Pub Date : 2022-10-01DOI: 10.4103/indianjotol.indianjotol_30_22
S. Tan, N. Hashim, A. Abdullah
Objective: Eustachian tube dysfunction (ETD) is not commonly acknowledged until it leads to sequelae within the middle ear. Thus, treatments are focusing on treating active middle ear diseases repetitively rather than identifying possible fundamental causes. This study aims to report a preliminary local experience in treating ETD using balloon dilatation. Methods: This prospective, randomized controlled study was conducted in a tertiary academic center. Sixteen patients who were identified with symptoms of ETD were recruited. Six who had failed initial medical therapy underwent balloon dilatation of Eustachian tube (BDET); meanwhile, ten subjects were recruited into the medical treatment group. The primary efficacy endpoint was the comparison of reduction from baseline in overall 7-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7) score. Added endpoints were normalization of tympanogram and improvement of tympanic membrane appearance at 2 weeks, 6 weeks, and 3 months after intervention. Results: The median in reduction of overall ETDQ-7 score for the interventional group was 2.93 (2.14, 3.14) versus 0.43 (0, 0.86) for the control group. Reduction in overall ETDQ-7 score showed a significant improvement at 6 weeks which was persistent at 3 months post balloon dilatation (P < 0.05). Similarly, the BDET group demonstrated changes in tympanogram at 6 weeks and 3 months post balloon dilatation (P < 0.05). Tympanic membrane appearances were similar at the end of the study in both the groups. Conclusion: BDET is a promising precise treatment for patients who present with symptoms of ETD. The improvement of symptoms it provides may increase the readiness for it to be introduced as a standard practice in local settings and beyond.
{"title":"Managing eustachian tube dysfunction with balloon catheterization: A local experience report","authors":"S. Tan, N. Hashim, A. Abdullah","doi":"10.4103/indianjotol.indianjotol_30_22","DOIUrl":"https://doi.org/10.4103/indianjotol.indianjotol_30_22","url":null,"abstract":"Objective: Eustachian tube dysfunction (ETD) is not commonly acknowledged until it leads to sequelae within the middle ear. Thus, treatments are focusing on treating active middle ear diseases repetitively rather than identifying possible fundamental causes. This study aims to report a preliminary local experience in treating ETD using balloon dilatation. Methods: This prospective, randomized controlled study was conducted in a tertiary academic center. Sixteen patients who were identified with symptoms of ETD were recruited. Six who had failed initial medical therapy underwent balloon dilatation of Eustachian tube (BDET); meanwhile, ten subjects were recruited into the medical treatment group. The primary efficacy endpoint was the comparison of reduction from baseline in overall 7-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7) score. Added endpoints were normalization of tympanogram and improvement of tympanic membrane appearance at 2 weeks, 6 weeks, and 3 months after intervention. Results: The median in reduction of overall ETDQ-7 score for the interventional group was 2.93 (2.14, 3.14) versus 0.43 (0, 0.86) for the control group. Reduction in overall ETDQ-7 score showed a significant improvement at 6 weeks which was persistent at 3 months post balloon dilatation (P < 0.05). Similarly, the BDET group demonstrated changes in tympanogram at 6 weeks and 3 months post balloon dilatation (P < 0.05). Tympanic membrane appearances were similar at the end of the study in both the groups. Conclusion: BDET is a promising precise treatment for patients who present with symptoms of ETD. The improvement of symptoms it provides may increase the readiness for it to be introduced as a standard practice in local settings and beyond.","PeriodicalId":44304,"journal":{"name":"Indian Journal of Otology","volume":"28 1","pages":"282 - 287"},"PeriodicalIF":0.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44393533","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 : 2022-10-01DOI: 10.4103/indianjotol.indianjotol_68_21
Devika Sinha, Rajeshwary Aroor, V. Bhat, M. Saldanha, Srinath Kamath, Shashank Kotian
Background: Long standing hearing-loss often leads to the setting in of dementia as hearing-loss. In this study, elderly population were screened for hearing-loss and dementia using Hindi-Mental State Examination. Aims: To know the association between the dementia and Hearing loss Method 206 participants in the age group of 60-80 years (110 were females and 96 were males) were subjected to audiological evaluation and dementia screening using HMSE dementia scoring scale and it was compared with hearing level. Results: Out of 206 subjects, 110 were females and 96 were males. Right ear hearing-loss was seen in 147 cases and left ear in 130 cases. 48 individuals had no hearing-loss, 39 participants had unilateral hearing-loss and 119 participants had bilateral hearing-loss. Most common type of hearing-loss observed was mild hearing-loss 124 participants had no dementia, 82 had dementia. 60 had mild cognitive impairment and 22 had severe cognitive impairment. 49 out of 82 participants with dementia had bilateral hearing-loss. As the hearing handicap percentage increases from 1-100, dementia score decreases. But it was not statistically significant. More number of men were affected with hearing-loss but more number of female participants had dementia. Conclusion: Hearing-loss is more common in men in elderly population but dementia is more commonly seen in females.
