Histopathologic Findings of an Aberrant Internal Carotid Artery in the Temporal Bone with Fatal Complication.
Kimura, Yurika; Makino, Nao; Sawabe, Motoji; Kitamura, Ken, 2015-08-05 08:00:00 AM
Prevention of Postoperative Cerebrospinal Fluid Leaks After Translabyrinthine Tumor Resection with Resorbable Mesh Cranioplasty.
Hunter, Jacob B.; Sweeney, Alex D.; Carlson, Matthew L.; Wanna, George B.; Rivas, Alejandro; Weaver, Kyle D.; Chambless, Lola B.; Thompson, Reid S.; Haynes, David S.; Bennett, Marc L., 2015-08-05 08:00:00 AM
Objectives: To evaluate the effectiveness of resorbable mesh cranioplasty at reducing postoperative cerebrospinal fluid (CSF) leak and pseudomeningocele formation after translabyrinthine tumor resection. Study Design: Case series with chart review. Setting: Tertiary academic referral center. Patients: Fifty-three consecutive cases using a resorbable mesh cranioplasty after translabyrinthine tumor resection were reviewed. Intervention: Temporal bone defects were repaired with a dural substitute, layered fat graft, and a resorbable mesh plate secured with screws. Main Outcome Measures: Primary outcome measures included the incidence of postoperative CSF wound leak or rhinorrhea, pseudomeningocele formation, and surgical site infection. Results: Fifty-three cases (average age, 54.0 yr; range, 19.3-75.1 yr) were analyzed. The average body mass index was 30.8 kg/m2 (range, 17.9-48.3 kg/m2), and the average tumor size was 18.8 mm (range, 8-38 mm). One patient (1.9%) experienced CSF rhinorrhea on postoperative Day 16, which resolved after transmastoid middle ear and eustachian tube packing. One patient (1.9%) experienced a surgical site infection requiring surgical debridement and mesh removal 4 months after surgery. Compared with 1,441 prior translabyrinthine surgeries analyzed from our institution using a traditional fat graft closure without mesh, the rate of postoperative CSF leak was significantly less using the resorbable mesh cranioplasty technique (p = 0.0483). Conclusion: Resorbable mesh cranioplasty is a safe and effectivemethod to reduce postoperative CSF leak and pseudomeningocele formation after translabyrinthine craniotomy for tumor excision. Copyright (C) 2015 by Otology & Neurotology, Inc. Image copyright (C) 2010 Wolters Kluwer Health/Anatomical Chart CompanyPulmonary Embolism and Infarct After Bilateral Cochlear Implantation in a Patient with Newly Diagnosed Sickle/[beta]+ Thalassemia.
Tang, Shan; Nickel, Christopher; Lalwani, Anil K., 2015-08-05 08:00:00 AM
Objective: To heighten awareness of increased postoperative thromboembolic complications in patients with [beta]-hemoglobinopathies. Patient: A 42-year-old African American woman with previously undiagnosed [beta]-hemoglobinopathies suffers from sensorineural hearing loss caused by bacterial meningitis and undergoes bilateral cochlear implantation. Intervention(s): Diagnostic: hemoglobin electrophoresis. Therapeutic: cochlear implantation, anticoagulation. Main Outcome Measure(s): Risk of thromboembolic event. Results: Five days after surgery, the patient developed pulmonary embolism and infarct in the right lower lobe, which was treated with a 4-month course of anticoagulation. Hemoglobin electrophoresis showed that the patient had a previously undiagnosed rare [beta]-hemoglobinopathy known as sickle/[beta]+ thalassemia. Conclusion: [beta]-Hemoglobinopathies are associated with a higher incidence of thromboembolism; thus, they should be managed aggressively to prevent or treat perioperative thrombosis. Copyright (C) 2015 by Otology & Neurotology, Inc. Image copyright (C) 2010 Wolters Kluwer Health/Anatomical Chart CompanyUnresectable Recurrent Squamous Cell Carcinoma of the Temporal Bone Treated by Induction Chemotherapy Followed by Concurrent Chemo-Reirradiation: A Case Report and Review of the Literature.
Kun, Ma; Xinxin, Zhang; Feifan, Zhao; Lin, Ma, 2015-08-05 08:00:00 AM
Objective: To report a rare case of recurrent temporal bone carcinoma encasing the carotid artery. Patient: A 54-year-old man underwent mastoidectomy combined with adjuvant chemoradiotherapy of squamous cell carcinoma of the temporal bone. He developed metastatic disease and received parotidectomy and lymph node dissection. Three months later, the magnetic resonance imaging scan showed that the tumor had relapsed and invaded the carotid artery. Intervention: The patient completed TPF-C induction chemotherapy (docetaxel, cisplatin, 5-fluorouracil, cetuximab), followed by concurrent chemotherapy with reirradiation. Results: Magnetic resonance imaging revealed a complete response of tumor 1 month after treatment. The patient had no detectable recurrence after 53 months of follow-up. Conclusion: Concurrent chemotherapy with reirradiation is a potential curative treatment option for patients who have unresectable recurrent squamous cell carcinoma of the temporal bone. Copyright (C) 2015 by Otology & Neurotology, Inc. Image copyright (C) 2010 Wolters Kluwer Health/Anatomical Chart CompanyLateral Semicircular Canal-enlarged Vestibular Aqueduct Fistula Associated With Paroxysmal Positional Nystagmus.
Suzuki, Mitsuya; Ota, Yasushi; Tanaka, Toshitake; Ota, Yutaka, 2015-08-05 08:00:00 AM
Autophony in a Patient With Giant Cell Tumor of the Temporal Bone.
