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1.
J Laryngol Otol ; 127(10): 1017-9, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24124994

RESUMO

OBJECTIVE: We report a rare case of temporal bone metastasis from a lung primary, presenting only as post-aural tenderness. CASE REPORT: A 57-year-old man presented to our out-patient department with left post-aural pain of four months' duration. Clinical examination revealed tenderness in the left post-aural region; the ear, nose and throat examination was otherwise unremarkable. Computed tomography and contrast-enhanced magnetic resonance imaging showed erosion of the left petrous temporal bone. Incisional biopsy was carried out. Histopathological and immunohistochemical analysis showed infiltrative metastatic adenocarcinoma of the lung. Further imaging with positron emission tomography confirmed increased uptake from the right lower lobe of the lung, suggesting the site of the primary lesion. The patient was treated with chemo-radiotherapy. CONCLUSION: Post-aural pain is a non-specific symptom, and, with normal clinical and audiometric test results, rare lesions such as the one presented could be easily missed. A thorough clinical examination must be performed to identify genuine signs, and appropriate imaging undertaken to exclude rare causes, such as this metastatic lesion of the temporal bone.


Assuntos
Adenocarcinoma/patologia , Neoplasias Pulmonares/patologia , Osso Temporal , Adenocarcinoma/terapia , Adenocarcinoma de Pulmão , Quimiorradioterapia , Dor de Orelha/etiologia , Detecção Precoce de Câncer , Humanos , Neoplasias Pulmonares/terapia , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Metástase Neoplásica/diagnóstico , Metástase Neoplásica/terapia , Tomografia por Emissão de Pósitrons , Tomografia Computadorizada por Raios X
2.
Clin Otolaryngol ; 33(3): 259-61, 2008 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-18559035

RESUMO

The minimal invasive techniques have become the main stay of the surgical approach for the cochlear implant. Securing the implant with sutures can be challenging due to the limited access and awkward operating angle. We have developed a non-sutured technique to secure the implant by placing and securing the proximal end of the electrode into a bony groove. Our series supports the notion that the technique is suitable for implant cases in which the patient's age is older than 18 months.


Assuntos
Implante Coclear/métodos , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Humanos , Lactente , Pessoa de Meia-Idade
3.
J Laryngol Otol ; 119(12): 1010-2, 2005 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-16354372

RESUMO

Secondary deposits in the temporal bone are uncommon but well recognized. Such tumours may involve the facial nerve by direct extension of the destructive process into the fallopian canal. We present a rare case of metastasis from a breast carcinoma in the facial nerve itself, involving the nerve in the internal acoustic meatus with extension into the labyrinthine segment, the first genu and into the middle-ear segment. The rest of the temporal bone was not involved. The lesion resembled a facial schwannoma on a routine magnetic resonance (MR) image. The diagnosis was confirmed after a post-operative computed tomography (CT) scan showed another separate secondary deposit in the basisphenoid. Histology was consistent with secondary tumour from a breast carcinoma. The case highlights the importance of keeping a high degree of suspicion for metastatic tumours in patients with a previous history of malignancy and the usefulness of CT scan in the evaluation of such cases.


Assuntos
Neoplasias da Mama , Carcinoma Lobular/secundário , Neoplasias dos Nervos Cranianos/secundário , Neoplasias da Orelha/secundário , Nervo Facial , Nervo Vestibulococlear , Carcinoma Lobular/diagnóstico , Neoplasias dos Nervos Cranianos/diagnóstico , Diagnóstico Diferencial , Neoplasias da Orelha/diagnóstico , Orelha Interna , Feminino , Humanos , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade , Neurilemoma/diagnóstico , Tomografia Computadorizada por Raios X
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