{"title":"Postoperative Outcome of Elective Mastoid Surgery: Pediatric versus Adult Patients","authors":"P. Sagar, Shilpi Budhiraja, R. Kumar, S. Sharma","doi":"10.1055/s-0039-1700210","DOIUrl":"https://doi.org/10.1055/s-0039-1700210","url":null,"abstract":"Annals of Otology and Neurotology ISO Vol. 02 Suppl. S1/2019 years). The median follow-up was 5.3 months (range, 3–12 months). The chorda tympani nerve was sacrificed in 8.4% cases. Postoperative disequilibrium was detected in 7.0% cases and 100% resolution at first follow-up. The median air-bone gap (ABG) improved from 30.3 dB preoperatively to 9.35 dB postoperatively at last follow-up (p < 0.0001). The ABG closed to less than 15 dB in 89.3% of patients and less than 10 dB in 79%. There were no instances of postoperative sensorineural hearing loss (defined as > 15 dB change from baseline) or facial nerve injury. Postoperatively, 29.6% of patients reported dysgeusia, of which 8.3% were persistent at last follow-up. Conclusion Endoscopic stapedotomy is an effective technique to manage stapes fixation resulting in a median postoperative ABG of 9.35 dB and ABG closure to within 10 dB in 79% of patients. Autologous lobular fat can be effectively used in controlling the disequilibrium in the immediate postoperative period.","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123670847","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}
{"title":"Melanoma of External Auditory Canal: An Uncommon Entity","authors":"D. Samal","doi":"10.1055/s-0039-1700201","DOIUrl":"https://doi.org/10.1055/s-0039-1700201","url":null,"abstract":"to systematically analyze the","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129130545","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}
{"title":"Conchal Cartilage Cap for Stapes Suprastructure: A Novel Approach to Hearing Reconstruction","authors":"Vivek Kumar","doi":"10.1055/s-0039-1700214","DOIUrl":"https://doi.org/10.1055/s-0039-1700214","url":null,"abstract":"in confirmed otosclerosis included dehiscent fallopian canal and dehiscent high-lying jugular bulb. Conclusion and Clinical Significance The study provides us insight into various causes of conductive hearing loss behind an intact tympanic membrane with no previous history of ear discharge. The advantage of endoscopic exploratory tympanotomy was clear view of middle ear anatomy and aiding as an excellent teaching tool. A0020: Cholesteatoma of the External Auditory Canal: Review","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114074333","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}
{"title":"Otomycosis: Study of Etiopathological Factors and Mycological Spectrum","authors":"A. Krishnan","doi":"10.1055/s-0039-1700218","DOIUrl":"https://doi.org/10.1055/s-0039-1700218","url":null,"abstract":"Introduction The congenital anomalies of ossicular chain of the middle ear are an uncommon event that can present in a variety of ways. Among these malformations, the congenital absence of stapes (CAS) is a very rare condition that is seldom described in the English scientific literature. It was first reported by Mcaskile and Sullivan in 1955 in two patients with conductive hearing loss. Case Presentation A 19-year-old male patient presented with complaints of bilateral hard of hearing since childhood, nonprogressive type. Family history was negative for any otologic or genetic problem. The audiogram showed bilateral conductive hearing loss with an average air–bone gap of 60 dB on both sides. CT temporal bone revealed the absence of stapes superstructure bilaterally, and an abnormal facial nerve location. Endoscopic exploratory tympanotomy and ossicular reconstruction were done on right side first, in the year 2017, and on left side in the year 2018 (June). Discussion The CAS is obviously a rare entity with only 12 cases reported in the literature. In all cases, CAS present as a conductive hearing loss with normal external auditory canal and intact tympanic membrane. The exact etiology is still not known and it has been suggested that malformation or agenesis of the stapes and oval window is related to the abnormal development of the facial nerve. Various managements have been described through time. This includes a broad range of options from exploratory surgery and reconstruction prosthesis to amplification. Conclusion Among all possible middle ear anomalies, stapes agenesis is rarely a part of the differential diagnosis for conductive hearing loss. Only 12 cases have been published in the English scientific literature (1955–2017). No cases have been published in India, till date. More than half of the patients with CAS have an abnormal facial nerve, which may complicate surgery. This patient has an anteroinferior displacement of facial nerve canal but we have done bilateral endoscopic reconstruction surgery successfully without any injury to facial nerve.","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"02 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130570258","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}
