Pub Date : 2021-11-19DOI: 10.1080/23772484.2021.2008798
M. Ushio, Manabu Kataoka, Kenji Iyama, A. Shimizu, Mitsuya Suzuki
Abstract Nose blowing can increase middle ear and cerebrospinal fluid pressure. We report a case of biphasic nystagmus induced by nose blowing. The patient showed biphasic, right-beating, and left-beating nystagmus, and complained of spinning vertigo after blowing her nose. The nose-pinched and glottic Valsalva maneuver and the Toynbee maneuver suggested that biphasic nystagmus was induced by increased middle ear pressure. Diseases inducing biphasic nystagmus were ruled out. A left tympanotomy resolved the patient’s vertigo and biphasic nystagmus, whereas right tympanotomy did not alleviate them. When middle ear pressure changes are thought to be the cause of vertigo and nystagmus, a right or left tympanotomy may be considered a possible option for diagnosis and treatment, even if the cause and the affected side of the disease are unknown.
{"title":"Nose blowing-induced biphasic nystagmus of unknown origin","authors":"M. Ushio, Manabu Kataoka, Kenji Iyama, A. Shimizu, Mitsuya Suzuki","doi":"10.1080/23772484.2021.2008798","DOIUrl":"https://doi.org/10.1080/23772484.2021.2008798","url":null,"abstract":"Abstract Nose blowing can increase middle ear and cerebrospinal fluid pressure. We report a case of biphasic nystagmus induced by nose blowing. The patient showed biphasic, right-beating, and left-beating nystagmus, and complained of spinning vertigo after blowing her nose. The nose-pinched and glottic Valsalva maneuver and the Toynbee maneuver suggested that biphasic nystagmus was induced by increased middle ear pressure. Diseases inducing biphasic nystagmus were ruled out. A left tympanotomy resolved the patient’s vertigo and biphasic nystagmus, whereas right tympanotomy did not alleviate them. When middle ear pressure changes are thought to be the cause of vertigo and nystagmus, a right or left tympanotomy may be considered a possible option for diagnosis and treatment, even if the cause and the affected side of the disease are unknown.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"6 1","pages":"110 - 115"},"PeriodicalIF":0.1,"publicationDate":"2021-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47467914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-10DOI: 10.1080/23772484.2021.1901587
Ivan Segerhammar, E. Jans, A. Eriksson, F. Landström
Abstract COVID-19 was first reported of in December of 2019 and has since developed into a global pandemic disease. An intratonsillar abscess is a rarely encountered diagnosis and the clinical presentation can mimic that of a peritonsillar abscess. Here, we report on two cases of intratonsillar abscess and concurrent COVID-19 infection. Case 1: A 19-year old male presented with a sore throat, right-sided neck pain and difficulty swallowing. Needle aspiration of a peritonsillar bulging was negative for pus. Computed tomography showed an intratonsillar abscess. Intratonsillar needle aspiration was again negative for pus. The patient was treated with antibiotics and his condition improved without surgical intervention. Case 2: A 43-year-old female presented with a sore throat, difficulty swallowing, fever and myalgia. Examination showed peritonsillar swelling on the right side. Computed tomography showed an intratonsillar abscess on the right side. Intratonsillar needle aspiration was positive for pus. The patient was treated with antibiotics and her condition improved. To our knowledge, this is the first publication to report the development of intratonsillar abscess in patients with COVID-19.
