5%) cases. Temperature was noted in 28/36 (78%) and was raised in 6/28 (21%) patients. Sixty-one (63%) of 97 patients had a normal WCC. CRP was checked for 31 (51%) patients and was elevated in 11/31 (35.5%) cases. Temperature was recorded for 46/61 (75%) and 2/46 patients (4%) had a raised temperature. CONCLUSIONS: Most children with SPTH do not have consistent features of systemic infection. Routine use of antibiotics in pediatric patients with SPTH remains to be justified.
OBJECTIVES: 1) Present an unusual case of xeroderma pigmentosum with multiple and huge tumors of face. 2) Review different treatment modalities. 3) Discuss about result of therapy. METHODS: A 9-year-old boy presented clinically because of a rapidly growing ulcerative lesion of the face that was biopsied and found to be squamous cell carcinoma. Left globe was completely degenerated and was covered by tumor. There were multiple separated satellite lesions on the skin of forehead, lower lip, and right cheek. CT scanning revealed large mass over the left facial skeleton with involvement of soft tissue of this region and asymmetric globes. The large tumor was resected with 1cm safe margin. The depth of resection was anterior wall of maxilla. The defect was reconstructed with split-thickness skin graft. RESULTS: Pathology examination of all lesions was SCC. Chemoprophylaxis with oral isotretinoin then was performed. No recurrence was seen within 12-month follow-up. CONCLUSIONS: The described case presents an unusual and neglected case of XP, with multiple and huge tumors of face and sever neurologic and ocular abnormality. Due to the chronic nature of the disease, it is necessary to excise the least amount of tissue consistent with tumor removal while preserving margin, in order to preserve skin for future procedures.
POSTERS
tious disease are common. The purpose of our study is to study ENT health check-ups for school children and investigate causes of disease in a remote area. METHODS: Three Indonesian ENT doctors, several general doctors in Lombok, and assistant staffs from JICA have a combined joint team. We surveyed a total 2,486 children (age range 6-18 yrs, mean age 12.7 yrs) from primary school, secondary school, and high school. Their physical status was measured in body height and weight. Body mass index are calculated after their data and compared with those of Japanese children matched in age. RESULTS: There were 397 out of 1,217 primary school cases (32.6%), 211 of 667 secondary school cases (31.7%), and 171 of 602 (28.4%) high school cases diagnosed in ear disease. Out of the 1,217 primary school there were 121 cases (9.9%), 59/667 (8.8%) secondary, and 9/502 (1.5%) high school cases diagnosed as sinusitis. CONCLUSIONS: Their physical status was inferior to that of Japanese children matched in age. In Indonesia, infectious disease of school children was considered due to nutrition problems and lack of medical service.
P205