RESUMO
Making impression is the first step of making hearing aid. Because it needs silicon injection on external auditory canal and lateral side of tympanic membrane, careful evaluation is required regarding the presence of any tympanic perforation or problems of external auditory canal prior to making ear impression. Recently, we experienced encountering one case of foreign body in ear while making impression of hearing aid by a local hearing aid seller. Silicone mold material, impacted into the middle ear, had perforated the tympanic membrane; a metallic foreign body was also found in the eustachian tube. Reporting this case, we suggest that special attention be paid to tympanic membrane and external auditory canal conditions when making an ear impression for hearing aids. Therefore, physical examination by otolaryngologist should precede any application of hearing aid.
Assuntos
Orelha , Meato Acústico Externo , Orelha Média , Tuba Auditiva , Corpos Estranhos , Fungos , Auxiliares de Audição , Audição , Exame Físico , Silício , Silicones , Membrana TimpânicaRESUMO
Non-Hodgkin's lymphoma (NHL) is a group of neoplasm affecting the lymphoid system. Follicular lymphoma is typically a slow-growing, indolent form of NHL that accounts for 1/3 of all NHL. It is one of the B-cell lymphomas, generally characterized by multiple relapses after responses to a variety of therapies. When lymphoma relapses, it may occur in the same or a different part of the body from where it occurred originally. Recurrence in the primary site is most common but recurrence in other parts is rarely observed. We experienced a rare case of 70-year-old woman who complained of swelling in the left mouth floor and was diagonosed with a recurrent NHL. It recurred in the sublingual gland after a complete remission of the follicular lymphoma.
Assuntos
Idoso , Feminino , Humanos , Linfoma , Linfoma de Células B , Linfoma Folicular , Linfoma não Hodgkin , Soalho Bucal , Recidiva , Glândula SublingualRESUMO
Multiple sclerosis (MS) is a chronic disease characterized by multiple areas of demyelination, inflammation, and glial scarring in the central nervous system. MS is the most common chronic and usually progressive neurologic disease whose clinical course varies from a benign and symptom-free disease to a rapidly progressive and disabling disorder. MS can be presented with various symptoms, but isolated vertigo, represented in only 5%, is very rare. Nevertheless, in such a case, differential diagnosis of peripheral vestibular disease is very important for neuro-otologist. We recently experienced a 39 year-old female patient of multiple sclerosis with isolated vertigo mimicking vestibular neuritis. We report our case with a review of literature.
Assuntos
Feminino , Humanos , Sistema Nervoso Central , Doença Crônica , Cicatriz , Doenças Desmielinizantes , Diagnóstico Diferencial , Inflamação , Esclerose Múltipla , Vertigem , Doenças Vestibulares , Neuronite VestibularRESUMO
BACKGROUND AND OBJECTIVES: High resolution manometry (HRM), a newly developed device that uses 36 channels to plot pressure topography of esophagus, has recently been applied to evaluate the esophageal and upper esophageal sphincter (UES) status; however, its definite role in laryngopharyngeal reflux disease (LPRD) is not well elucidated. The aim of this study was to evaluate clinical usefulness of HRM and to elucidate the association between HRM findings and dysphasia in LPRD patients. SUBJECTS AND METHOD: A total of 56 patients who had been diagnosed LPRD from July 2010 to July 2011 were prospectively enrolled in this study. Patients consisted of 20 men and 36 women, with the mean age of 51.4 years. Every patient performed the questionnaire and HRM examination. A comparative analysis was performed to evaluate the correlation between the HRM results and LPRD. RESULTS: Of 30 patients (53.6%), there were 11 peristaltic dysfunction (19.7%), 6 relaxation impairment of lower esophageal sphincter (LES)(10.7%), 4 diffuse esophageal spasm (7.1%), 4 hypotensive LES (7.1%), 3 Nutcracker esophagus (5.4%), and 2 relaxation impairment of UES (3.6%). The mean distance of UES from the nostril was 17.88+/-2.17 cm and the mean UES basal pressure was 63.10+/-24.49 mm Hg. Differences between the prevalence of abnormal findings shown by HRM and dysphasia symptoms were not statistically significant. CONCLUSION: In this study, a considerable amount of abnormalities in esophageal function were observed using HRM, and thus we think that HRM could provide useful information about esophagus dysfunction in LPRD patients.