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Ear Nose Throat J ; 93(10-11): 449, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25397372


Basal cell carcinomas of the EAC are known to be locally aggressive, although they are not associated with regional lymph node metastasis.

Carcinoma Basocelular/patologia , Meato Acústico Externo/patologia , Neoplasias da Orelha/patologia , Adulto , Biópsia , Carcinoma Basocelular/cirurgia , Meato Acústico Externo/cirurgia , Neoplasias da Orelha/cirurgia , Humanos , Masculino , Otoscopia
Auris Nasus Larynx ; 41(5): 464-6, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25028329


OBJECTIVE: The aim of this study was to investigate the acoustic characteristics of target vowels phonated in normal voice persons while performing laryngeal telescopy. The acoustic characteristics are compared to show the extent of possible difference to speculate their impact on phonation function. METHODS: Thirty-four male subjects aged 20-39 years with normal voice were included in this study. The target vowels were /i/ and /ɛ/. Recording of voice samples was done under natural phonation and during laryngeal telescopy. The acoustic analysis included the parameters of fundamental frequency, jitter, shimmer and noise-to-harmonic ratio. RESULTS: The sound of a target vowel /ɛ/ was perceived identical in more than 90% of the subjects by the examiner and speech language pathologist during the telescopy. Both /i/ and /ɛ/ sounds showed significant difference when compared with the results under natural phonation. There was no significant difference between /i/ and /ɛ/ during the telescopy. CONCLUSION: The present study showed that change in target vowels during laryngeal telescopy makes no significant difference in the acoustic characteristics. The results may lead to the speculation that the phonation mechanism was not affected significantly by different vowels during the telescopy. This study may suggest that in the principle of comfortable phonation, introduction of the target vowels /i/ and /ɛ/ is practical.

Laringoscopia , Fonação , Acústica da Fala , Telescópios , Adulto , Humanos , Masculino , Adulto Jovem
Am J Otolaryngol ; 33(3): 356-7, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-21962289


Brainstem hemorrhage usually presented with acute multiple neurologic dysfunction, and the prognosis was poor. Rarely, it can manifest with audiovestibular symptoms only. Here, we report a case of brainstem hemorrhage involving the right middle cerebellar peduncle and dorsal lateral pons presented with constant nonpulsatile tinnitus and rotatory vertigo. We believed that rotatory nystagmus should be regarded as a central sign until proven otherwise even if the neurologic signs are subtle.

Tronco Encefálico/irrigação sanguínea , Hemorragias Intracranianas/complicações , Nistagmo Patológico/etiologia , Zumbido/etiologia , Vertigem/etiologia , Adulto , Diagnóstico Diferencial , Humanos , Hemorragias Intracranianas/diagnóstico , Imagem por Ressonância Magnética , Masculino , Nistagmo Patológico/diagnóstico , Zumbido/diagnóstico , Vertigem/diagnóstico
Ear Nose Throat J ; 90(12): E18-22, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22180118


Mycobacterium chelonae usually causes soft-tissue and skin infection. It is a rare cause of otomastoiditis. The clinical presentation and operative findings are similar to those of other nontuberculous mycobacterial infections. We describe a case of left-sided otomastoiditis with acute facial nerve paralysis caused by this organism in a previously well middle-aged woman. Her facial palsy totally resolved after tympanomastoidectomy plus a 7-week regimen of clarithromycin and moxifloxacin. To our knowledge, a case of otomastoiditis with acute facial nerve paralysis caused by M chelonae has not been reported previously.

Paralisia Facial/microbiologia , Mastoidite/microbiologia , Infecções por Mycobacterium não Tuberculosas/diagnóstico , Mycobacterium chelonae , Paralisia Facial/diagnóstico , Paralisia Facial/terapia , Feminino , Humanos , Mastoidite/diagnóstico , Mastoidite/terapia , Pessoa de Meia-Idade , Infecções por Mycobacterium não Tuberculosas/complicações , Infecções por Mycobacterium não Tuberculosas/terapia
Ear Nose Throat J ; 89(12): E16, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21174266


Almost all aural cholesterol granulomas develop in the mucosa of the middle ear. We describe the case of a 14-year-old girl who presented with an asymptomatic, nontender, dark-blue, cystic lesion in the posteroinferior portion of the left ear canal. The mass was excised via a postauricular approach. Postoperatively, the mass was identified as a cholesterol granuloma on pathologic examination. To the best of our knowledge, this is the first reported case of a human cholesterol granuloma limited to the external ear canal.

Colesterol , Cistos/diagnóstico , Meato Acústico Externo/patologia , Granuloma de Corpo Estranho/patologia , Adolescente , Biópsia por Agulha , Meato Acústico Externo/cirurgia , Feminino , Seguimentos , Granuloma de Corpo Estranho/cirurgia , Humanos , Imuno-Histoquímica , Procedimentos Cirúrgicos Otológicos/métodos , Doenças Raras , Resultado do Tratamento