Chronic suppurative otitis media: a prospective study

This is a prospective study of 183 patients with chronic suppurative otitis media who attended the E.N.T. clinic at the Jordan University Hospital between 1978-1983. The cases were assessed according to a preset protocol where history, clinical examination, and special investigations were recorded. Cases were categorised according to the presence of cholesteatoma and the type of perforation into three groups: group I consisted of patients with central perforations without cholesteatoma [151 ears], group II with attic and marginal perforation [54 ears], and group III with central perforation and cholesteatoma [39 ears]. The present article includes the findings in group I and II; those of group III were previously reported. The peak incidence of the disease in both groups was in the second decade of life, no correlation between the duration of discharge and the presence of cholesteatoma was noticed, and no firm association between nasal and throat pathology on the one hand and chronic ear suppuration on the other could be elicited. Complications occured in cases where cholesteatoma was present. The majority of the cases are speculated to be sequela of secretory otitis media

Peripheral nerve tumor involving maxillary sinuses: a case report and review of the literature

Nerve sheath tumors of the paranasal sinuses are uncommon. Those confined to the maxillary antrum are rare, four only being on world record. We present an additional case with review of the literature. First described by Verocay[1] in 1910 under the term neurinoma, schwannoma [neurolemmoma] has frequently been reported in many anatomical locations wherever Schwann cell wrapping of a nerve occurs. Among other sites the tumor was reported to occur in the thorax[2-3], oral cavity, middle ear and orbit[4], breast[5] and bone of which the most common sites of involvement have been the mandible, scapula and ribs[6-7] though rare sites such as the femur have also been reported. However, up to 45% of schwannomas develop about the head and neck[9]; comprising the highest proportion in an anatomical body location. Yet, the tumor rarely involves paranasal sinuses. In this report we describe a case of solitary schwannoma developed in the left maxillary sinus, an extremely rare site of occurrence according to the English literature. The present case is the first to be reported in Jordan