Complete Removal of Stage II Congenital Cholesteatoma Destroying Temporomandibular Joints Using Transcanal Endoscopic Ear Surgery With a Mirror Technique: A Case Report.

Transcanal endoscopic ear surgery (TEES) provides wide-angle clear vision for otologic surgery. We report the utility of TEES with the mirror technique for the complete removal of a congenital cholesteatoma in a 3-year-old boy. A white mass was observed through the tympanic membrane, and a congenital cholesteatoma was suspected during the conservative treatment of otitis media with effusion. Pre-operative computed tomography (CT) revealed an irregular mass lesion in the left middle ear, with bone erosion in the hypotympanum. During surgery, an open-type cholesteatoma was observed, mainly in the middle lower tympanum. The cholesteatoma had destroyed the periphery of the temporomandibular joint, which was widely exposed. The cholesteatoma had also spread to the tympanic sinus. Careful observation with a forward-oblique viewing endoscope and a variable angle tympanic mirror enabled complete removal of the mass under endoscopic guidance. No recurrence was observed during the postoperative follow-up, although residual open-type congenital cholesteatoma may often result in recurrence. We believe that careful removal of the lesion under TEES, which allowed us to perform surgery under a secure view with illumination and magnification, may have facilitated complete removal and prevented recurrence.

Resection of a Large Cavernous Hemangioma Following Preoperative Embolization in a Child's Temporal Bone.

Primary intraosseous cavernous hemangiomas (PICHs) in the temporal bone are very rare. Most treated cases are in adult patients, and there are very few reports involving children. To our knowledge, no cases reported have ever actually adopted embolization in children, although several reports recommend preoperative embolization of the feeding arteries. Here, we present a case of a child with a large cavernous hemangioma developing in the temporal bone. The patient was an 11-year-old girl whose chief complaints were hearing loss, aural fullness, and otalgia. Based on imaging, a lymphoma was initially suspected, but extensive arterial bleeding occurred during biopsy under local anesthesia. Angiography was performed to evaluate the blood flow in the tumor, and revealed the middle meningeal artery as a main feeding artery to the tumor. A huge PICH at the temporal bone was successfully resected following preoperative embolization of the feeding artery.

Discriminative detection of volatile sulfur compound mixtures with a plasma-polymerized film-based sensor array installed in a humidity-control system.

We demonstrated the discrimination of volatile sulfur compound mixtures with different mixing ratios by using an array of the plasma-polymerized film (PPF)-coated quartz crystal resonators. The PPF sensor array, which contains PPFs prepared from amino acids and synthetic polymers, exhibited different response patterns to mono or mixed volatile sulfur compounds (VSCs) (hydrogen sulfide and methanethiol) under a dry environment. The sensor array was installed in a desktop-size relative humidity controller. The relative humidity and temperature conditions of the sample flow to the sensor cell were equalized to those of the inner atmosphere of the sensor cell based on the concept of the two-separate-temperatures method. In this way, the baseline drift of PPF sensor response caused by the introduction of a highly humid sample was successfully suppressed. We compared the sensor array responses under the controlled humidity conditions. Presorption of water molecules by PPFs caused a decrease of sensor sensitivity, but the films still had the ability to discriminate sub-ppmv VSC mixtures having 6:1, 1:1, and 1:6 mixture ratios of hydrogen sulfide and methanethiol.