Disease of the Nose, Throat and Ear, Medical and Surgical

Vocal process granuloma

“…14 They also identified symptoms of frequent throat clearing associated with a cough. Despite the description of symptoms that are now commonly ascribed to gastroesophageal reflux (GER), they did not consider reflux to be a factor.…”

“…Despite the description of symptoms that are now commonly ascribed to gastroesophageal reflux (GER), they did not consider reflux to be a factor. 15 They implicated voice abuse as the primary cause of the granuloma and offered a list of other predisposing factors: irritation from dust, the presence of suppurative foci in the tonsils and sinuses, acute infections of the respiratory tract, oral sepsis, cough, and use of tobacco and alcohol.…”

Treatment of Auricular Hematoma Using Button Technique

“…Proper management must be aimed at restoring normal appearance and avoiding infection. It has been always stated that aspiration of the hematoma, or incision and drainage, followed by application of a pressure dressing is the treatment of choice [Paparella and Shumrick, 1973;Ballenger, 1977;English, 1976]. Permanent elimination of the dead space after evacuation of the hematoma has been always the main prob lem.…”

Tuberculosis of the middle ear

“…Direct extension to the temporal bone from intracranial structures. 6 Giant cells of the Langhans type, tubercle formation, dense lymphocytic infiltration, and exuberant fibrous tissue are characteristic histologic findings. The formation of dense fibrous tissue during healing may produce a profound conductive hearing 10ss.lO…”

“…The static labyrinth and the cochlea are often destroyed probably by extension through the oval or round window. 6 Multiple perforations result from the breakdown of a number of small tubercles in the mucosal layer of the tympanic membrane. These perforations often coalesce into one large perforation, with less inflammatory reaction than in other chronic middle ear suppurations.…”