ABSTRACT
OBJECTIVES: Over 5 years, 68,472 newborns were screened through a newly implemented universal newborn hearing screening program. In 15 cases, atresia of the external ear canal was found. The aim of this study was to estimate the hearing status of these newborns using transiently evoked otoacoustic emissions (TEOAEs) and auditory brainstem responses (ABRs). METHODS: TEOAEs were performed during the first days after birth in the normal ears of all newborns. Diagnostic ABR audiometry was performed in 10 newborns. RESULTS: Unilateral involvement occurred in all newborns studied. TEOAEs were present in all the contralateral ears. Normal ABRs were recorded from the healthy ear, whereas a conductive hearing loss, of approximately 50-60 dB, was found in the involved ear. In long-term follow-up, a satisfactory level of hearing, language, and speech development was found in 9 of the newborns; it was too early to come to definite conclusions in 4 newborns and 2 newborns were lost in follow-up. CONCLUSIONS: In this study, all newborns with aural atresia had normal function in the contralateral ear. Yet, a comprehensive assessment of hearing is essential as early intervention is necessary in the rare case of bilateral hearing impairment.
Subject(s)
Ear Auricle/abnormalities , Ear, Middle/abnormalities , Hearing Loss/diagnosis , Hearing Loss/epidemiology , Audiometry, Evoked Response , Case-Control Studies , Cohort Studies , Evoked Potentials, Auditory, Brain Stem , Female , Hearing Loss/congenital , Humans , Infant, Newborn , Language Development , Male , Neonatal Screening , Otoacoustic Emissions, Spontaneous , PrevalenceABSTRACT
OBJECTIVES: Vascular leiomyoma (angioleiomyoma) of the nasal cavity is an extremely rare tumour. Following a thorough review of relevant literature, we found that such tumours are more common in females. Only 4 of 30 reported cases have been found in male patients. Moreover, considering the site of the lesion within the nasal cavity, only 3 of these 30 cases originated from the nasal vestibule. Hereby, we present a case of vascular leiomyoma arising specifically from the floor of the nasal vestibule in a 68-year-old man, which is unique because it combines the specific tumour localization with the patient's gender. CASE REPORT: The patient was treated surgically. The tumour was completely removed through an intraoral incision. CONCLUSIONS: This is the first reported case of vascular leiomyoma arising from the floor of the nasal vestibule affecting a male patient.
