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At least 307 records · Page 17Linked to original sources
PubMed1995

Illumination of mastoid air cell for suboccipital craniotomy: technical note.

The mastoid air cell was illuminated to estimate the location of the sigmoid sinus in 12 cases of a retrosigmoid suboccipital craniotomy for cerebellopontine angle tumors. A special illuminator system was designed, and the tip of the illuminator was placed inside the external auditory canal. The posterior margin of the illuminated air cell was delineated on the outer surface of the skull after the skin flap was turned and the position of the sigmoid sinus was estimated with reference to the preoperative computed tomographic scan. The posterior margin of the mastoid air cell in an axial slice, including the internal auditory canal, usually exists within the breadth of the sigmoid sinus. A gap between the posterior margin of the mastoid air cell and the position of the sigmoid sinus was easily corrected by the computed tomographic finding. This method was found to be simple and reliable in performing the suboccipital craniotomy with safety and exactness.

Adult↗
PubMed1995

Mastoid canal and migrated bone wax in the sigmoid sinus: technical report.

A study of the migration of bone wax into the sigmoid sinus through the mastoid canal is reported here. In 7 of 161 patients who underwent retromastoid craniectomy, the postoperative soft tissue window image computed tomographic scans demonstrated a hypodense mass in the ipsilateral sigmoid sinus. The density value of the hypodense mass ranged from -34 to -79 Hounsfield units, which was neither as low as that of air nor as high as that of cerebrospinal fluid, but was comparable to that of fat tissue or bone wax. The continued presence of all of these masses in the sigmoid sinus was confirmed 1 month to 2 years after surgery. These computed tomographic findings suggested that this abnormal hypodense mass might be a migrated fragment of the bone wax that had been used for the control of venous bleeding from the mastoid emissary vein, because each of the seven affected patients had a large mastoid foramen and a large quantity of bone wax had been needed to control the bleeding during retromastoid craniectomy. No other material with the potential to migrate into the sigmoid sinus had been applied as a packing material. In two of the seven patients, venous magnetic resonance angiography after surgery demonstrated that the ipsilateral sigmoid sinus was not patent and the computed tomographic scans also revealed that the hypodense masses occupied the sigmoid sinus. It is concluded that the intrasurgical application of a large quantity of bone wax to control the bleeding from the large emissary veins carries a risk of the migration of bone wax into the sigmoid sinus.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗
PubMed2000

Congenital cholesteatoma of the mastoid region.

Congenital cholesteatoma may arise in the petrous apex, mastoid, middle ear, or external auditory canal. The least common site being the mastoid process. We present one case of primary mastoid cholesteatoma confirmed by clinical examination, surgical findings and radiological evaluation.

Aged↗
PubMed2002

Paediatric acute mastoiditis: the Alder Hey experience.

Acute mastoiditis was a common condition in the pre-antibiotic era, but has become rare now with the widespread use of antibiotics. A retrospective study was carried out of patients with acute mastoiditis who were seen at Alder Hey Children's Hospital, Liverpool over a five-year period. Their case records were identified and details of gender, age at presentation, symptoms, signs and clinical management were noted and analysed. Twenty-one patients who presented with acute mastoiditis were identified. The patients' age at presentation ranged from three months to 14 years. Five cases out of 21 (23.8 per cent) were under one year of age. Eighteen cases (85.7 per cent) presented with post-aural swelling while 12 (57.1 per cent) had aural discharge. All patients were treated with intravenous antibiotics and only five patients (23.8 per cent) required surgical intervention in the form of a cortical mastoidectomy with, or without, myringotomy. A significant number of cases can be treated conservatively with intravenous antibiotics. Surgery in the form of cortical mastoidectomy can be reserved for complicated cases and in those in whom conservative treatment has failed.

Acute Disease↗
PubMed2004

Postauricular cutaneous mastoid fistula.

Postauricular cutaneous mastoid fistula is a rare condition. The cutaneous mastoid fistula is a very rare complication of chronic suppurative otitis media. The fistula tracts are typically difficult to manage because of the surrounding necrotic skin edges. We describe an unusual case of a postauricular cutaneous mastoid fistula and outline the surgical technique used for closure.

Aged↗
PubMed1986

Effect of middle ear infection upon the pneumatization of the mastoid: an experimental study in pigs.

The suppression of the temporal bone's pneumatized cavities is commonly observed in chronic middle ear inflammatory disease, but this fact has not been explained in respect to its etiology, i.e., whether the poorly pneumatized cavity induces chronic middle ear infection or middle ear inflammatory condition suppresses the pneumatization of cellulae. We studied the effect of middle ear infection and eustachian tubal dysfunction in the early stage of life upon the development of pneumatization of the mastoid using 13 pigs, whose mastoid is comparable to that of man. We used two methods, the eustachian tube stenosis test and the tympanic membrane paraffin infusion test. The present study indicated that in six pigs infection of the middle ear in the early stage of life suppressed the normal development of pneumatization of the mastoid bone in pigs.

