Intraosseus arteriovenous malformation of the mandible: extracorporeal curettage and immediate replantation

@#<p><strong>OBJECTIVE:</strong> To describe a surgical technique in the treatment of arteriovenous malformations of the mandible</p><p><strong>METHODS:</strong></p><p>       <strong>Design:</strong>    Case Report</p><p><strong>       Setting:</strong>    Tertiary National University Hospital</p><p>       <strong>Participant:</strong>        One</p><p><strong>RESULT:</strong> A 16-year-old boy underwent resection, extracorporeal curettage, and immediate replantation of the hemimandible for intraosseous arteriovenous malformation. Postoperative follow up and imaging at one- and six-months showed no signs of recurrence, new bone formation and consolidation of the replanted right mandible with good symmetry and function.</p><p><strong>CONCLUSION:</strong> Extracorporeal curettage followed by immediate replantation of the resected mandible seems to have yielded good early results in our case and may be a viable alternative especially when access to highly specialized microvascular surgical services is limited.</p><p> </p>

Prevalence and reasons for non-follow-up of newborns with “Refer” results on initial hearing screening

@#<p style="text-align: justify;"><strong>OBJECTIVE:</strong> To determine the prevalence rate of follow-up among infants who had a "refer" result on initial newborn hearing screening and to identify reasons for default by parents or guardians.<br /><strong>METHODS:</strong><br /><strong>Design:</strong> Cross-Sectional Study<br /><strong>Setting:</strong> Tertiary National University Hospital<br /><strong>Participants:</strong> 79 parents or guardians whose newborns obtained a "refer" result on initial hearing screening were interviewed over the phone.<br /><strong>RESULTS:</strong> Among those babies who had a "refer" result on initial hearing screening, 51% followed up for repeat testing. The most common reasons for non-follow up by parents or guardians include being busy, distance from the hospital and baby's health condition.<br /><strong>CONCLUSIONS:</strong> The follow-up rate in this study is higher compared to previous figures (27%), but is still below target. The reasons for non-follow-up obtained suggest problems may exist on all levels of the healthcare system. Appropriate solutions to address these problems should be explored.</p>

Granulation tissue mimicking a glomus tumor in a patient with chronic middle ear infection

@#<p style="text-align: justify;"><strong>OBJECTIVE:</strong> To present an unusual cause of pulsatile tinnitus, presenting in a young adult suffering from chronic recurrent foul-smelling discharge from the same ear.<br /><strong>METHODS:</strong><br /><strong>Design:</strong> Case Report<br /><strong>Setting:</strong> Tertiary National University Hospital<br /><strong>Patient:</strong> One<br /><strong>RESULTS:</strong> A 24 year-old woman presented with pulsatile tinnitus on a background of chronic recurrent foul-smelling discharge. Clinico-radiologic findings seemed consistent with a glomus tympanicum coexisting with chronic suppurative otitis media with cholesteatoma. She underwent tympanomastoidectomy with excision of the mass. Histopathologic evaluation revealed the mass to be granulation tissue.<br /><strong>CONCLUSION:</strong> Pulsatile tinnitus is rarely associated with chronic middle ear infection. Granulation tissue arising at the promontory may mimic glomus tumors when accompanied with this symptom. Despite this revelation, it would still be prudent to prepare for a possible glomus tumor intraoperatively so that profuse bleeding and complications may be avoided.</p>