ABSTRACT
Background: Sensorineural hearing loss in adults is commonly associated with aging, trauma or autoimmune disease. In children, however, sensorineural hearing loss can also be due to genetic causes, leading to malformation of internal ear structures, like the vestibular aqueduct. In this article we present a rare anatomic malformation which causes progressive hearing loss in children
Methods: Our patient is a 12 year old boy who presented with deafness and tinnitus after mild trauma to the side of the head. Steroids and carbogen were administered but showed no improvement
Results: Audiological evaluation demonstrated profound bilateral sensorineural hearing loss. Radiological investigations including CT scan and MRI of the temporal bone showed bilateral enlargement of the vestibular aqueduct
Conclusion: The patient was diagnosed with Large Vestibular Aqueduct Syndrome and recommended cochlear implantation which has a high success rate and improves the quality of life for the patient
Methods: Our patient is a 12 year old boy who presented with deafness and tinnitus after mild trauma to the side of the head. Steroids and carbogen were administered but showed no improvement
Results: Audiological evaluation demonstrated profound bilateral sensorineural hearing loss. Radiological investigations including CT scan and MRI of the temporal bone showed bilateral enlargement of the vestibular aqueduct
Conclusion: The patient was diagnosed with Large Vestibular Aqueduct Syndrome and recommended cochlear implantation which has a high success rate and improves the quality of life for the patient
ABSTRACT
Background: The trend of dissection training is at the verge of extinction all around the world. With literal mushrooming of private medical colleges, supporting varied degree of medical facilities. There is increasing debate regarding the significance of cadavers in the teaching of gross anatomy. A study was conducted among graduate and postgraduate doctors in order to understand the importance of cadaveric dissection
Objective: To understand the importance of cadaveric dissection and determine the level of supportive rendered by cadaveric dissection at an undergraduate level for choosing the surgical field careers. To assess whether the stress and depression caused by cadaveric dissection at first exposure fades out with further exposures or lingers on
Methods: A cross-sectional multicentre study conducted in Karachi at various hospitals and medical colleges from November 2013 till February 2014. Graduate and postgraduate doctors from basic sciences and clinical sciences involved in teaching as professors and assistant professors were included in the study. A structured questionnaire was administered after taking verbal consent from the participants. The data was tabulated and analyzed using the computer program SPSS Version 15.0 for the production of descriptive statistics
Results: Out of 124 graduate and postgraduate doctors, 51.6% [64] were male, 48.4% [60] were female. The first visit experiences to dissection hall was documented through questionnaire, which was exiting for 71.8% [89], and 38.7% [48] got depressed. Cadaver dissection [CD] was avoided by 25% [31], out of which 18.5% [23] had allergy to formaldehyde, and 12.1% [15] had scared of the dead bodies. In 49.2% [61] helped in developing their professional endeavors, 54% [68] got inclined towards anatomy by CD, 71.8% [89] had clear concepts of gross anatomy. Understanding of in depth knowledge of structural details was found in 58.1% [72], regional anatomical concepts were cleared in 71.8% [89] of doctors
Conclusion: Cadaveric dissection is a good tool in learning the concepts of gross anatomy. It helped doctors to evaluate their interest and trends towards surgical fields, and also build up concepts which were utilized in their professional life
ABSTRACT
A case of middle ear mass in a young female from Ireland is described, who presented with left ear hearing loss and intermittent bloody discharge from the same ear. Examination under microscope revealed occlusive polyp in the left ear and a biopsy had been taken under general anaesthesia. Histopathology report described an adenoma / carcinoid tumour of the middle ear confirmed by positive immunohistochemical staining. CT temporal bones revealed the extension of the disease. The patient underwent left tympanotomy and excision of the tumour. In general, these tumours are regarded as benign but may be mistaken for adenocarcinomas because of their histological heterogenecity
ABSTRACT
Calcified stylohyoid ligament is also called an elongated styloid process and the symptom complex that it produces is called Eagle's syndrome. The symptoms of neck pain, sore throat, foreign body sensation in the throat, dysphagia and otalgia may be confused with other head and neck pain and are often worsened by yawning, opening the mouth wide or turning the head laterally. This is the result of involvement of cranial nerves, carotid plexus and cervical plexus. Carotid artery involvement causes wider symptomatology. Sometimes, it presents as a complication of tonsillectomy procedure. Elongated styloid process is conveniently identified on firm digital examination of tonsillar fossa. Diagnosis is made with appropriate radiological examination. Non-surgical treatment options include re-assurance, analgesia, anti-inflammatory medications and surgical option is shortening of the elongated styloid process by transoral or external approach. The condition is hereby described in a 59 years old male