{"title":"Comparison of Microscopic and Endoscopic Myringotomy With or without Grommet","authors":"A. Rao","doi":"10.1055/s-0039-1700222","DOIUrl":"https://doi.org/10.1055/s-0039-1700222","url":null,"abstract":"Result Hearing improvement was noted in significant percentage following canal wall down mastoidectomy. Fur - ther details shall be discussed during the presentation. A0029: Comparison of Microscopic and Endoscopic Myringotomy With or without Grommet","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126089057","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}
{"title":"Ancient Schwannoma Mimicking Glomus Jugulare","authors":"S. K.","doi":"10.1055/s-0039-1700238","DOIUrl":"https://doi.org/10.1055/s-0039-1700238","url":null,"abstract":"Case Presentation We, hereby, present a case of 25-year-old male, a case of chronic suppurative otitis media atticoantral disease who underwent canal wall down mastoidectomy with tympanoplasty. He presented with com-plaints of facial nerve paralysis, 7 days after the surgery. Patient had a House–Brackmann grade-3 paralysis. Treatment was initiated with oral corticosteroids and oral acyclovir. Patient was recovered completely after the therapy","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126120921","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}
{"title":"Hearing Outcomes following Canal Wall down Mastoidectomies with Tympanoplasty","authors":"Architha Menon","doi":"10.1055/s-0039-1700221","DOIUrl":"https://doi.org/10.1055/s-0039-1700221","url":null,"abstract":"Result Hearing improvement was noted in significant percentage following canal wall down mastoidectomy. Fur - ther details shall be discussed during the presentation. A0029: Comparison of Microscopic and Endoscopic Myringotomy With or without Grommet","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133812560","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}
{"title":"To Evaluate the Postoperative Outcomes of the Endoscopic StepsQ5 surgery Performed in a Single Tertiary Care Center","authors":"P. Pradhan","doi":"10.1055/s-0039-1700209","DOIUrl":"https://doi.org/10.1055/s-0039-1700209","url":null,"abstract":"","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121197337","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}
{"title":"Ear Lobe Repair: An Innovative Method","authors":"Nikisha N., Madana Gopal","doi":"10.1055/s-0039-1700232","DOIUrl":"https://doi.org/10.1055/s-0039-1700232","url":null,"abstract":"Annals of Otology and Neurotology ISO Vol. 02 Suppl. S1/2019 Discussion Herpes zoster cephalicus is an uncommon clinical syndrome seen in immunocompromised patients which occurs due to reactivation of herpes zoster virus dormant in the involved cranial nerve ganglia of head and neck. Patients present to us with acute onset of facial nerve palsy with otalgia with vesicles seen in the sensory distribution of the facial nerve, absence of pharyngeal reflexes, paralysis of palate, and vocal cord. Some patients may also have labyrinthine involvement. Then, patients should be aggressively treated with acyclovir and steroids along with antiretroviral therapy. Conclusion Immunocompromised patients having multiple lower cranial nerve palsies of head and neck should be suspected to have herpes zoster cephalicus. These patients should be aggressively treated to prevent unwanted permanent motor deficits.","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114522977","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}
{"title":"Role of Mastoid Exploration in Pediatric Tympanoplasty","authors":"G. Singh","doi":"10.1055/s-0039-1700202","DOIUrl":"https://doi.org/10.1055/s-0039-1700202","url":null,"abstract":"to systematically analyze the","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116187905","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}