{"title":"Association between hearing loss and dementia in elderly","authors":"Devika Sinha, Rajeshwary Aroor, V. Bhat, M. Saldanha, Srinath Kamath, Shashank Kotian","doi":"10.4103/indianjotol.indianjotol_68_21","DOIUrl":"https://doi.org/10.4103/indianjotol.indianjotol_68_21","url":null,"abstract":"Background: Long standing hearing-loss often leads to the setting in of dementia as hearing-loss. In this study, elderly population were screened for hearing-loss and dementia using Hindi-Mental State Examination. Aims: To know the association between the dementia and Hearing loss Method 206 participants in the age group of 60-80 years (110 were females and 96 were males) were subjected to audiological evaluation and dementia screening using HMSE dementia scoring scale and it was compared with hearing level. Results: Out of 206 subjects, 110 were females and 96 were males. Right ear hearing-loss was seen in 147 cases and left ear in 130 cases. 48 individuals had no hearing-loss, 39 participants had unilateral hearing-loss and 119 participants had bilateral hearing-loss. Most common type of hearing-loss observed was mild hearing-loss 124 participants had no dementia, 82 had dementia. 60 had mild cognitive impairment and 22 had severe cognitive impairment. 49 out of 82 participants with dementia had bilateral hearing-loss. As the hearing handicap percentage increases from 1-100, dementia score decreases. But it was not statistically significant. More number of men were affected with hearing-loss but more number of female participants had dementia. Conclusion: Hearing-loss is more common in men in elderly population but dementia is more commonly seen in females.","PeriodicalId":44304,"journal":{"name":"Indian Journal of Otology","volume":"28 1","pages":"275 - 278"},"PeriodicalIF":0.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45302732","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 : 2022-10-01DOI: 10.4103/indianjotol.indianjotol_100_21
Zaina Al Dhahli, J. Naik, Yousuf Al Saidi
Context: Malleus relocation is a technique in ossiculoplasty invented by Robert Vincent to make malleus at the same line of stapes. This study will use this technique with modification by using autologous incus instead of prosthesis for reconstruction. Aims: The objective of this study was to report the method of malleus relocation with auto-incus in ossiculoplasty in cases with chronic suppurative otitis media. Settings and Design: A retrospective study was done at Al-Nahdha Hospital tertiary referral center. Subjects and Methods: This is a study of 12 patients (out of 150 patients who underwent ossiculoplasty surgery done in the department) from 2012 to 2019 for chronic otitis media. This means that all patients had malleus relocation technique with use incus for reconstruction except one patient where malleus relocation done with use of prosthesis instead of incus which was absent. Audiometric assessment included pre- and postoperative audiometric evaluation using conventional audiometry. Air-bone gap, bone-conduction thresholds, and air-conduction thresholds were measured. Statistical Analysis Used: Data were collected and analyzed in SPSS version 21. Confidence interval, mean, and median are used to calculate the pre- and postoperative ABG. Results: Eleven patients underwent malleus relocation with incus interposition. The mean postoperative air-bone gap is 11, and 66.6% of cases had ABG less than or equal to 20 dB. The mean AC postoperative is 21, and 66.7% of cases show improvement of more than 20 dB. Conclusions: Malleus relocation with auto-incus ossiculoplasty showed in this study is safe and gives a good hearing outcome.
