1/10. A case of tympanogenic labyrinthitis complicated by acute otitis media.Widespread use of antimicrobial drugs in the management of otitis media has significantly reduced the incidence of labyrinthitis nowadays. Cases of tympanogenic labyrinthitis following acute otitis media have rarely been reported in recent literature on otolaryngology. We report an unusual case of tympanogenic labyrinthitis that presented with sudden sensorineural hearing loss (SNHL) following acute otitis media in an adult who had no previous otological complaints. An audiogram revealed SNHL with pure tone threshold of 43.7 dB in the left ear. MRI was helpful to identify the inflammatory change of the membranous labyrinth. The patient's hearing returned to normal after treatment. The definite diagnosis of serous labyrinthitis was established retrospectively.- - - - - - - - - - ranking = 1keywords = otitis (Clic here for more details about this article) |
2/10. Early bilateral eighth nerve involvement in meningococcal meningitis.A male Navy recruit had hearing loss and bilateral otitis media. Meningeal signs, not initially present, developed approximately 48 hours after admission to the hospital. Type Y meningococcus was isolated from blood cultures drawn after two days of ampicillin administered orally. Permanent, bilateral, vestibular and auditory loss resulted, in spite of adequate doses of penicillin. This unusual presentation of bilateral eighth nerve involvement was thought to be due to a localized, bilateral meningococcal labyrinthitis.- - - - - - - - - - ranking = 0.14285714285714keywords = otitis (Clic here for more details about this article) |
3/10. temporal bone pathology associated with intracranial abscess.Histological studies were performed on the temporal bones of 17 persons who died of intracranial abscess as a complication of chronic otitis media and mastoiditis. In all cases the route of intracranial infection was via the dura mater rather than through the labyrinth. During the acute stage of intracranial abscess formation, the site of intracranial invasion showed a destructive inflammatory reaction characterized by the presence of granulations, resorption and sequestration of bone, invasive cholesteatoma, collections of purulent exudate, and necrosis of dura mater. At this stage any attempt at definitive removal of diseased tissue would necessarily result in a larger dural defect at a time when local disease and systemic illness present unsuitable conditions for reparative procedures. For this reason it would seem prudent to limit early otologic surgery to ensuring adequate drainage (e.g., postauricular open-wound drainage) and to perform corrective surgery (e.g., tympanomastoidectomy with repair of the dural defect) after the intracranial abscess has been brought under control.- - - - - - - - - - ranking = 0.14285714285714keywords = otitis (Clic here for more details about this article) |
4/10. Labyrinthine sequestrum (a case report).An unusual case of a labyrinthine sequestrum is presented. During mastoidectomy on a patient with chronic recurrent mastoiditis, a large sequestrum in the labyrinth was found. Four years earlier he had been treated for a posterior fossa abscess, which had followed acute otitis media. An extensive ablative and drainage procedure of the pars superior and pars inferior with preservation of the facial nerve was indicated in this patient.- - - - - - - - - - ranking = 0.14285714285714keywords = otitis (Clic here for more details about this article) |
5/10. labyrinthitis ossificans.Three cases with postinflammatory inner ear sequelae are presented to illustrate unusual histopathologic changes. endolymphatic hydrops without changes in the perilymphatic system was present in one ear following "influenza" meningitis and labyrinthitis ossificans in the contralateral ear. The characteristic histopathological changes of the temporal bones with hematogenic bacterial infection were an extensive labyrinthine ossification associated with a generalized sclerotic change of the whole periotic bone. Bony fixation of the stapedial footplate occurred with the generalized inflammatory process of the otic capsule. Severe and diffuse labyrinthitis ossificans occurred in one case due to tympanogenic inflammation spreading through the round window membrane in the course of suppurative otitis media. A general immunosuppression leading to fatal termination was the apparent factor predisposing to the inner ear complication.- - - - - - - - - - ranking = 0.14285714285714keywords = otitis (Clic here for more details about this article) |
6/10. Chronic middle ear disease with intracranial extension--a clinicopathologic case report.A case is presented with chronic suppurative otitis media and subsequent tympanogenic labyrinthitis, extradural abscess, and otogenic meningitis. The clinical course is described and pathologic findings demonstrated using serial temporal bone sections. The difficulties of diagnosing and treating this clinical condition are illustrated.- - - - - - - - - - ranking = 0.14285714285714keywords = otitis (Clic here for more details about this article) |
7/10. dizziness in childhood.dizziness in childhood is not an infrequent symptom. Accurate history taking and close co-operation between otologist, paediatrician and neurologist are necessary in the approach to the dizzy child. Most cases of childhood dizziness settle in time and investigations should be carefully selected; those with severe and persistent dizziness or ataxia should be thoroughly investigated including: EEG, ENG, calorics and CT scan. The conditions causing dizziness in children are discussed and are illustrated with case histories from our series of 27 children. dizziness of unknown aetiology, serous otitis media and benign paroxysmal vertigo were the most common diagnostic labels applied to our patients. Treatment is rarely necessary but dimenhydrinate or a labyrinthine sedative in those with troublesome vertigo, or the adjustment of the medical regime in those epileptics on phenytoin, may be beneficial. Surgical intervention is only required in those with an operable lesion.- - - - - - - - - - ranking = 0.14285714285714keywords = otitis (Clic here for more details about this article) |
8/10. Meniere's syndrome and otitis media.We here present a clinical study of 37 patients with Meniere's syndrome. Meniere's syndrome can occur subsequent to and in some cases simultaneously with chronic otitis media. When otitis media which has occurred many years earlier in childhood becomes inactive, leading to sequelae of Meniere's later in life, full-blown Meniere's symptom-complex with vertigo tends to occur; whereas when active chronic otitis media accompanies Meniere's, cochlear Meniere's syndrome tends to predominate. endolymphatic hydrops is described in pathological cases of labyrinthitis and in 11 human temporal bone cases where there is evidence of chronic otitis media in the absence of visible labyrinthitis. A discussion of pathogenic factors includes considerations of quantity of endolymph due to hypodevelopment of the endolymphatic duct and sac related to mastoid hypocellularity and otomastoiditis in childhood and to other endolymphatic malabsorptions and also considerations of endolymph quality which can influence endolymph production as well as absorption.- - - - - - - - - - ranking = 1.1428571428571keywords = otitis (Clic here for more details about this article) |
9/10. Anaerobic mastoiditis: a report of two cases with complications.Aerobic bacteria are responsible for most cases of suppurative otitis media/mastoiditis (OM/M). As many as 20-30% of middle ear aspirates in acute otitis media, however, are reported to be sterile on aerobic culture. Some of these cases may be due to anaerobic bacteria. Two cases of OM/M due to anaerobic bacteria are reported. The first patient had no antecedent ear disease and developed a large Bezold abscess caused by fusobacterium varium. The second patient had attic retraction pouches bilaterally and a history of otorrhea. This patient developed labyrinthitis and meningitis due to B. fragilis. The clinical progression of disease in both cases indicates that anaerobic OM/M can follow a deceptively asymptomatic course. By contrast, complications of OM/M occur abruptly and extend rapidly in a manner typical of acute aerobic disease. Both cases required surgery for cure.- - - - - - - - - - ranking = 0.28571428571429keywords = otitis (Clic here for more details about this article) |
10/10. Suppurative labyrinthitis caused by anaerobic bacteria.Two patients with labyrinthine fistulae following chronic otitis media are presented. Anaerobic bacteria, especially Bacteroides spp. and bacteroides fragilis were recognized as important pathogens in the disease.- - - - - - - - - - ranking = 0.14285714285714keywords = otitis (Clic here for more details about this article) |
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