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Search Results: 1 - 10 of 526 matches for " ear "
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Aural Toileting and Dressing—Important Intervention Measures in the Management of Acute Suppurative Otitis Media  [PDF]
Kufre Roberts Iseh, Stanley Baba Amutta, Abdullahi Mohammed, Daniel Aliyu, Kingsley Osisi, Lawali Argungu Salihu, Silifat Oyewusi, Grace Iseh
International Journal of Otolaryngology and Head & Neck Surgery (IJOHNS) , 2014, DOI: 10.4236/ijohns.2014.35043
Abstract: Background: Otitis media is one of the most common childhood infections, the leading cause of doctor’s visit by children in ENT clinic. The acute form if not recognized early is commonly characterized by suppuration from the middle ear following perforation of the tympanic membrane otherwise referred to as acute suppurative otitis media (ASOM). If not adequately treated, it progresses to chronic suppurative otitis media with attendant challenges in management. Ceasation of ear discharge is an indication of resolution of disease. The objective of this study is to appraise the value of local ear suction toileting and dressing in the ceasation of ear discharge in acute suppurative otitis media. Materials and Method: Consecutive new cases of acute suppurative otitis media seen at the Ear, Nose and Throat clinic of a tertiary health centre in north western Nigeria were assessed for efficacy of aural toileting and dressing with antibioctic impregnated guaze in the treatment of acute suppurative otitis media and compared with patients with similar disease without aural toileting and dressing or dressing with normal saline soaked guaze in addition to systemic antibiotic and antihistamine medications. Ear toileting was done by suctioning the discharge with suction machine, and cleaning the external auditory canal with hydrogen peroxide and methylated spirit. They were then dressed with gauze impregnated with antibiotic ear drops daily until there was no more ear discharge. The period of ceasation of ear discharge in each group was assessed. Results: There were 39 patients with acute suppurative otitis media (ASOM). Eighteen were females (46.2%) while 21 were males (53.8%), giving M:F ratio 1:2.1. Their ages ranged between 1 month and 45 years. About 36 (92.3%) were children and out of this, 28 (77.8%) were less than 5 years old. The average period of ceasation of discharge was 24 - 48 hours with those undergoing ear toileting and dressing but varied between 7 and 10 days with those without ear dressing or dressing with normal saline soaked guaze. This finding compelled us to stop the study on ethical grounds when this was carried out in the first 5 patients on each side of the study groups necessitating reversals of other groups to aural toileting and dressing with antibiotic impregnated guaze. Conclusion: Local ear toileting and dressing appear to show significant contribution to the early ceasation of ear discharge and are highly recommended not only for acute suppurative otitis media but also for all suppurative ear diseases.
Otoplastia en orejas prominentes: alternativa quirúrgica
Dávalos Dávalos,P.; Ramírez Rivera,J.I.; Dávalos Dávalos,P.A.;
Cirugía Plástica Ibero-Latinoamericana , 2009, DOI: 10.4321/S0376-78922009000200004
Abstract: prominent ear, is the most frequent congenital malformation of the auricular pavillion. in this pathology, the absence of the antihelix is notorious as well as the increase of the mastoid-conchal angle, considering that the dimensions of the area of the auricular pavillion are within the normal limits. many techniques have been described, all of them trying to reduce the mastoid-conchal angle and to create a new antihelix. each ear has its own characteristics within the normal anatomic context; so it is important to make a correct evaluation in order to apply the adequate surgical technique. the surgical steps to be followed are systematically described to simplify the procedure, and most of all, showing that with a minimum incision done with a 21g size angulated needle, over the anterior side of the auricular cartilage, we can perform relaxation cuts parallel to the vertical axe of the auricular pavillion, and obtain a natural curve of the neoantihelix.
