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At least 631 records · Page 35Linked to original sources
PubMed1982

Surgical technique for open mastoid procedures.

In mastoid surgery for chronic ear disease (with or without cholesteatoma), the removal of the posterior canal wall does not necessarily insure a "safe" ear. Open procedures are subject to many of the same complications that are associated with the more controversial closed technique. In addition, if the canal wall down procedure is not performed with great care and under strict guidelines, the postoperative ear can be a continual nuisance to the patient. The author has reached these conclusions based upon 20 years' experience in dealing with "problem cavities" created by himself and others. The purpose of this paper is to define the "problem cavity" and how to prevent it.

Cholesteatoma↗
PubMed1983

Primary cysts of the mastoid process.

Two patients with primary mastoid cysts are presented. These examples stress the importance of regular follow-up of patients with chronic serous otitis media so that the complications or associated abnormalities may be treated early prior to extensive destructive erosion. The formation of these cysts may be due to changes brought about by chronic serous otitis media, or they may be of congenital origin with middle ear effusion as a sequela.

Adolescent↗
PubMed1987

Obliteration of mastoid and middle ear for severe trauma to the temporal bone.

A review of four cases of severe trauma to the temporal bone involving fracture of the external auditory canal indicates that adipose obliteration of the mastoid and middle-ear cleft with closure of the external auditory canal is the optimal method of repair. In two of four patients, one-stage repair was successful using this technique, and in the other two patients, obliteration was required as a revision operation after cholesteatoma developed from previous procedures.

Adolescent↗
PubMed1989

Brain herniation into the middle ear: two idiopathic cases treated by a combined intracranial-mastoid approach.

One hundred thirty-nine cases of brain herniation into the middle ear and mastoid have been reported in the world literature during the last 40 years. In 29 cases the herniation was idiopathic. In idiopathic cases, intermittent CSF otorhinorrhea, a history of intermittent "serous otitis media," and a conductive hearing loss were the main clinical findings. Polytomography or CT-scan revealed a tegmen antri or tympani defect in some patients. There are three surgical approaches for treatment of brain herniation into the middle ear: neurosurgical, otological, and combined.

Cerebrospinal Fluid Otorrhea↗
PubMed2003

Sexing the human skull through the mastoid process.

OBJECTIVE: The purpose of this study was to evaluate the significance for sex determination of the measurement of the area formed by the xerographic projection of 3 craniometric points related to the mastoid process: the porion, asterion, and mastoidale points. METHOD: Sixty skulls, 30 male and 30 female, were analyzed. A xerographic copy of each side of the skull was obtained. On each xerographic copy, the craniometric points were marked to demarcate a triangle. The area (mm ) of the demarcated triangle for each side of the skull (right (D) and left (E) sides) was determined, and the total value of these measures (T) was calculated. RESULTS: Concerning the right area of the male and female skulls, 60% of the values overlapped; for the left area, 51.67% overlapped, and for the total area, 36.67% overlapped. The analysis of the differences between the sexes in the areas studied was significant for the 3 areas. Regarding the total area, which is the preferred measurement because of the asymmetry between the sides of the skull, the value of the mean was 1505.32 mm for male skulls, which was greater than the maximum value obtained in the female skulls. The value of the mean for female skulls was 1221.24 mm , less than the minimum value obtained for the male skulls. CONCLUSIONS: This study demonstrates a significant result in the 3 studied areas, (D), (E), and (T). The total area values show less overlapping of values between the sexes, and therefore can be used for sexing human skulls. For the population studied, values of the total area that were greater than or equal to 1447.40 mm belonged to male crania (95% confidence). Values for this area that were less than or equal to 1260.36 mm belonged to female crania (95% confidence).

Cephalometry↗
PubMedDate not supplied

The size of the middle ear and the mastoid air cell.

The total volume for the middle ear and mastoid air cells was measured in 55 temporal bones with normal ear drums from a Norwegian post-mortem material. The measurements were made by an acoustic method and checked by means of fluid filling induced by vacuum pumping. As a measuring fluid X-ray contrast medium was employed so that the degree of filling could be examined by X-ray. The volume varied between approximately 2--22 cm3 with an average round 6,5 cm3.

