ABSTRACT
When fibrous dysplasia affects the temporal bone, it most often presents with conductive hearing loss attributable to stenosis of the external auditory canal. Sensorineural hearing loss has usually been attributed to involvement of the otic capsule. We present a patient with bilateral fibrous dysplasia of the temporal bones who complained of unilateral hearing loss, facial tingling, and facial twitching. The audiogram showed severe sensorineural hearing loss. The hearing markedly improved and facial twitching and tingling ceased after decompression of the internal auditory canal via a middle fossa approach. This is the only case of which we are aware showing reversal of sensorineural hearing loss caused by fibrous dysplasia.
Subject(s)
Fibrous Dysplasia, Polyostotic/complications , Hearing Loss, Sensorineural/etiology , Temporal Bone , Adult , Female , Fibrous Dysplasia, Polyostotic/diagnostic imaging , Fibrous Dysplasia, Polyostotic/surgery , Hearing Loss, Sensorineural/therapy , Humans , Radiography , Temporal Bone/diagnostic imaging , Temporal Bone/surgeryABSTRACT
Management of the patient with tinnitus is an extremely perplexing problem. This article discusses the evaluation and therapeutic considerations currently used.
Subject(s)
Tinnitus , Biofeedback, Psychology , Electric Stimulation Therapy , Female , Humans , Male , Perceptual Masking , Tinnitus/diagnosis , Tinnitus/etiology , Tinnitus/therapyABSTRACT
A follow-up study of two groups of tinnitus patients was conducted in an attempt to evaluate the tinnitus masking program. Results are discussed separately for a group of patients seen during the first three years of the program (1976 through 1978) and during the last year (1979). These results suggest an improvement in the management of the tinnitus patient and support this procedure as a viable technique in providing relief for selected tinnitus patients.