{"title":"Malleus relocation in ossicular reconstruction by using autologous incus: New technique in ossiculoplasty, al-nahdha hospital experience","authors":"Zaina Al Dhahli, J. Naik, Yousuf Al Saidi","doi":"10.4103/indianjotol.indianjotol_100_21","DOIUrl":"https://doi.org/10.4103/indianjotol.indianjotol_100_21","url":null,"abstract":"Context: Malleus relocation is a technique in ossiculoplasty invented by Robert Vincent to make malleus at the same line of stapes. This study will use this technique with modification by using autologous incus instead of prosthesis for reconstruction. Aims: The objective of this study was to report the method of malleus relocation with auto-incus in ossiculoplasty in cases with chronic suppurative otitis media. Settings and Design: A retrospective study was done at Al-Nahdha Hospital tertiary referral center. Subjects and Methods: This is a study of 12 patients (out of 150 patients who underwent ossiculoplasty surgery done in the department) from 2012 to 2019 for chronic otitis media. This means that all patients had malleus relocation technique with use incus for reconstruction except one patient where malleus relocation done with use of prosthesis instead of incus which was absent. Audiometric assessment included pre- and postoperative audiometric evaluation using conventional audiometry. Air-bone gap, bone-conduction thresholds, and air-conduction thresholds were measured. Statistical Analysis Used: Data were collected and analyzed in SPSS version 21. Confidence interval, mean, and median are used to calculate the pre- and postoperative ABG. Results: Eleven patients underwent malleus relocation with incus interposition. The mean postoperative air-bone gap is 11, and 66.6% of cases had ABG less than or equal to 20 dB. The mean AC postoperative is 21, and 66.7% of cases show improvement of more than 20 dB. Conclusions: Malleus relocation with auto-incus ossiculoplasty showed in this study is safe and gives a good hearing outcome.","PeriodicalId":44304,"journal":{"name":"Indian Journal of Otology","volume":"28 1","pages":"272 - 274"},"PeriodicalIF":0.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49496118","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 : 2022-07-01DOI: 10.4103/indianjotol.indianjotol_44_22
Eng-Hong Lee, J. Saniasiaya, J. Kulasegarah, Wai Kok, Seow Chew
Ever since Langerhans cell histiocytosis (LCH) was first described in 1865, mystery revolving around its cause and pathogenesis remains, although most agree that LCH is either a reactive or neoplastic process. We aim to highlight the importance of careful investigations of common presentation, which may lead to the diagnosis and treatment in a toddler. We report a case of LCH of the temporal bone with an atypical presentation in a toddler, which led to delayed diagnosis. The patient presented with a vague preauricular swelling and aural polyp. Imaging and histopathological examination of the biopsy revealed temporal bone LCH, and the child was referred to the pediatric oncology unit and successfully treated. This case clearly demonstrates the highly diversified clinical manifestation of LCH and the high level of suspicion required to diagnose it. We describe the challenge faced in managing this rare entity.