Aged↗
PubMedDate not supplied

Mastoid pneumatization in secretory otitis. Further support for the environmental theory.

A cohort of 222 randomized healthy children was followed with 7 repetitive tympanometries from the age of 4 to the age of 7 years. At the age of 8, the size of the mastoid air cell system in 17 children with normal tympanometric profiles and in 27 children with pathological tympanometric profiles, indicating secretory otitis, was examined by planimetry. The air cell system was significantly larger in the normal group than in the abnormal group, strongly indicating the validity of the environmental theory of pneumatization.

Acoustic Impedance Tests↗
PubMed1989

Effects of endolymphatic mastoid shunt operation for patients with Menière's disease.

During the past 10 years, the endolymphatic mastoid shunt operation was carried out on 108 patients with Meniere's disease: 54 men and 54 women between 22 and 72 years old. According to criteria AAOO proposed in 1972, 86 cases (79.6%) belonged to class A, 19 cases (17.7%) to class B and 3 cases (2.7%) to class C. Forty patients took the body sway test before and after the operation. Four of the 40 patients were found to have Meniere's disease on the contralateral side within 12 months after the operation and one patient was found to have a complicating psychogenic disease. The abnormal body sway had recovered 2 to 9 months after the operation, but the medical treatment could not be stopped during this period. The average hearing gain after the operation was 21.3 +/- 14.4 dB; that for the patients with a short period of illness (within 23 months of the first onset to the operation) was 25.2 +/- 14.5 dB and that for the patients with a longer period of illness (over 24 months) was only 13.8 +/- 10.6 dB.

Adult↗
PubMed1977

Eustachian tube function and size of the mastoid air cell system in middle ear surgery.

Myringoplasty results in patients with poor tubal function and small cell systems are often disappointing, to both patient and surgeon. Surgical procedures to improve tubal function have been introduced but they all have the disadvantage of being rather elaborate and difficult to perform. The mastoid air cell system on the other hand does not offer the same problems of access. With the concept of creating an air-filled cavity in connection with the middle ear, mastoidectomy was performed in myringoplasty cases with poor tubal function and small (less than 9 cm2 lateral area) cell systems. Preliminary results show a healing rate of 82% in patients managed according to these principles, against 50% in corresponding cases when myringoplasty alone was done.

Eustachian Tube↗
PubMed1994

Influence of the thickness of the skin and subcutaneous tissue covering the mastoid on bone-conduction thresholds obtained transcutaneously versus percutaneously.

Percutaneous and transcutaneous bone-conduction thresholds were obtained at 0.25, 0.5, 1, 2, and 4 kHz in 57 patients who were fitted with the Bone Anchored Hearing Aid (BAHA). Additionally, the thickness of the skin and subcutaneous tissue covering the mastoid was determined. No relation was found between the thickness of the skin and subcutaneous tissue, and the improvement in bone-conduction thresholds at any of the frequencies, i.e. thresholds obtained percutaneously minus transcutaneously. The improvement (or deterioration) in speech recognition with the BAHA in a subgroup of patients who had previously used a (conventional) transcutaneous bone-conduction hearing aid was not related to the thickness of the skin and subcutaneous tissue layers. Therefore, the thickness of the skin and subcutaneous tissue layers measured pre-operatively cannot be used as a predictor of successful fitting with a BAHA.

Adolescent↗
PubMed2006

Percutaneous transvenous embolization of a dural arteriovenous fistula through a mastoid emissary vein. Technical note.

Definitive endovascular treatment of dural arteriovenous fistulas (DAVFs) requires obliteration of the site of the fistula: either the diseased dural sinus or the pial vein. Access to this site is often limited by occlusion of the sinus proximal and distal to the segment containing the fistula. The authors describe a technique in which the mastoid emissary vein is used to gain access to a Borden-Shucart Type II DAVF in the transverse-sigmoid sinus. Recognition of this route of access, if present, may facilitate endovascular treatment of these lesions. Access to the transverse sinus via this approach can be straightforward and may be underused.

