The aim of this study is to compare the inlay butterfly transcanal cartilage tympanoplasty with the conventional underlay tympanoplasty. Operation time, pre- and postoperative hearing levels, successful closure rate of tympanic membrane (take rate) and long-term re-perforation in dry perforated chronic otitis media were evaluated. The study design consists of case series with a chart review. The study settings are tertiary referral center. Of the 72 patients (age range 14-57 years) with dry perforated chronic otitis media, 29 patients underwent inlay butterfly transcanal cartilage tympanoplasty (group 1) and 43 patients underwent conventional underlay tympanoplasty without mastoidectomy (group 2) between January 2010 and June 2012. The outcome measures were the duration of surgery, "take rate" at the 30th postoperative day and the audiometric results at the 45th postoperative day. Long-term re-perforation was evaluated at least postoperative 1 year. The graft take rate was 96.5 % in group 1 and 90.7 % in group 2 at the 30th postoperative day (p > 0.05). Mean air-bone gap was improved from 18.8 ± 8.09 to 11.9 ± 7.12 dB in group 1 and from 21.9 ± 7.32 to 11.6 ± 8.43 dB in group 2. The improvement of air-bone gap in both groups was statistically significant (p < 0.05) but the improvement between the groups was not statistically significant (p > 0.05). The average duration of the surgery was 29.9 ± 5.38 min for inlay tympanoplasty group and 58.9 ± 12.1 min for underlay tympanoplasty group (p < 0.05). Two patients in group 2 had re-perforations after an initial take of the graft in 1-year follow-up period. Inlay butterfly transcanal cartilage tympanoplasty is a good choice in selected cases. Although this technique has the similar take rate and audiological results with conventional underlay tympanoplasty, it is a time-saving procedure.
Priapism is a pathological condition of a penile erection that persists beyond or is unrelated to sexual stimulation. Priapism is broadly classified into two types: (i) ischaemic priapism (veno-occlusive) (low-flow), (ii) nonischaemic priapism (arterial) (high-flow). We report the case of a newborn presenting with priapism on the first day of life and also review published data on the management and follow-up of this condition.
IntroductionCongenital cholesteatoma is thought to be caused by inadequate folding of the epidermoid formation inside the middle ear cleft. During development of the middle ear mucosa, stratified squamous epithelium accumulates in the embryonic life. Its typical appearance is a “pearl” beneath the anterosuperior quadrant of the tympanic membrane.Presentation of caseWe report 28 years-old case with congenital cholesteatoma in the posterosuperior quadrant of middle ear cavity. The main complaint was the hearing loss which had developed slowly over several years.DiscussionThe case was surgically treated. Postoperative hearing result was satisfactory.ConclusionCongenital cholesteatoma may occur in atypical locations and ages. Many authors prefer canal wall down tympanomastoidectomy. But it can also be treated successfully by intact canal wall tympanomastoidectomy with good hearing results.
R hinosinusitis is one of the most prominent health issues worldwide. Its incidence and prevalence continue to increase. The statistical data indicates that sinusitis is more prevalent than diabetes mellitus, arthritis, cardiac diseases, and headache. 1 Furthermore, chronic rhinosinusitis (CRS) not only gives rise to important physical symptoms but also ends up with functional and emotional disorders. 2 Nasal polyposis accompanies a significant proportion of CRS cases. It increases the negative impact of rhinosinusitis on quality of life, and the economic burden of treatment. 3 Endoscopic sinus surgery was introduced by Messerklinger and Wigand for the treatment of CRS and nasal polyposis in 1960s. It has been popularized over Europe by Stammberger and in North America by Kennedy since the 1970s. 4 This technique has been used confidently by otolaryngologists all around the world.During the last decade, the balloon catheter dilatation technique has been proposed as an alternative treatment for CRS in selected cases. 5 The data obtained on the balloon catheter dilatation technique demonstrates satisfactory results for patients with CRS in terms of safety and efficacy. 5 But this technique needs additional instruments and tools, and compared with conventional methods it is more expensive. The treatment results, also the role of the balloon catheter dilatation technique in nasal polyposis is still under debate. 6 There are several balloon catheter sinusotomy tools in use with different brands and varieties on the market. 7 The aim of this study was to define a new and costeffective technique for maxillary sinus ostium dilatation with a Foley catheter (MOD-F) in patients with CRS. The short-term results of the MOD-F technique were documented, and compared with the conventional surgical expanding (MOD-S) technique. Also, the factors that might contribute to changes in the ostium diameter were evaluated.
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