Prevalence of otitis media with effusion among school age children in rural parts of Konya province, Turkey.

OBJECTIVES: This study aims to evaluate the current prevalence of serous otitis media (SOM) among school age children living in rural areas of Konya province located in southern Turkey. PATIENTS AND METHODS: This cross sectional study which was conducted between October 2012 and January 2013 included 2,352 children (1,179 males, 1,173 females; mean age 8.9±2.8 years; range 4 to 15 years) who attended 36 different primary schools in rural parts of the Konya province. Otologic complaints, findings, and tympanometry results were recorded. Diagnosis of SOM was obtained based on history, symptoms, abnormal otoscopy and tympanogram findings. RESULTS: The overall prevalence of SOM was 4.6%. The highest prevalence was at the age of four (11.2%). There was a significantly higher prevalence of SOM at the age of six (11.1%). The overall prevalence was higher in males (6.17%) compared to females (3.16%) in all age groups (p<0.05). CONCLUSION: Compared to the literature, overall prevalence of SOM in our study was lower. Development of preventive and therapeutic strategies in the first step health care service may have a considerable effect on this low rate.

Second primary malignant peripheral nerve sheath tumor of the paranasal sinuses after nasopharynx carcinoma.

Malignant peripheral nerve sheath tumors are uncommon neoplasms that arise out of Schwann cells from the peripheral nerves, which rarely occur in the paranasal sinuses and nasal cavity. Especially with the increasing long-term survival of patients with nasopharynx carcinoma, second primary cancers can be diagnosed. Second primary cancers are not uncommon in patients with the prior radiation therapy. However, malignant peripheral nerve sheath tumor in the head and neck region after radiation is an exceedingly rare condition. We report the first case of malignant peripheral nerve sheath tumor of the paranasal sinuses as a second primary malignancy in a patient treated with radiation therapy for nasopharyngeal carcinoma 10 years ago.

Intramuscular cavernous hemangioma of the temporalis muscle.

Hemangiomas are frequent benign hereditary vascular tumors. Intramuscular hemangiomas, a distinctive type of hemangioma occurring within the skeletal muscle, account for less than 1% of all hemangiomas. They occur more often in the trunk and extremity muscles, whereas the involvement of the temporal muscle is extremely rare. A 34-year-old man with a mass in his left temporal fossa was admitted. Computed tomographic scan showed no erosion of the bone, and magnetic resonance imaging revealed an ovoid mass within the temporal muscle. The lesion was surgically excised, and histopathologic examination confirmed the diagnosis of cavernous hemangioma. The patient was not able to lift his left eyebrow right after the surgery. Two months after the surgery, the patient recovered from paralysis, and there was no recurrence of tumor 12 months after the surgery. We report the 27th cavernous hemangioma case of the temporalis muscle. Care must be taken to avoid possible stretch injury to facial nerve branches while resecting these tumors.