Catheterization, Peripheral↗
PubMed1989

Tuberculous mastoiditis and laryngitis: a case report.

A case of miliary tuberculosis is presented. The patient was an Asian immigrant, and presented to hospital with acute mastoiditis with apparent secondary cerebellar abscess formation. He later developed laryngeal tuberculosis, which required a tracheostomy, and a cerebral tuberculoma.

Adult↗
PubMed1998

[The use of the temporal fascia pedicle flap for the reconstruction of the posterior wall in the external auditory meatus and osteovit obliteration of the mastoid process in the surgical treatment of chronic cholesteatoma in otitis media].

The authors present the results of the treatment of 34 patients with chronic cholesteatomatous otitis media in whom the posterior wall of the external auditory meatus was reconstructed by remodelling the pedicel flap of the temporal fascia and by obliterating the mastoid process with Osteovit. The results of the operation were estimated with reference to the time of the postoperative cavity getting dry and compared with the control group of individuals in whom radical conservative operation was performed. The results proved that the epithelialization time was distinctly shorter and neither granulation nor otorrhea appeared during 24 months' observation.

Adolescent↗
PubMed1999

[Idiopathic brain herniation in the middle ear and mastoid].

Idiopathic brain herniation into the middle ear and the mastoid process is a rare clinico-pathological entity, with only 41 cases described in the literature. It should be suspected in presence of spontaneous otoliquorrhea/rhinoliquorrhea, refractory serous otitis media, or meningitis following acute otitis media in an adult. A new case is presented, with a brief review of the pathogenesis, clinico-pathological, and radiological characteristics of these lesions.

Cerebrospinal Fluid Otorrhea↗
PubMed2000

[Mastoid cortical bone grafts in ossiculoplasty].

Ossicular homografts have been left for safety reasons with regard to viral transmission diseases. Several means are usable to reconstruct ossicular chain: synthetic prosthesis and autologous bone. On grounds of disponibility, biocompatibility, cost and use easiness we have been using mastoid cortical bone since 1995. We have studied hearing results and tolerance of 45 ossiculoplasties performed with cortical bone. Two years after, we have been obtaining as good or even better functional results with cortical bone graft than with auto or homologous ossicular bones (air bone gap inferior or equal to 20 DB in 89 % of the cases) and no extrusion. Thus, cortical bone seems to be, the better material when autologous ossicular bones are not available.

Adolescent↗
PubMed2002

[Recurrent otitis media and mastoiditis due to atypical mycobacteria].

An eleven-year-old girl was operated on due to right-sided chronic otitis media with effusion. After three months, an impressive enlargement of the mucosal lining developed, for which thorough debridement of the middle ear and mastoid was performed. Histological examination revealed a granulomatous inflammation, with negative Ziehl-Neelsen staining. Standard bacteriological cultures revealed no pathogenic micro-organisms. Three weeks later the same clinical picture developed, once again followed by extensive surgical debridement. After a thorough diagnostic work-up an atypical mycobacterium was found, namely Mycobacterium abscessus--formerly named M. chelonei subspecies abscessus. Following appropriate antibiotic therapy the patient was symptom-free. Mycobacterial infections should be part of the differential diagnosis of persistent otorrhoea.

Anti-Bacterial Agents↗
PubMed1975

[Comparison of two different recording sites in electrocochleography: promontory and external mastoid position (author's transl)].

One possible evaluation of the functional unit: hair-cell/afferent neurit is the recording of an action-potential (AP) from the acoustic nerve. The authors report their experience in recording the AP from an external position on the mastoid planum and from a transtympanic position on the promontory. The promontory site is prefered because of the higher electrical response amplitude and because of its relatively reduced sensitivity against myogenic potentials. Characteristic findings in normal ears and in some pathological conditions are to be demonstrated.

Action Potentials↗