1/8. Acute otalgia: a case report of mature termite in the middle ear.Acute otalgia during childhood is one of the most common complaints in general ENT practice. It may occur as a result of acute otitis externa, otitis media or a foreign body. Animate foreign body in the ear canal or in the middle ear usually results in otalgia and hearing loss. We present a rare case of a living mature termite in the middle ear of a 9-year-old girl complaining of intermittent attacks of otalgia associated with a loud cracking sound in the left ear. In this case, a small perforation of the tympanic membrane without a history of previous trauma, infection, or evidence of a foreign body in the external ear raises a suspicion. A careful, time-consumed microscopic examination could show the living creature in the middle ear. Immediate immobilization and removal of the living foreign body are imperative. In conclusion, tympanic membrane perforation and intermittent severe otalgia without history of otitis may lead to a suspicion of any insects in the middle ear.- - - - - - - - - - ranking = 1keywords = otitis (Clic here for more details about this article) |
2/8. Labyrinthine involvement and multiple perforations of the tympanic membrane in acute otitis media due to group A streptococci.We present here three cases of acute otitis media caused by a virulent group A streptococcal infection that rapidly led to deterioration in hearing. Two of the three cases presented with severe sensorineural and mixed hearing loss with multiple tympanic membrane perforations, and the third presented with severe bilateral sensorineural hearing loss following acute otitis media involving group A streptococci. All patients were treated with systemic (piperacillin) and topical antibiotics (ofloxacin ear drops): one patient also received a systemic steroid (betamethasone). deafness persisted in one patient but in the other two, hearing gradually recovered. Severe cytotoxicity was considered to have occurred in all patients, resulting in multiple perforations of the tympanic membrane and necrosis in the middle ear.- - - - - - - - - - ranking = 2keywords = otitis (Clic here for more details about this article) |
3/8. Severe audiovestibular loss following ear syringing for wax removal.Syringing of the ear is one of the commonest procedures performed for cleaning cerumen from the external auditory canal. Common complications following syringing are pain, external auditory canal trauma and otitis externa. Hearing and vestibular loss are often mentioned as a complication in descriptions of this technique, but we have not been able to find a reported case of such an occurrence. We report one such a case.- - - - - - - - - - ranking = 0.33333333333333keywords = otitis (Clic here for more details about this article) |
4/8. Tuberculous otitis media: two case reports and literature review.Tuberculous otitis media can be difficult to diagnose because it can easily be confused with other acute or chronic middle ear conditions. Compounding this problem is the fact that physicians are generally unfamiliar with the typical features of tuberculous otitis media. Finally, the final diagnosis can be difficult because it requires special culture and pathologic studies. To increase awareness of this condition, we describe two cases of tuberculous otitis media and we review the literature.- - - - - - - - - - ranking = 2.3333333333333keywords = otitis (Clic here for more details about this article) |
5/8. Overlay versus underlay tympanoplasty. comparative study of 122 cases.INTRODUCTION: In tympanoplasty, the most common two techniques for positioning the graft relative to the remnant of both the tympanic membrane and of the annulus, are the "overlay" and the "underlay" techniques. Each technique has advantages and disadvantages. methods: One hundred and twenty-two cases over the age of 8 years who had undergone a tympanoplasty for tympanic membrane perforation secondary to chronic otitis media were included. All patients had a minimum 3-month postoperative otoscopic and audiometric follow-up. RESULTS: of 122 cases, 115 tympanoplasties (94%) were anatomically successful. At frequencies of 0.5, 1, 2, and 4 kHz, the mean air-bone gap improved significantly from 21.7 dB preoperatively to 8.4 dB postoperatively giving a mean gain of 13.3 dB. CONCLUSION: In our series the underlay or overlay positioning of the graft does not significantly influence the rate of postoperative perforations or complications with the exception of epithelial pearls, which occur significantly more frequently following the overlay technique for perforations that require fibro-epidermal cleaving across a large area.- - - - - - - - - - ranking = 0.33333333333333keywords = otitis (Clic here for more details about this article) |
6/8. Endogenous endophthalmitis after otitis media.PURPOSE: To report a case of bacterial endophthalmitis after otitis media in a healthy adult. DESIGN: Interventional case report. methods: A healthy 49-year-old Caucasian woman developed acute otitis media of the right ear. Three weeks after the first onset there was a recurrence of the otitis media, with perforation of the tympanic membrane. Two days after this, the woman presented at our clinic with endophthalmitis of the right eye. RESULTS: A culture of vitreous material grew streptococcus pyogenes (Streptococcus Lancefield group A). The same strain was found in a smear from the perforated ear. Despite aggressive treatment, the affected eye had to be eviscerated. CONCLUSIONS: Otitis media can result in a bacteremia. This may, even in a healthy adult, lead to a devastating endogenous bacterial endophthalmitis.- - - - - - - - - - ranking = 2.3333333333333keywords = otitis (Clic here for more details about this article) |
7/8. sanicula aqua: three clinical cases and a heuristic.The cases presented are of three children who responded well to sanicula aqua. I have used the exact words of the patients or their mothers. All 3 are: firstborn girls, tall and very thin with blue-green eyes. Two with recurrent otitis media with perforated tympanic membrane and smell of rotting fish, the third atopic eczema and asthma. The case analyses, materia medica of sanicula aqua and the creation of a remedy heuristic, are discussed.- - - - - - - - - - ranking = 0.33333333333333keywords = otitis (Clic here for more details about this article) |
8/8. Effects of tympanic membrane abnormalities on auditory function.This article discusses how several diagnostic tools used by audiologists inter-relate to anatomical abnormalities viewed by video otoscopy. Background of common middle ear pathology is reviewed, with emphasis on new research findings regarding pathophysiology. A review of video otoscopy, multifrequency tympanometry, and otoreflectance is provided. Case studies illustrate the integrated use of these diagnostic tools. Audiologic results are integrated with video otoscopy through case study analysis and interpretation. Understanding of the complexity of the physiologic and behavioral measurements is enhanced with the ability to closely inspect tympanic membrane pathology through video otoscopy. Multifrequency tympanometry, otoreflectance, and otoacoustic emissions (OAEs) allow us to more easily detect pathologic conditions such as cholesteatoma and chronic (silent) otitis media with effusion (OME).- - - - - - - - - - ranking = 0.33333333333333keywords = otitis (Clic here for more details about this article) |