{"title":"Atypical presentation of langerhans cell histiocytosis of temporal bone in a toddler","authors":"Eng-Hong Lee, J. Saniasiaya, J. Kulasegarah, Wai Kok, Seow Chew","doi":"10.4103/indianjotol.indianjotol_44_22","DOIUrl":"https://doi.org/10.4103/indianjotol.indianjotol_44_22","url":null,"abstract":"Ever since Langerhans cell histiocytosis (LCH) was first described in 1865, mystery revolving around its cause and pathogenesis remains, although most agree that LCH is either a reactive or neoplastic process. We aim to highlight the importance of careful investigations of common presentation, which may lead to the diagnosis and treatment in a toddler. We report a case of LCH of the temporal bone with an atypical presentation in a toddler, which led to delayed diagnosis. The patient presented with a vague preauricular swelling and aural polyp. Imaging and histopathological examination of the biopsy revealed temporal bone LCH, and the child was referred to the pediatric oncology unit and successfully treated. This case clearly demonstrates the highly diversified clinical manifestation of LCH and the high level of suspicion required to diagnose it. We describe the challenge faced in managing this rare entity.","PeriodicalId":44304,"journal":{"name":"Indian Journal of Otology","volume":"28 1","pages":"242 - 245"},"PeriodicalIF":0.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46517773","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 : 2022-07-01DOI: 10.4103/indianjotol.indianjotol_63_22
N. Nguyen, Quyen Ta
Objective: To predict risks for complications and determine the type of operation, several studies developed the grading system based on clinical assessment. However, there is no evidence regarding the score for tomographic opacification and bone erosion of temporal bone on computed tomography (CT) scan. Therefore, the aim of this study was primarily to design a new computerized tomography staging system for the evaluation of chronic otitis media (COM) and mastoiditis. Materials and Methods: Between August 1, 2020, and December 30, 2021, 40 patients with the clinical diagnosis of COM (males and females) have received temporal bone CT scans at medical institutions. The patients were retrospectively evaluated and verified the correlation of the score of CT imaging in preoperative evaluation with the clinical picture and surgical planning. Descriptive statistics, one-way ANOVA analysis, and Spearman's correlation test were employed to evaluate the accumulated data. The P values were calculated for all tests and its outcome <0.05 was considered statistically significant. Results: There are significant correlations between the total score and the size of perforation, the type of surgical intervention, and low-frequency air-bone gap (ABG) (P < 0.05) while no correlation between the total score and high-frequency ABG was revealed. Conclusion: The abnormal landmarks of the temporal bone are presented, and scored systematically and there is an excellent way to analyze and make a decision not only in diagnosis but also in the choice of surgical intervention.
{"title":"The new staging system for computed tomography evaluation of chronic otitis media and mastoiditis","authors":"N. Nguyen, Quyen Ta","doi":"10.4103/indianjotol.indianjotol_63_22","DOIUrl":"https://doi.org/10.4103/indianjotol.indianjotol_63_22","url":null,"abstract":"Objective: To predict risks for complications and determine the type of operation, several studies developed the grading system based on clinical assessment. However, there is no evidence regarding the score for tomographic opacification and bone erosion of temporal bone on computed tomography (CT) scan. Therefore, the aim of this study was primarily to design a new computerized tomography staging system for the evaluation of chronic otitis media (COM) and mastoiditis. Materials and Methods: Between August 1, 2020, and December 30, 2021, 40 patients with the clinical diagnosis of COM (males and females) have received temporal bone CT scans at medical institutions. The patients were retrospectively evaluated and verified the correlation of the score of CT imaging in preoperative evaluation with the clinical picture and surgical planning. Descriptive statistics, one-way ANOVA analysis, and Spearman's correlation test were employed to evaluate the accumulated data. The P values were calculated for all tests and its outcome <0.05 was considered statistically significant. Results: There are significant correlations between the total score and the size of perforation, the type of surgical intervention, and low-frequency air-bone gap (ABG) (P < 0.05) while no correlation between the total score and high-frequency ABG was revealed. Conclusion: The abnormal landmarks of the temporal bone are presented, and scored systematically and there is an excellent way to analyze and make a decision not only in diagnosis but also in the choice of surgical intervention.","PeriodicalId":44304,"journal":{"name":"Indian Journal of Otology","volume":"28 1","pages":"216 - 222"},"PeriodicalIF":0.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49475842","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 : 2022-07-01DOI: 10.4103/indianjotol.indianjotol_106_22
R. Anand, Priya Kanagamuthu