{"title":"Intratonsillar abscess in patients with COVID-19: Two case reports","authors":"Ivan Segerhammar, E. Jans, A. Eriksson, F. Landström","doi":"10.1080/23772484.2021.1901587","DOIUrl":"https://doi.org/10.1080/23772484.2021.1901587","url":null,"abstract":"Abstract COVID-19 was first reported of in December of 2019 and has since developed into a global pandemic disease. An intratonsillar abscess is a rarely encountered diagnosis and the clinical presentation can mimic that of a peritonsillar abscess. Here, we report on two cases of intratonsillar abscess and concurrent COVID-19 infection. Case 1: A 19-year old male presented with a sore throat, right-sided neck pain and difficulty swallowing. Needle aspiration of a peritonsillar bulging was negative for pus. Computed tomography showed an intratonsillar abscess. Intratonsillar needle aspiration was again negative for pus. The patient was treated with antibiotics and his condition improved without surgical intervention. Case 2: A 43-year-old female presented with a sore throat, difficulty swallowing, fever and myalgia. Examination showed peritonsillar swelling on the right side. Computed tomography showed an intratonsillar abscess on the right side. Intratonsillar needle aspiration was positive for pus. The patient was treated with antibiotics and her condition improved. To our knowledge, this is the first publication to report the development of intratonsillar abscess in patients with COVID-19.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"6 1","pages":"22 - 25"},"PeriodicalIF":0.1,"publicationDate":"2021-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23772484.2021.1901587","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45342997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1080/23772484.2021.2004151
Marie-Louise Uhre Hansen, Thomas Vedtofte, I. Wessel, M. Kaltoft
Abstract Concurrent thyroid hemiagenesis and ectopic thyroid tissue are rare conditions and can challenge the clinical appearance. Only one other case story in the literature has described thyroid hemiagenesis and concurrent submandibular ectopic thyroid tissue. A 29-year-old female with an asymptomatic submandibular mass was referred to our clinic. Based on clinical investigation and ultrasound-guided fine-needle aspiration, we were not able to determine whether the neck mass was a cystic metastasis or ectopic thyroid tissue. Magnetic Resonance Imaging showed hemiagenesis of the right thyroid lobe. The neck mass was surgically removed, and the histopathology revealed thyroid tissue without malignancy. This case suggests that a thorough clinical evaluation with proper radiological imaging modalities is essential for the correct diagnosis. One should have in mind that ectopic thyroid tissue could be present outside the migration way of the thyroglossal duct and present as a submandibular neck mass.
{"title":"Submandibular ectopic thyroid tissue and concurrent thyroid hemiagenesis","authors":"Marie-Louise Uhre Hansen, Thomas Vedtofte, I. Wessel, M. Kaltoft","doi":"10.1080/23772484.2021.2004151","DOIUrl":"https://doi.org/10.1080/23772484.2021.2004151","url":null,"abstract":"Abstract Concurrent thyroid hemiagenesis and ectopic thyroid tissue are rare conditions and can challenge the clinical appearance. Only one other case story in the literature has described thyroid hemiagenesis and concurrent submandibular ectopic thyroid tissue. A 29-year-old female with an asymptomatic submandibular mass was referred to our clinic. Based on clinical investigation and ultrasound-guided fine-needle aspiration, we were not able to determine whether the neck mass was a cystic metastasis or ectopic thyroid tissue. Magnetic Resonance Imaging showed hemiagenesis of the right thyroid lobe. The neck mass was surgically removed, and the histopathology revealed thyroid tissue without malignancy. This case suggests that a thorough clinical evaluation with proper radiological imaging modalities is essential for the correct diagnosis. One should have in mind that ectopic thyroid tissue could be present outside the migration way of the thyroglossal duct and present as a submandibular neck mass.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"6 1","pages":"91 - 95"},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48005025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1080/23772484.2021.1975498
Hilal Burcu Ozkan, Betül Çiçek Çınar, M. Yaralı, G. Sennaroğlu, B. Bilginer, L. Sennaroğlu
Abstract Inner ear malformations are one of the common causes of hearing loss. Common cavity is extremely rare among the types of inner ear anomalies. In this study, 8-years development period of a boy with common cavity is presented. In case of side effect such as facial nerve stimulation or insufficient hearing and language development with cochlear implant use, auditory brainstem implant may be indicated on the contralateral side. Our case had a re-implantation due to facial nerve stimulation after cochlear implant. After the second cochlear implant activation, everything seemed fine, facial nerve stimulation was seen again in the patient and the child refused to wear cochlear implant. This suddenly stopped his auditory perception and language development. Our patient started to regress. As a team, we decided that our case needed an auditory brainstem implant. Improvements in auditory perception and language development were observed in our patient after auditory brainstem implant.