Animals↗
PubMed1979

Mastoid obliteration.

Mastoid obliteration is recommended as a routine procedure in all mastoid surgery. Bone chips from the mastoid tip, bone paté from the cortical bone and lyophilized dura can all be employed effectively to fill the epitympanic space and Traumann's triangle. The former annulus is reconstructed using lyodura and periost-bearing bone and the canal wall is fortified and the cavity filled with the metally based postauricular musculoperiosteal flap. Any remaining cavity is filled with bone chips and bone paté.

Bone Transplantation↗
PubMedDate not supplied

Effect of middle ear infection on pneumatization and growth of the mastoid process. An experimental study in pigs.

The intention of this experiment was to investigate whether anatomical variations of the temporal bone such as low middle fossa dura, anterior position of the sigmoid sinus or small mastoid process, which are often seen at surgery in cholesteatoma patients, are caused by inflammation in early childhood. In 7 pigs, 1.5 ml paraffin liquid were instilled into the left tympanic cavity 2 or 7 days after birth in order to produce inflammation of the middle ear and tubal dysfunction. After six and a half months the length and area of the mastoid process were significantly smaller on the left instilled side than on the right, normal side. In all cases there was remarkable hypocellularity and increased thickness of the cortical bone strongly supporting the environmental theory of pneumatization that inflammation suppresses the pneumatization process and growth of the mastoid process.

Animals↗
PubMed1990

Prognosis of otitis media with effusion in children, and size of the mastoid air cell system.

We studied 334 ears in 176 patients who were chosen from children diagnosed as having otitis media with effusion (OME) at our clinic. These 176 patients were re-examined about 5 years and 10 months after the first visit and categorized into three groups according to otological findings at the time of review: group A (normal), group B (sequelae), group C (OME). For this study, 168 ears of 86 persons were examined by roentgenography both at the time of the first visit and at review, and the size of mastoid pneumatization and differences in size between the three groups were compared. The results of the investigation can be summarized as follows. The size of mastoid pneumatization in group A was large at the time of the first visit and the increase in size was also greater than in the other two groups. These results led us to conclude that the degree of mastoid pneumatization is an important prognostic sign of the clinical course of OME and provides important information about treatment.

Adolescent↗
PubMed1990

Suppressed mastoid pneumatization in cholesteatoma.

Mastoid pneumatization size was studied by X-ray in 289 patients with otitis media (134 with cholesteatoma and 155 with chronic suppurative otitis media (COM) and 73 patients with traumatic tympanic membrane perforation (controls). The results demonstrated that mastoid pneumatization in the diseased ear of cholesteatoma patients was greatly suppressed. In these patients, the contralateral ear also showed significant suppression compared with controls; mastoid pneumatization size in the healthy ear contralateral to cholesteatoma was similar to that in patients cured of otitis media with effusion (OME). Hence, we conclude that cholesteatoma is a sequela of OME in childhood.

Adolescent↗
PubMed1991

The diagnosis and management of mastoiditis in children.

Even though mastoiditis as a complication of AOM is uncommon, its recognition is imperative to institute timely therapy. Acute coalescent mastoiditis generally follows a severe bout of AOM. Intravenous antimicrobial therapy and myringotomy drainage are usually satisfactory measures. However, refractory cases may require a simple mastoidectomy. Chronic mastoiditis in children is treated initially with intravenous antimicrobial therapy and vigorous aural toilet, which is successful in most patients. Mastoidectomy may be required in selected patients. The clinician must be aware of the differential diagnosis of chronic otorrhea so that biopsies can be obtained whenever a neoplasm is suspected.

Child↗
PubMed1989

[The size of the mastoid pneumatization and otitis media with effusion in children].

It is generally believed that a cause and effect relationship exists between chronic middle ear inflammatory conditions and suppressed growth of the pneumatized cellulae. We already demonstrated the normal process of pneumatization and the suppressive process of pneumatization in experimental studies using pigs. In that study, the process of suppression of the pneumatization was caused by the continuous inflammatory changes of the epithelium of the middle ear cavity, and the degree of the suppression of the pneumatization was caused by the degree and duration of the air cavity's inflammatory condition at the growing stage of the mastoid process. We also carried out the histological study of the normal process of pneumatization using 100 sides of human fetuses between 16th and 36th week of pregnancy. In these studies the bone metabolisms which were found in the normal processes of pneumatization in pigs and human fetuses were same, and the normal pneumatization occurred at the growing stage of the mastoid process. This growing period of the mastoid is from 0 to 6 months after birth in pigs, and 0 to 15 years in humans. So in humans, we can infer that the suppression of the growth of the cellulae is closely related to a persistent state of otitic inflammation like an otitis media with effusion in the early stages of growth. From these studies, in children who have otitis media with effusion, it will be possible to realize the previous middle ear pathology by the degree of the suppression of pneumatization on x-ray film.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1990

[Leukemic infiltration of the mastoid bone--cytologic examination of exudate in the tympanic cavity as a useful diagnostic method].