Introduction: The preauricular sinus is a congenital abnormality which was initially identified by Van Heusinger in 1864. Preauricular sinus development is strongly related to the development of auricle in the sixth week of pregnancy. Preauricular sinus can be inherited or are sporadic. Most cases are sporadic and over half of all cases are unilateral. Bilateral cases are more frequent in inherited cases. Case Report: A 10 year old boy was brought with complaints of discharge from left pre auricular region on and off since birth. History of frequent episodes of discharge from left pre auricular region about 2-3 episodes per year. Local examination showed preauricular sinus tract at the root of helix on both sides. There was no discharge,no warmth, no tenderness. The child underwent necessary investigations and pre aneasthetic fitness was obtained. Pre auricular sinus tract excision on left side under general anasthesia was done. Multiple sinus tracts were excised and sent for histopathological examination which showed evidence of pilonidal sinus. There was presence of sinus tract line by epidermis, lumen filled with keratin and hair shafts. The child was brought for follow up on postoperative day 10, the sutured site was found to be healthy. Suture removal was done and the wound was healing well. The child is on regular follow up and has shown no signs of any recurrence. Discussion: The only definite treatment of recurrent infective sinuses is complete excision of the sinus tract. In our case, supra aural elliptical incision was placed and all visible sinus tracts were cleared and sent for histopathological analysis. When these sinuses get infected, most frequent cause being with gram-positive bacteria, the exudates should be sent for culture, and the appropriate antibiotics should be administered. The temporalis fascia, the cartilage of the helix, and the auditory canal are identified using the supra-auricular approach. An en bloc excision of the sinus is then carried out. Pilonidal sinus is a difficult condition that causes suffering and embarrassment to its victims. Despite it being rare and atypical, pilonidal sinus could also occur in the auricular region. Although pilonidal sinus has been reported in a number of uncommon areas of the body besides the sacrococcygeal region, this is the second case of pilonidal sinus that we are aware of in the preauricular region that is reported in literature. Conclusion: Thus we present a very rare case of pilonidal sinus in pre auricular region. Only two cases have been reported till date in literature and our case is the second one to be reported in the pre auricular region.
{"title":"Hair in the wrong place: A rare case of pilonidal sinus in preauricular sinus tract","authors":"R. Anand, Priya Kanagamuthu","doi":"10.4103/indianjotol.indianjotol_106_22","DOIUrl":"https://doi.org/10.4103/indianjotol.indianjotol_106_22","url":null,"abstract":"Introduction: The preauricular sinus is a congenital abnormality which was initially identified by Van Heusinger in 1864. Preauricular sinus development is strongly related to the development of auricle in the sixth week of pregnancy. Preauricular sinus can be inherited or are sporadic. Most cases are sporadic and over half of all cases are unilateral. Bilateral cases are more frequent in inherited cases. Case Report: A 10 year old boy was brought with complaints of discharge from left pre auricular region on and off since birth. History of frequent episodes of discharge from left pre auricular region about 2-3 episodes per year. Local examination showed preauricular sinus tract at the root of helix on both sides. There was no discharge,no warmth, no tenderness. The child underwent necessary investigations and pre aneasthetic fitness was obtained. Pre auricular sinus tract excision on left side under general anasthesia was done. Multiple sinus tracts were excised and sent for histopathological examination which showed evidence of pilonidal sinus. There was presence of sinus tract line by epidermis, lumen filled with keratin and hair shafts. The child was brought for follow up on postoperative day 10, the sutured site was found to be healthy. Suture removal was done and the wound was healing well. The child is on regular follow up and has shown no signs of any recurrence. Discussion: The only definite treatment of recurrent infective sinuses is complete excision of the sinus tract. In our case, supra aural elliptical incision was placed and all visible sinus tracts were cleared and sent for histopathological analysis. When these sinuses get infected, most frequent cause being with gram-positive bacteria, the exudates should be sent for culture, and the appropriate antibiotics should be administered. The temporalis fascia, the cartilage of the helix, and the auditory canal are identified using the supra-auricular approach. An en bloc excision of the sinus is then carried out. Pilonidal sinus is a difficult condition that causes suffering and embarrassment to its victims. Despite it being rare and atypical, pilonidal sinus could also occur in the auricular region. Although pilonidal sinus has been reported in a number of uncommon areas of the body besides the sacrococcygeal region, this is the second case of pilonidal sinus that we are aware of in the preauricular region that is reported in literature. Conclusion: Thus we present a very rare case of pilonidal sinus in pre auricular region. Only two cases have been reported till date in literature and our case is the second one to be reported in the pre auricular region.","PeriodicalId":44304,"journal":{"name":"Indian Journal of Otology","volume":"28 1","pages":"258 - 261"},"PeriodicalIF":0.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42918464","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 : 2022-07-01DOI: 10.4103/indianjotol.indianjotol_82_22
M. Khadilkar, Deviprasad Dosemane, E. Suman, F. Islam
Subperiosteal abscess (SPA) is a known sequel of acute mastoiditis typically afflicting children and less often the elderly, caused by Streptococcus, Staphylococcus, and anaerobes. Atrophic rhinitis is a progressive disease with nasal mucosal and turbinate atrophy, thick dried crusts, and foul odor called ozaena, caused by Klebsiella ozaenae. We present an interesting case of SPA in the mastoid in a patient with atrophic rhinitis, astonishingly caused by a common pathogen, K. ozaenae, and a review of literature. The presence of coexistent atrophic rhinitis and mastoiditis should always compel otolaryngologists to consider K. ozaenae as the common etiology.