Muhammad Zahid Hanif
The Professional Medical Journal , 1998,
Abstract: Haemangiomas are uncommon vascular swellings.They are frequently designated as tumors becauseof their localized nature. Although clearly benign,they can become very large and can be fatal if theyeffect vital structures. They almost never becomemalignant. A high percentage occurs in children1'2.Haemangiomas are of three types;a. Capillaryb. Cavenousc. VenousIA4AM
Morphological aspects of tympanic bulla after lateral osteotomy in cats
Silva, Adelina Maria da;Souza, Wilson Machado de;Carvalho, Roberto Gameiro de;Machado, Gisele Fabrino;Perri, Silvia Helena Venturoli;
Acta Cirurgica Brasileira , 2008, DOI: 10.1590/S0102-86502008000200014
Abstract: purpose: to evaluate tympanic bulla healing after experimental lateral osteotomy in cats. methods: twenty adult cats were submitted to unilateral lateral bulla osteotomy and divided into two groups: cats of b1 group (n=10) were euthanized at 8 weeks and cats of b2 group (n=10), at 16 weeks postoperative. results: oblique lateral radiographs taken immediately postoperative showed interruption in the contour of the external acoustic meatus of the operated bullae in all cats of both groups (mcnemar test: p=0.0010*). this feature was still observed in the radiographs taken after 8 and 16 weeks postoperative (mcnemar test: b1 p=0.0020*; b2 p=0.0312*). macroscopic examination showed that the operated bullae were similar to the normal ones, with preservation of the tympanic cavity. connective tissue at the osteotomy site was significantly found in the operated bullae in both groups (mcnemar test: b1 p=0.0020*; b2 p=0.0010*). the length of connective tissue at the osteotomy site was measured by histomorphometry. there was no statistically significant difference between the values of b1 group and b2 group (mann-whitney test: p=0.0524). conclusions: experimental lateral osteotomy did not alter significantly the tympanic bulla conformation and complete regeneration of the tympanic bulla frequently did not occur before 16 weeks of postoperative period.
Aspectos morfológicos da bulla tympanica de c?es após osteotomia restrita ventral e lateral
Silva, Adelina Maria da;Fagundes, Djalma José;Taha, Murched Omar;Goldenberg, Saul;Machado, Gisele Fabrino;Juliano, Yara;Novo, Neil Ferreira;
Acta Cirurgica Brasileira , 2001, DOI: 10.1590/S0102-86502001000400010
Abstract: the aim of this study was to evaluate the tympanic bulla morphology after ventral or lateral osteotomy. forty adult dogs were distributed in 2 groups: group a was submitted to ventral tympanic bulla osteotomy, and group b was submitted to lateral tympanic bulla osteotomy. two subgroups were analysed, according to the postoperative observation time: a1 and b1 (6 weeks), a2 and b2 (12 weeks). macroscopic and microscopic features of the tympanic bulla were evaluated. the concavity of the operated bullas was similar to the normal ones. only few animals in each subgroup presented complete regeneration of the tympanic bulla. on the other hand, connective tissue at the osteotomy site was significantly seen in the operated tympanic bullas. the qualitative histological exams and the histomorphometry showed that there was no significant difference concerning the osseus regeneration stage among the subgroups. taken together these results lead to the conclusion that a restricted osteotomy did not alter significantly the tympanic bulla conformation and complete regeneration of the tympanic bulla frequently did not occur before 12 weeks of postoperative period.
Adenoma da orelha média: relato de caso
Becker, Celso Gon?alves;Barra, Iolanda Mauro;Pimenta, Hercília Helena de Oliveira;Crosara, Paulo Fernando Tormin Borges;Ribeiro, Carlos Alberto;Castro, Lúcia Porto Fonseca de;
Revista Brasileira de Otorrinolaringologia , 2004, DOI: 10.1590/S0034-72992004000400018
Abstract: we describe a case report of a middle ear adenoma in man with progressive conductive hearing loss, hyperemic retrotympanic mass with slow growing and undergone a radical mastoidectomy. this is a rare tumor composed of adenomatous and neuroendocrine cells. it has a large number of differential diagnoses and it is done by microscopy and immunohistochemistry. the treatment is surgical in all cases with no additional therapy only clinical follow-up, once its prognostic is favorable
Torres Pazmi?o,Julio César; Marrugo Pardo,Gilberto Eduardo;
Revista Facultad de Medicina de la Universidad Nacional de Colombia , 2010,
Abstract: congenital malformations of the inner ear are rare conditions, but their detection requires high diagnostic accuracy. in this report we describe the case of a patient with single or common cavity, discuss the corresponding radiological images, describe the tratment of this patient with a cochlear implant, and review the classification and differential diagnosis of the other anomalies of the inner ear.