Although otologic involvement by leukemic infiltration was supposed to be unusual, increasing number of cases have been reported in recent years, probably due to the advance of chemotherapy, improved remission rate and longer survival of leukemic patients. Two cases of myelogenous leukemia with infiltration of mastoid bone were reported. One is 15-year-old girl with acute myelogenous leukemia, which had been well controlled for 1 year, developed a sudden onset of facial nerve palsy. The other is 30-year-old female with chronic myelogenous leukemia and blastic crisis, complained hearing loss. As both cases had exudate in the tympanic cavity, the punctures were carried out through the eardrum. The pathological study of these exudate cells revealed the involvement of mastoid bone by leukemia. The cytologic examination of exudate in the tympanic cavity is simple, time-sparing and of little burden to the patient. This technique is very useful and supposed to take the place of the exploratory surgery of mastoid cavity which is previously considered necessary for the correct diagnosis.

Adolescent↗
PubMed1996

[Fates of bone defects in the mastoid cavity studied from the findings of two-stage tympanoplasty].

The incidence and prognosis of bone defects occurring in the mastoid cavity were investigated in 205 ears of 197 patients who underwent planned two-stage tympanoplasty by the intact canal wall technique. Bone defects found at the first stage had spontaneously closed by the second stage in 43 of 62 ears at the mastoid tegmen, in 13 of 15 ears at the posterior wall of the mastoid cavity and in 2 of 17 ears at the posterior wall of the external ear canal. Twenty two ears developed bone defects at the ear canal between the first and second operations, despite the canal wall having been primarily preserved. Of the 6 ears with closure of the labyrinthine fistula using temporalis fascia at the first stage, the defects were obliterated with regenerated bone in 5 ears at the second stage. Bone defects at the facial canal were recognized in 67 ears at the first stage, 21 of which were no longer seen at the second stage.

Adolescent↗
PubMed1999

[Acute infectious mastoid complications in infancy].

The incidence of acute mastoiditis accounts for 0.004% of acute middle otitis. Nowadays there is a decrease of number of mastoiditis and its complications, but from time to time are seen outbreaks without logical explanation of facts. We report 4 clinical cases of acute mastoiditis complicated with subperiosteal abscess, in children between 8 and 23 month old, seen at our department during the last 3 years, three of them diagnosed in a 4-month term.

Abscess↗
PubMed1999

[Current knowledge on diagnosis and treatment of mastoiditis].

Causes and clinical course of atypical mastoiditis were studied by cases treated in the ENT clinic of the Moscow Medical Academy and relevant literature. Therapeutic policy in mastoiditis is described. Early surgical intervention is recommended in unfavorable mastoiditis course to prevent complications.

Acute Disease↗
PubMed2000

Central venous sinus thrombosis following mastoiditis: report of 4 cases and literature review.

The frequency of mastoiditis and its complications have declined since the advent of antibiotics. Among all complications, transverse sinus thrombosis is the least frequent, although it may have the highest mortality rate. Before the introduction of surgery and antibiotic treatment, mortality was close to 100%. Previous administration of antibiotics may lead to changes in the clinical presentation of venous sinus thrombosis that make diagnosis more difficult, in spite of greatly improved imaging methods. This article reports 4 confirmed cases of venous sinus thrombosis complicating mastoiditis that were diagnosed and treated at Nossa Senhora das Graças Hospital, Curitiba--PR from June, 1999, to February, 2000. All 4 cases were documented by magnetic resonance imaging. Each patient recovered after treatment with antibiotics and anticoagulation. No surgical intervention was necessary. Diagnosis of the complication requires a high level of clinical suspicion and then evaluation by mastoid CT and cranial MRI.

Adult↗
PubMedDate not supplied

[Mechanical impedance of human parotid area tissues (mastoid)].

Frequency relationship of mechanical impedance of human mastoid has been recorded within the frequency range of 125-15 000 Hz. The technique of measuring mechanical impedance has been described and its error evaluated. From the results obtained equivalent parameters of the mechanical system imitating acoustic properties of human mastoid are calculated. These parameters can serve as the basis for developing the device artificial mastoid.

Acoustics↗