{"title":"Klebsiella ozaenae subperiosteal mastoid abscess: A brief report and literature review","authors":"M. Khadilkar, Deviprasad Dosemane, E. Suman, F. Islam","doi":"10.4103/indianjotol.indianjotol_82_22","DOIUrl":"https://doi.org/10.4103/indianjotol.indianjotol_82_22","url":null,"abstract":"Subperiosteal abscess (SPA) is a known sequel of acute mastoiditis typically afflicting children and less often the elderly, caused by Streptococcus, Staphylococcus, and anaerobes. Atrophic rhinitis is a progressive disease with nasal mucosal and turbinate atrophy, thick dried crusts, and foul odor called ozaena, caused by Klebsiella ozaenae. We present an interesting case of SPA in the mastoid in a patient with atrophic rhinitis, astonishingly caused by a common pathogen, K. ozaenae, and a review of literature. The presence of coexistent atrophic rhinitis and mastoiditis should always compel otolaryngologists to consider K. ozaenae as the common etiology.","PeriodicalId":44304,"journal":{"name":"Indian Journal of Otology","volume":"28 1","pages":"262 - 264"},"PeriodicalIF":0.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43038216","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 : 2022-07-01DOI: 10.4103/indianjotol.indianjotol_93_21
Varsha Babu, Aishwarya Narayanan
Cerebellar dizziness is a common clinical sign in patients with cerebellar dysfunction with several multifaceted consequences in the life of an individual. The clinical diagnosis of this type of dizziness is delayed or overlooked as its frequency is underestimated. Inaccurate examination of the vestibular or ocular motor systems contributes to this effect. However, with expansion of use of ocular vestibular evoked myogenic potentials (oVEMPs) in the diagnosis of central disorders, makes it an important tool used in routine practice. The present study shows that oVEMP is majorly affected in various cerebellar disorders, making it a sensitive test to be used in suspected patients. Based on the vestibular evoked myogenic potential results and complete audiological profile in the patients with cerebellar demyelination and cerebellar atrophy, medical team was able to arrive at a diagnosis when the radiological findings were inconclusive. This study shows that oVEMPs are neurological responses, sensitive to cerebellar dysfunction.
