Youthful, natural-appearing lips tend to enhance an individual's appearance. Surgical lip augmentation using SMAS or postauricular fascia, with or without vermilion border advancement, is a straightforward, safe, potentially long-lasting treatment for hypoplastic lips, with little to no morbidity.
An African American man in his 40s initially presented with a sudden-onset unilateral hearing loss with associated vertigo and tinnitus. His medical history was unremarkable, and he specifically had no history of any auditory or vestibular symptoms. Results from his physical examination were also unremarkable and demonstrated normal otoscopic and neurologic findings. Audiometry results revealed a moderate right-sided sensorineural hearing loss across all frequencies (250-8000 Hz). Prior audiograms were unavailable for comparison. The patient was treated with tapered prednisone therapy and scheduled for magnetic resonance imaging (MRI) radiographic evaluation. Subsequent clinical and audiology evaluations at 1 week and 1 month demonstrated an almost complete resolution of his hearing loss and vertigo symptoms. His MRI was obtained 2 months after onset of his symptoms with the enhancement pattern shown (Figure).
What is your diagnosis?A B Figure. Magnetic resonance images. A, Nodular enhancement of the right cerebello-pontine angle that extended laterally to the right porous acusticus and of the right sylvian fissure. B, A smooth enhancement of the anterior pons extending across the midline to the left pontine angle.
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