{"title":"Facial nerve stimulation necessitating auditory brainstem implantation: 8 years follow-up a case report","authors":"Hilal Burcu Ozkan, Betül Çiçek Çınar, M. Yaralı, G. Sennaroğlu, B. Bilginer, L. Sennaroğlu","doi":"10.1080/23772484.2021.1975498","DOIUrl":"https://doi.org/10.1080/23772484.2021.1975498","url":null,"abstract":"Abstract Inner ear malformations are one of the common causes of hearing loss. Common cavity is extremely rare among the types of inner ear anomalies. In this study, 8-years development period of a boy with common cavity is presented. In case of side effect such as facial nerve stimulation or insufficient hearing and language development with cochlear implant use, auditory brainstem implant may be indicated on the contralateral side. Our case had a re-implantation due to facial nerve stimulation after cochlear implant. After the second cochlear implant activation, everything seemed fine, facial nerve stimulation was seen again in the patient and the child refused to wear cochlear implant. This suddenly stopped his auditory perception and language development. Our patient started to regress. As a team, we decided that our case needed an auditory brainstem implant. Improvements in auditory perception and language development were observed in our patient after auditory brainstem implant.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"6 1","pages":"96 - 103"},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45465786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1080/23772484.2021.1908143
Yael D Friedland, T. Whitmore, Eric Chun Pu Chu, J. Kuthubutheen
Abstract Tuberculous otitis media (TOM) is a rare manifestation of tuberculosis (TB) caused by Mycobacterium tuberculosis. A case of a 64-year-old female and challenges involved in arriving at the diagnosis of TOM is presented. The patient had surgery for suspected complicated cholesteatoma, but given intraoperative findings and clinical suspicion, investigations were performed to exclude multiple differential diagnoses, including TOM. Initial histopathological finding showing necrotising granulomata was suspicious for TB, but initial samples were culture negative. However, in the absence of alternative diagnoses and high pre-test probability the patient was commenced on empirical treatment. During therapy, a sample of ear cerumen was sent for mycobacterial culture and was found to be culture positive for M. tuberculosis, confirming the diagnosis. To our knowledge, this is the first case to report M. tuberculosis cultured from ear cerumen. The patient is being treated with six months of therapy and is showing improvement with resolution of symptoms.
{"title":"Mycobacterium tuberculosis of the temporal bone","authors":"Yael D Friedland, T. Whitmore, Eric Chun Pu Chu, J. Kuthubutheen","doi":"10.1080/23772484.2021.1908143","DOIUrl":"https://doi.org/10.1080/23772484.2021.1908143","url":null,"abstract":"Abstract Tuberculous otitis media (TOM) is a rare manifestation of tuberculosis (TB) caused by Mycobacterium tuberculosis. A case of a 64-year-old female and challenges involved in arriving at the diagnosis of TOM is presented. The patient had surgery for suspected complicated cholesteatoma, but given intraoperative findings and clinical suspicion, investigations were performed to exclude multiple differential diagnoses, including TOM. Initial histopathological finding showing necrotising granulomata was suspicious for TB, but initial samples were culture negative. However, in the absence of alternative diagnoses and high pre-test probability the patient was commenced on empirical treatment. During therapy, a sample of ear cerumen was sent for mycobacterial culture and was found to be culture positive for M. tuberculosis, confirming the diagnosis. To our knowledge, this is the first case to report M. tuberculosis cultured from ear cerumen. The patient is being treated with six months of therapy and is showing improvement with resolution of symptoms.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"6 1","pages":"30 - 35"},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23772484.2021.1908143","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47298130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1080/23772484.2021.1888645
Safeer Mohammed, S. H. Jang, Dong Hee Han, I. Moon
Abstract Primary Inner Ear Schwannomas (PIES) are rare benign tumors. Due to their slow growth, they are often missed during initial screening evaluation, and thus diagnosis is often delayed. Careful analysis of history with scrutiny of MRI should help to differentiate them from other pathologies resembling in symptoms. Here, we presented 4 cases diagnosed with PIES and clinical characteristics of them were analyzed. Furthermore, we elaborated a new surgical approach for the treatment of 4 PIES cases, resulting in complete tumor removal with no evidence of recurrence or residual growth on postoperative MRI follow up. No major short- or long-term complications were noted. Our case series emphasizes on treatment of PIES through a Minimal Invasive Endoscopic approach avoiding incisions and mastoid drilling thereby reducing operative time and surgical morbidity.
{"title":"Minimally invasive endoscopic removal of primary inner ear schwannomas","authors":"Safeer Mohammed, S. H. Jang, Dong Hee Han, I. Moon","doi":"10.1080/23772484.2021.1888645","DOIUrl":"https://doi.org/10.1080/23772484.2021.1888645","url":null,"abstract":"Abstract Primary Inner Ear Schwannomas (PIES) are rare benign tumors. Due to their slow growth, they are often missed during initial screening evaluation, and thus diagnosis is often delayed. Careful analysis of history with scrutiny of MRI should help to differentiate them from other pathologies resembling in symptoms. Here, we presented 4 cases diagnosed with PIES and clinical characteristics of them were analyzed. Furthermore, we elaborated a new surgical approach for the treatment of 4 PIES cases, resulting in complete tumor removal with no evidence of recurrence or residual growth on postoperative MRI follow up. No major short- or long-term complications were noted. Our case series emphasizes on treatment of PIES through a Minimal Invasive Endoscopic approach avoiding incisions and mastoid drilling thereby reducing operative time and surgical morbidity.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"6 1","pages":"16 - 21"},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23772484.2021.1888645","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48996907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1080/23772484.2021.1986402
Atsumu Teramura, A. Kakigi, Tomonari Takano, K. Yasuhara
Abstract A 10-year-old girl with left-sided congenital deafness, who was treated for recurrent otitis media effusion, presented with conductive hearing loss in her only hearing ear. Otoscopy showed a blue mass in the tympanic cavity, and a dehiscent high jugular bulb (DHJB) was diagnosed. Computed tomography showed that the jugular bulb (JB) was located above the inferior wall of the tympanic cavity and was in contact with the tympanic membrane and obstructing the round window niche. The patient underwent surgical fixation of the DHJB and reconstruction of the tympanic floor with a tragus cartilage autograft. Two years after the operation, the JB was still situated in an appropriate location, and the patient’s hearing had improved. Observation is one of the management options for DHJB. However, surgical treatment should be considered for DHJB, even if the patient only has one hearing ear.
