RESUMO
Congenital anomalies of ossicle in the middle ear are rare and could appear in various forms. The most common congenital isolated ossicular anomalies are stapes fixation and incudostapedial discontinuity, with isolated congenital stapes fixation representing about one third of ossicular malformations. We present a rare case of monocrural anomaly of unilateral stapes in a 36-year-old woman with nonprogressive conductive hearing loss. During explotympanotomy, the lateral half of the suprastructure of anomalous stapes was removed and sculptured total ossicular replacement prosthesis was fitted between the long process of incus and remained stapes. Postoperative pure tone audiogram showed a significant decrease in air-bone gap. We report this case with a review of literature.
Assuntos
Feminino , Humanos , Anormalidades Congênitas , Orelha Média , Perda Auditiva Condutiva , Bigorna , Prótese Ossicular , EstriboRESUMO
Angiomyolipoma (AML) is a generally benign tumor that usually occurs in the kidney. Nasal AML is extremely rare, with eight cases of AML in the nasal cavity have been reported in the English-language literature and only one case has been reported in Korea. Our case involved a 55-year-old male who presented with a history of frequent nasal bleeding on the right side of nasal cavity. Physical examination revealed a mass of about 1.2-cm in the right nasal cavity, which was removed by an endoscopic approach. Microscopically, it consisted of bundles of smooth muscle and blood vessels, mature fat cells in various proportions. We suggest that the cause of the nasal bleeding should be considered this case.
Assuntos
Humanos , Masculino , Adipócitos , Angiomiolipoma , Vasos Sanguíneos , Epistaxe , Rim , Coreia (Geográfico) , Músculo Liso , Cavidade Nasal , Exame FísicoRESUMO
Lateralized tympanic membrane is a complication of tympanoplasty resulting in conductive hearing loss. We describe a case of a 23-year-old patient who developed totally lateralized left tympanic membrane with hearing disturbance. The blind-pouch appearance of the left ear canal and conductive hearing loss were checked. The revision of underling tympanoplasty was performed using temporalis fascia and conchal cartilage. The ossicular chain was reconstructed with partial ossicular replacement prosthesis. Canaloplasty and split thickness skin graft were applied for the skin defect of the left external auditory meatus. Totally lateralized tympanic membrane was successfully reconstructed with cartilage tympanoplasty and canaloplasty, achieving improved hearing.