Meningoencephalic herniation (MEH) in the middle ear and mastoid is a rare pathological entity with possible life-threatening complications. We treated 24 patients with a trans-mastoid approach, and the bony defect was closed by heterologous materials positioned in a multilayer fashion. The cause of the bony defect were chronic otitis media with cholesteatoma, iatrogenic, spontaneous and post-t...

Introduction: The incidence of cholesteatoma occurring as a result of tympanoplasty is extremely rare. Understanding the cause and preventing its occurrence in the future is the main intention of highlighting this peculiar presentation.   Case Report: A 25-year-old woman presented with progressive hearing loss and blocked sensation in the left ear of one and a half month...

OBJECTIVES To report the rare case of a patient with complete incus dislocation after trauma showing normal hearing. METHODOLOGY Physical examination, audiometry, CT of temporal bone, and detection during operation. RESULTS The incus had become remotely located in the mastoid cavity, but the patient showed normal hearing because fibrous connections had preserved bony continuity. CONCLUSIO...

Cholesterol granuloma is an inflammatory reaction to cholesterol crystals deposition. It may develop in a variety of sites including the middle ear, mastoid process or even paranasal sinuses. Very few cases of cholesterol granuloma occurring in the jaws were reported. This report presents a rare case of cholesterol granuloma that developed in the wall of a large mandibular dentigerous cyst. The...

The authors used high-resolution computed tomography (HRCT) for studying 52 congenitally malformed ears in 45 children between five and 10 years of age. In six children the malformations were bilateral. The malformations clinically manifested as microtia, atresia of the external auditory canal and conductive deafness. Analyzing anatomical details and pathological changes on HRCT axial sec...

INTRODUCTION During endoscopic anterior skull base surgery, reconstruction options for defects of the sella turcica or anterior cranial base require careful consideration of defect size, shape, location, and need for adjuvant therapy. A variety of techniques are available, ranging from single layer reconstruction to multilayer reconstruction with microvascular tissue transfer. Each method has p...

Clinically (Figure 1) a unilateral swelling, proptosis and obliteration of the nasolabial fold was noted. Intraoral examination revealed normal-appearing overlying mucosa. A pantomograph 2) demonstrates mixed diffuse expansile lesion thinning cortices affecting both jaws. 3D reconstruction 3) overview lesions' extent. CBCT interpretation (Figures 4 5) indicated engrossment frontal, parietal, te...

UNLABELLED Bell's palsy is hypothesized to result from virally mediated neural edema. Ischemia occurs as the nerve swells in its bony canal, blocking neural blood supply. Because viral infection is relatively common and Bell's palsy relatively uncommon, it is reasonable to hypothesize that there are anatomic differences in facial canal (FC) that predispose the development of paralysis. Measurem...

Chronic ear discharge is highly prevalent in the West African subregion where it accounted for about 25% of out-patient consultation. However, the treatment is often limited to outpatient ear dressing and mastoid surgery with few patient having the reconstruction of hearing. This is a review of the work done on chronic suppurative otitis media in West Africa, highlighting the need to improve ea...

Abstract Background This study was designed to evaluate the effect of mastoid cavity obliteration with bone chips and reconstruction canal wall tragal cartilage after down tympanomastoidectomy ossiculoplasty in same session. Sixty-three patients cholesteatoma underwent technique mentioned above; were followed for 1 year postoperative. Results No problems, median preoperative air gap 32.86 ± 6.2...