{"title":"Profiling vestibular evoked myogenic potentials findings in cerebellar disorders","authors":"Varsha Babu, Aishwarya Narayanan","doi":"10.4103/indianjotol.indianjotol_93_21","DOIUrl":"https://doi.org/10.4103/indianjotol.indianjotol_93_21","url":null,"abstract":"Cerebellar dizziness is a common clinical sign in patients with cerebellar dysfunction with several multifaceted consequences in the life of an individual. The clinical diagnosis of this type of dizziness is delayed or overlooked as its frequency is underestimated. Inaccurate examination of the vestibular or ocular motor systems contributes to this effect. However, with expansion of use of ocular vestibular evoked myogenic potentials (oVEMPs) in the diagnosis of central disorders, makes it an important tool used in routine practice. The present study shows that oVEMP is majorly affected in various cerebellar disorders, making it a sensitive test to be used in suspected patients. Based on the vestibular evoked myogenic potential results and complete audiological profile in the patients with cerebellar demyelination and cerebellar atrophy, medical team was able to arrive at a diagnosis when the radiological findings were inconclusive. This study shows that oVEMPs are neurological responses, sensitive to cerebellar dysfunction.","PeriodicalId":44304,"journal":{"name":"Indian Journal of Otology","volume":"28 1","pages":"249 - 251"},"PeriodicalIF":0.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44199960","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 : 2022-07-01DOI: 10.4103/indianjotol.indianjotol_20_22
A. Athavale, Roohie Singh, P. Sahu
Paragangliomas (PGLs) are benign tumors of neuroectodermal origin. In the ear, they are commonly found in the middle ear or jugular bulb. PGL of external auditory canal (EAC) is extremely rare. To date, only a few cases of PGL of EAC have been reported. Here, we present a case of a 52-year-old female, who presented with complaints of decreased hearing and painful left ear discharge. On evaluation, she was found to have a soft-tissue mass arising from the posterosuperior wall of the left EAC, which was excised under general anesthesia and histopathologically confirmed to be EAC PGL. At 1 year of follow-up, the patient has a patent EAC and is disease-free. Although rare, PGL should be considered in the differential diagnosis of soft-tissue mass in EAC.
{"title":"Paraganglioma of external auditory canal: A rare presentation case report","authors":"A. Athavale, Roohie Singh, P. Sahu","doi":"10.4103/indianjotol.indianjotol_20_22","DOIUrl":"https://doi.org/10.4103/indianjotol.indianjotol_20_22","url":null,"abstract":"Paragangliomas (PGLs) are benign tumors of neuroectodermal origin. In the ear, they are commonly found in the middle ear or jugular bulb. PGL of external auditory canal (EAC) is extremely rare. To date, only a few cases of PGL of EAC have been reported. Here, we present a case of a 52-year-old female, who presented with complaints of decreased hearing and painful left ear discharge. On evaluation, she was found to have a soft-tissue mass arising from the posterosuperior wall of the left EAC, which was excised under general anesthesia and histopathologically confirmed to be EAC PGL. At 1 year of follow-up, the patient has a patent EAC and is disease-free. Although rare, PGL should be considered in the differential diagnosis of soft-tissue mass in EAC.","PeriodicalId":44304,"journal":{"name":"Indian Journal of Otology","volume":"28 1","pages":"246 - 248"},"PeriodicalIF":0.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47113202","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 : 2022-07-01DOI: 10.4103/indianjotol.indianjotol_107_22
Marwa Abdelhafeez, Reem Elbeltagy
Purpose: The purpose of this study was to determine the prevalence of hearing loss (HL) in children with hydrocephalus (HCP) and to assess the impact of the ventriculoperitoneal (VP) shunt on their hearing threshold and speech discrimination percentage. Methodology: This was a case–control study. A total of 20 children who experienced HCP and 20 healthy controls were recruited. All participants in the study were subjected to a systematic clinical examination including otomicroscopic, audiometric (Pure-tone audiometry and speech audiometry), and tympanometric examination before and after VP shunt. Results: The mean age ± standard deviation for the HCP children and the control group was 5.4 ± 0.994 and 5.8 ± 1.196 years, respectively. The prevalence of HL in hydrocephalic children was 40%, and they had raising mild-to-moderate sensorineural HL. Children with HCP (preoperative) had a statistically significantly higher pure-tone threshold at 250, 500, 1000, 2000, and 4000 Hz than the control group. They also had a statistically significantly lower speech discrimination percentage than the control group. There was a statistically significant difference between the preoperative and the postoperative groups in pure-tone thresholds at 250, 500, 1000, and 2000 Hz. There is also a statistically significant difference between the preoperative and the postoperative groups in speech discrimination percentage. Conclusion: Early diagnosis in children with HCP is important. The results of the current study add further evidence of hearing impairment in hydrocephalic children and improvement in hearing after shunt operation. Auditory assessment is highly recommended for all hydrocephalic children as a routine examination.
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