{"title":"Tympanic floor reconstruction for conductive hearing loss due to a dehiscent high jugular bulb in the only hearing ear","authors":"Atsumu Teramura, A. Kakigi, Tomonari Takano, K. Yasuhara","doi":"10.1080/23772484.2021.1986402","DOIUrl":"https://doi.org/10.1080/23772484.2021.1986402","url":null,"abstract":"Abstract A 10-year-old girl with left-sided congenital deafness, who was treated for recurrent otitis media effusion, presented with conductive hearing loss in her only hearing ear. Otoscopy showed a blue mass in the tympanic cavity, and a dehiscent high jugular bulb (DHJB) was diagnosed. Computed tomography showed that the jugular bulb (JB) was located above the inferior wall of the tympanic cavity and was in contact with the tympanic membrane and obstructing the round window niche. The patient underwent surgical fixation of the DHJB and reconstruction of the tympanic floor with a tragus cartilage autograft. Two years after the operation, the JB was still situated in an appropriate location, and the patient’s hearing had improved. Observation is one of the management options for DHJB. However, surgical treatment should be considered for DHJB, even if the patient only has one hearing ear.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"6 1","pages":"81 - 84"},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43923012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1080/23772484.2021.1888647
Linnea Chika Kristensen Ejiofor, C. von Buchwald, M. Alanin
Abstract Background Intracranial abscess formation secondary to chronic rhinosinusitis (CRS) is a rare, but life-threatening infection with a poor outcome. Case presentation A 63-year old Caucasian male with a history of CRS presented with one day of fever (40,3 °C), repeated vomiting, two episodes of generalized seizures, and later became unresponsive. The patient was diagnosed with pansinusitis and a cerebral abscess, and he was treated successfully with surgery and antibiotic therapy. At follow-up nearly 9 years later, the patient had only minor complaints despite severe sinus pathology on the follow-up computed tomography scan. Conclusion Early diagnosis and treatment of intracranial complications are essential to reduce subsequent morbidity and mortality. After an acute exacerbation, imaging findings and subjective complaints may differ. Treatment should, therefore, be based on a combination of objective and subjective findings.
{"title":"Chronic rhinosinusitis complicated by intracranial suppuration","authors":"Linnea Chika Kristensen Ejiofor, C. von Buchwald, M. Alanin","doi":"10.1080/23772484.2021.1888647","DOIUrl":"https://doi.org/10.1080/23772484.2021.1888647","url":null,"abstract":"Abstract Background Intracranial abscess formation secondary to chronic rhinosinusitis (CRS) is a rare, but life-threatening infection with a poor outcome. Case presentation A 63-year old Caucasian male with a history of CRS presented with one day of fever (40,3 °C), repeated vomiting, two episodes of generalized seizures, and later became unresponsive. The patient was diagnosed with pansinusitis and a cerebral abscess, and he was treated successfully with surgery and antibiotic therapy. At follow-up nearly 9 years later, the patient had only minor complaints despite severe sinus pathology on the follow-up computed tomography scan. Conclusion Early diagnosis and treatment of intracranial complications are essential to reduce subsequent morbidity and mortality. After an acute exacerbation, imaging findings and subjective complaints may differ. Treatment should, therefore, be based on a combination of objective and subjective findings.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"6 1","pages":"26 - 29"},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23772484.2021.1888647","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44357312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1080/23772484.2021.1877139
Natsuki Aoki, T. Fujikawa, N. Umezawa, Yoshiyuki Kawashima, Taku Ito, K. Honda, T. Tsutsumi
Abstract Giant cell arteritis (GCA), a medium to large-vessel vasculitis, has a broad spectrum of disease manifestations, including hearing loss. In addition to tissue histology, clinical correlation of symptoms and vascular imaging is optimal for a definitive diagnosis of GCA. Here, we describe an extremely rare case of GCA with hearing loss and otitis media, wherein contrast-enhanced 3 D-magnetic resonance imaging was acquired at 3-Tesla for assessment of inflammatory involvement of cranial arteries. Spin-echo imaging demonstrated mural thickening and contrast enhancement of the medial meningeal artery in addition to the superficial temporal artery on the left side. Simultaneously, gradient-echo imaging revealed intense enhancement in the fallopian canal and eustachian tube on the left side, which was associated with non-enhanced effusion in the mastoid cavity. The findings suggest a broad distribution of arterial inflammation in the temporal bone, including small vessel vasculitis, which may cause otologic manifestations in cranial GCA.