Miller, Mark A.; Kesarwani, Priya; Crane, Benjamin T., 2015-08-05 08:00:00 AM
A Pragmatic Strategy for the Evaluation and Management of Anterior Canal Benign Positional Vertigo.
Luis, Leonel; Costa, Joao; Yacovino, Dario, 2015-08-05 08:00:00 AM
Imaging Characteristics of Cerebellopontine Angle Chloroma.
Reuther, Marsha S.; Mafee, Mahmood F.; Alexander, Thomas H., 2015-08-05 08:00:00 AM
Spontaneous Otogenic Temporal Lobe Pneumatocele Presenting With Acute Aphasia.
Noud, Meaghan; Sweeney, Alex D.; Carlson, Matthew L.; Bennett, Marc L., 2015-08-05 08:00:00 AM
An Unusual Complication of Stapes Surgery.
Da Costa, Sady Selaimen; Sperling, Neil; Cruz, Oswaldo Laércio Mendonça; Setogutti, Enio Tadashi, 2015-08-05 08:00:00 AM
Persistent Tubotympanic Recess With Eustachian Tube Atresia.
Larem, Aisha; Sheikh, Rashid; Alqahtani, Abdulsalam; Ashkanani, Sara; Haidar, Hassan, 2015-08-05 08:00:00 AM
Rosai-Dorfman Disease Involving the Ear and Lateral Skull Base.
Douleh, Diana G.; Carlson, Matthew L.; Rinker, Elizabeth B.; Haynes, David S., 2015-08-05 08:00:00 AM
Cerebellopontine Angle Mixed Tumor in Type 2 Neurofibromatosis.
Poletti, Arturo M.; Colombo, Giovanni; Barucca, Filippo; Rognone, Elisa; Fiamengo, Barbara, 2015-08-05 08:00:00 AM
RESPONSE TO ARTICLE: PATIENTS WITH VESTIBULAR LOSS, TULLIO PHENOMENON, AND PRESSURE-INDUCED NYSTAGMUS: VESTIBULAR ATELECTASIS?.
Kaski, Diego; Bronstein, Adolfo Miguel, 2015-08-05 08:00:00 AM
Torticollis: A Symptom in Severe Otitis Media.
Kempfle, Judith Susanne; Friese, Natascha; Breuer, Thomas, 2015-08-05 08:00:00 AM
Inner Ear Inflammatory Pseudotumor With Middle Ear Cholesteatoma.
Jung, Hyo Vin; Choi, Jin Woo; Shin, Jung Eun; Kim, Chang-Hee, 2015-08-05 08:00:00 AM
Intradiploic Epidermoid of Temporal Bone Presenting as Pulsatile Tinnitus.
Lee, Jung Min; Kim, Jae Ki; Yang, Seong Kyeong; Kwon, Joong Keun, 2015-08-05 08:00:00 AM
Barotrauma-induced Pneumolabyrinth and Pneumocephalus Associated with Semicircular Canal Dehiscence.
Ginat, Daniel Thomas; Moonis, Gul, 2015-08-05 08:00:00 AM
Blastomycosis of the Temporal Bone Mimicking Glomus Jugulare Tumor.
Frisch, Christopher D.; Gross, Brian C.; Link, Michael J.; Driscoll, Colin L. W., 2015-08-05 08:00:00 AM
Cochlear Meniere's Disease in Association With a High Jugular Bulb.
Kieran, Stephen M.; Meyer, Ted A., 2015-08-05 08:00:00 AM
A Case of Rotational Vertebral Artery Syndrome.
Lee, Eun Jung; Kang, Ju Won; Chung, Tae-Sub; Son, Eun Jin, 2015-08-05 08:00:00 AM
Minimal Growth of Intracochlear Schwannoma Over 7 Years.
Schoeff, Stephen; Kesser, Bradley W.; Mukherjee, Sugoto, 2015-08-05 08:00:00 AM
Cochlear Implantation in the Setting of Cochlear Ossification as Sequela of Malarial Meningitis.
Svrakic, Maja; Rafii, Benjamin; Roland, J. Thomas Jr., 2015-08-05 08:00:00 AM
WHY NO UNILATERAL VESTIBULAR ATELECTASIS?.
Crane, Benjamin T., 2015-08-05 08:00:00 AM
The Medially Migrating Intracanalicular Vestibular Schwannoma.
Carlson, Matthew L.; Driscoll, Colin L.; Lane, John I.; Link, Michael J., 2015-08-05 08:00:00 AM
Methicillin-Resistant Staphylococcus aureus Otic Capsule and Pontine Infection Masquerading as an Internal Auditory Canal Neoplasm.
Nelson, Rick F.; Hansen, Marlan R.; Hasan, David M., 2015-08-05 08:00:00 AM
HASTE Diffusion-Weighted Magnetic Resonance Imaging of Middle Ear Teratoma.
León, Francisca; Alvo, Andrés; Sanhueza, David; Délano, Paul H.; Stott, Carlos E., 2015-08-05 08:00:00 AM
Cochlear Fistula as a Late Consequence of Tympanomastoidectomy.
Sakaida, Hiroshi; Takeuchi, Kazuhiko, 2015-08-05 08:00:00 AM
Metastatic Breast Cancer Presenting as a Jugular Foramen Mass.
Peng, Kevin A.; Vorasubin, Nopawan; Sepahdari, Ali R.; Ishiyama, Akira, 2015-08-05 08:00:00 AM
Management of Congenital Incudostapedial Anomalies in Stapes Surgery: Retracted.
Kuhn, Jeffery J.; Lassen, Lorenz F., 2015-08-05 08:00:00 AM
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