Fabrication of Stable Cartilage Framework for Microtia in Incomplete Synchondrosis
Byung Chae Cho,Jung Hun Lee,Kang Young Choi,Jung Dug Yang
Archives of Plastic Surgery , 2012, DOI: http://dx.doi.org/10.5999/aps.2012.39.2.162
Abstract: The synchondrosis between the sixth and seventh costal cartilage is usually used for thebase frame in autogenous ear reconstruction. If the synchondrosis is loose, a variety ofmodifications can be devised. This report introduces new methods for these problems. Incases of incomplete synchondrosis, only the surface of the base block margin was smoothlytapered without carving for the removal of the conchal deepening. The secure fixation ofthe two segments (helix and antihelix) to the base block using fine wire sutures gave stabilityto the unstable basal frame. After confirming that all the segments were assembled in onestable piece, the remaining conchal deepening of the basal framework was removed, and theouter lower portion of the basal cartilage was trimmed along its whole length. A total of 10consecutive patients with microtia, ranging from 8 to 13 years old, were treated from 2008 to2009. The follow-up period was 6 months to 2 years. Despite incomplete synchondrosis, thestable frameworks were constructed using the authors’ method and aesthetically acceptableresults were achieved. The proposed method can provide an easy way to make a stablecartilage framework regardless of the variable conditions of synchondrosis.
Chong-Chet Anterior Scoring Technique for the Correction of Prominent Ears: Results in 30 Patients  [PDF]
Saime Irkoren, Nazan Sivrioglu, Banu Aksoy, Eray Copcu
Modern Plastic Surgery (MPS) , 2012, DOI: 10.4236/mps.2012.22010
Abstract: A lot ofotoplasty techniques have been developed during the past years. However, there is no single perfect technique which is worldwide accepted. We present our assessment of a Chong-Chet anterior scoring technique for the correction of prominent ears which we applied in 30 patients between 2005 and 2010. This study is a report of creating a natural fold of cartilage using Chong-Chet anterior scoring technique by cartilage incision at the border between the antihelix and scapha, with medial scoring of the scapha and lateral scoring of the antihelix. Sutures were used to maintain the created fold. There were no major complications at the 1-year follow-up evaluation. None of the patients developed a recurrence, or retro protrusion of the helix which required a second operation for correction. The procedure is a simple surgical technique. The reconstructed ear shows reliable results in stability, size and normal convolutions. Furthermore, sharp cartilaginous ridges and hidden helix are avoided.
Sociodemographic Characteristics and Prevalence of Self Ear Cleaning in Sokoto Metropolis  [PDF]
Stanley B. Amutta, Mufutau A. Yunusa, Kufre R. Iseh, Ayodele Obembe, Enokela Egili, Daniel Aliyu, Mohammed Abdullahi
International Journal of Otolaryngology and Head & Neck Surgery (IJOHNS) , 2013, DOI: 10.4236/ijohns.2013.26057

Background: Self ear cleaning with cotton buds and other objects is a common practice. Objective: To determine the sociodemographic characteristics and the prevalence of self ear cleaning habit among patients attending a family medicine clinic in a teaching hospital in Sokoto metropolis. Materials and Methods: This was a 4 weeks prospective study carried out between May and June, 2013 at Usmanu Danfodiyo University Teaching Hospital and Specialist Hospital Sokoto. A structured self response questionnaire containing items on sociodemographic characteristics, frequency of administering objects into the ear and complications of self ear cleaning was administered to the respondents after institutional research ethical clearance. The data were analysed using SPSS for windows version 16.0. P-value was considered significantly if less than 0.05. Results: A total of 200 subjects were included in this study, comprising of 93 (46.5%) males and 107 (53.5%) females. Their ages ranged from 18-57 years with the mean age being 30.29 years (±8.70). Eighty percent (160) of the respondents practise

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