{"title":"3-Tesla magnetic resonance imaging reveals vasculitis-caused otitis media in a patient with giant cell arteritis","authors":"Natsuki Aoki, T. Fujikawa, N. Umezawa, Yoshiyuki Kawashima, Taku Ito, K. Honda, T. Tsutsumi","doi":"10.1080/23772484.2021.1877139","DOIUrl":"https://doi.org/10.1080/23772484.2021.1877139","url":null,"abstract":"Abstract Giant cell arteritis (GCA), a medium to large-vessel vasculitis, has a broad spectrum of disease manifestations, including hearing loss. In addition to tissue histology, clinical correlation of symptoms and vascular imaging is optimal for a definitive diagnosis of GCA. Here, we describe an extremely rare case of GCA with hearing loss and otitis media, wherein contrast-enhanced 3 D-magnetic resonance imaging was acquired at 3-Tesla for assessment of inflammatory involvement of cranial arteries. Spin-echo imaging demonstrated mural thickening and contrast enhancement of the medial meningeal artery in addition to the superficial temporal artery on the left side. Simultaneously, gradient-echo imaging revealed intense enhancement in the fallopian canal and eustachian tube on the left side, which was associated with non-enhanced effusion in the mastoid cavity. The findings suggest a broad distribution of arterial inflammation in the temporal bone, including small vessel vasculitis, which may cause otologic manifestations in cranial GCA.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"6 1","pages":"6 - 10"},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23772484.2021.1877139","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46208743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1080/23772484.2021.1911659
Cissé Naouma, Koné Fatogoma Issa, Haidara Abdoul Wahab, K. Diarra, N. Konaté, K. Coulibaly, S. Soumaoro, B. Guindo, S. Kadidiatou, Timbo Samba Karim, M. Kéïta
Abstract Objectives We report two cases of a non-recurrent right inferior laryngeal nerve; per operative discovery during a thyroidectomy. Through these cases, we highlight the clinical and surgical implications by first analyzing the most appropriate technique. Results The frequency of the recurrent non recurrent nerve was 1.3% with confidence interval between 0.2 and 4.6% in our center. We identified two patients who underwent a thyroidectomy, during which the discovery of the recurrent non-recurrent right nerve was made intraoperatively. The nerve approach was performed by the superior approach in front of a bulky and plunging goiter. The outcome was simple. Conclusion The thyroid surgeon must keep in mind the probability of finding this nerve variation. For indirect signs, the superior approach would be the most suitable technique to avoid recurrent morbidity.
{"title":"The non-recurrent inferior laryngeal nerve: The clinical and surgical implication","authors":"Cissé Naouma, Koné Fatogoma Issa, Haidara Abdoul Wahab, K. Diarra, N. Konaté, K. Coulibaly, S. Soumaoro, B. Guindo, S. Kadidiatou, Timbo Samba Karim, M. Kéïta","doi":"10.1080/23772484.2021.1911659","DOIUrl":"https://doi.org/10.1080/23772484.2021.1911659","url":null,"abstract":"Abstract Objectives We report two cases of a non-recurrent right inferior laryngeal nerve; per operative discovery during a thyroidectomy. Through these cases, we highlight the clinical and surgical implications by first analyzing the most appropriate technique. Results The frequency of the recurrent non recurrent nerve was 1.3% with confidence interval between 0.2 and 4.6% in our center. We identified two patients who underwent a thyroidectomy, during which the discovery of the recurrent non-recurrent right nerve was made intraoperatively. The nerve approach was performed by the superior approach in front of a bulky and plunging goiter. The outcome was simple. Conclusion The thyroid surgeon must keep in mind the probability of finding this nerve variation. For indirect signs, the superior approach would be the most suitable technique to avoid recurrent morbidity.","PeriodicalId":40723,"journal":{"name":"Acta Oto-Laryngologica Case Reports","volume":"6 1","pages":"41 - 44"},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23772484.2021.1911659","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47580839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：