MyMedR

Asplenium merapohense (Aspleniaceae), a new species from the Peninsular Malaysia

Jaman R, Kamin I, Kiew R

PhytoKeys, 2017.

PMID: 29118651 DOI: 10.3897/phytokeys.89.20875

A new species of Asplenium is described from two collections made on limestone hills in Peninsular Malaysia. Conspicuous by its extremely narrow pinnae, it is probably allied to A. salignum but differs in sufficient characters (scale size, size and shape of lamina, venation and sorus length, position and orientation) to be a species in its own right.

Matched MeSH terms: Ear, External; Ear Auricle

Rare embryonal rhabdomyosarcoma of external acoustic canal: a case report and literature review

Eksan MS, Noorizan Y, Chew YK, Noorafidah MD, Asma A

Am J Otolaryngol, 2014 Nov-Dec;35(6):814-5.

PMID: 25128187 DOI: 10.1016/j.amjoto.2014.07.009

Embryonal rhabdomyosarcoma of external ear canal is very rare, even in the pediatric population. We report an embryonal rhabdomyosarcoma of external acoustic canal, occurring in a 12-year-old Chinese girl who presented with left ear canal mass. Wide local excision of the mass was done under local anesthesia. Histopathological examination revealed the diagnosis. She then underwent 20 cycles of radiotherapy. CECT scan post treatment showed clearance of tumor cell. Now, patient is disease free for 5 years. We believe that early diagnosis followed by complete resection of the tumor with clear margin and radiotherapy improves the prognosis of the disease.

Matched MeSH terms: Ear Canal*; Ear Neoplasms/diagnosis*; Ear Neoplasms/radiotherapy; Ear Neoplasms/surgery

Fulltext Outcome of patients presenting with preauricular sinus in a tertiary centre--a five year experience

Tang IP, Shashinder S, Kuljit S, Gopala KG

Med J Malaysia, 2007 Mar;62(1):53-5.

PMID: 17682572

We reviewed the recurrence rate and possible factors influencing recurrence of preauricular sinus after excision. Seventy-one patients with 73 preauricular sinuses seen at our centre from year 2000 to 2005 were reviewed in this study. The overall recurrence rate was 14.1%. Twelve sinuses needed to be drained for an abscess prior to a definitive surgery. Different modalities used in demonstrating the sinus tract between methylene blue alone and probing together with methylene blue, showed different outcomes, which were statistically significant with a p value of < 0.05(chi-square test). A preauricular sinus with a previous history of infection or actively infected during the definitive surgery may have a higher tendency of recurrence. Meanwhile demonstrating the sinus tract by probing with lacrimal probe/sinus probe followed by injection of methylene blue reduces the recurrence rate (p < 0.05 with chi-square test).

Matched MeSH terms: Ear Cartilage/surgery; Ear, External/abnormalities*; Ear, External/immunology; Ear, External/surgery*

Auricular pseudocyst in the tropics: a multi-racial Singapore experience

Tan BY, Hsu PP

J Laryngol Otol, 2004 Mar;118(3):185-8.

PMID: 15068513

Endochondral pseudocyst of the auricle is an uncommon condition that affects predominantly Chinese males, with many reports studying this condition in homogenous Chinese populations. There have been few large-scale reports describing the features of this disease among the other Asian groups. In one of the largest series described to date, we report the epidemiological features, clinico-pathologic characteristics, and success of surgical treatment in 40 patients of different Asian groups presenting with pseudocyst of the auricle. Results showed a Chinese predominance (90 per cent), followed by Malays (five per cent) and Eurasians (five per cent). All had unilateral presentations apart from one patient. Most (55 per cent) presented within two weeks of auricular swelling. Few (10 per cent) had a history of trauma. The pseudocysts predominantly affected the concha (61 per cent). Surgery comprised excision of the anterior wall followed by local pressure application. Only 2.5 per cent had recurrence after surgery. These findings confirm earlier understood features of this disease while revealing some notable variations.

Matched MeSH terms: Ear Cartilage/surgery*; Ear Deformities, Acquired/ethnology; Ear Deformities, Acquired/epidemiology; Ear Diseases/ethnology; Ear Diseases/epidemiology*; Ear Diseases/surgery

Fulltext Congenital cholesteatoma: delayed diagnosis and its consequences

Goh BS, Faizah AR, Salina H, Asma A, Saim L

Med J Malaysia, 2010 Sep;65(3):196-8.

PMID: 21939167

This is a retrospective review of congenital cholesteatoma cases that were managed surgically. There were 5 cases. The age of presentation ranged from 5 to 18 year old. Three patients presented with complication of the disease. Three patients had intact tympanic membrane, two had perforation at the anterior superior quadrant. All patients had cholesteatoma medial to tympanic membrane. Four cases had extensive ossicular erosion with preoperative hearing worse than 40 dB. Four cases underwent canal wall down mastoid surgery and one underwent canal wall up surgery. One patient had recurrence which required revision surgery. In conclusion, congenital cholesteatoma presented late due to the silent nature of disease in its early stage. Extensive disease, ossicular destruction with risk of complication at presentation were marked in our study. Hence, more aggressive surgical intervention is recommended in the management of congenital cholesteatoma.

Matched MeSH terms: Cholesteatoma, Middle Ear/complications; Cholesteatoma, Middle Ear/congenital*; Cholesteatoma, Middle Ear/diagnosis*; Cholesteatoma, Middle Ear/surgery

Fulltext Hearing rehabilitation in congenital canal atresia

Mazita A, Fazlina WH, Abdullah A, Goh BS, Saim L

Singapore Med J, 2009 Nov;50(11):1072-6.

PMID: 19960162

The purpose of this study was to review the results of our patients with congenital canal atresia after implantation of bone-anchored hearing aids (BAHA). The occurrence of complications was also reviewed.

Matched MeSH terms: Ear/abnormalities*; Ear Canal/abnormalities*; Ear Canal/pathology; Hearing*; Hearing Aids*; Hearing Disorders/pathology; Hearing Disorders/surgery*

Fulltext A rare cause of unilateral tinnitus

Nik Mohd Syukra Nik Abd Ghani, Nik Adilah Nik Othman, Amran Mohamad

International Medical Journal Malaysia, 2018;17(1):145-148.

MyJurnal

Tinnitus is not a disease per se but it is a symptom. It can be either subjective or objective type and the
underlying cause varies such as tumour, infection, vascular abnormality or Meniere’s disease. Foreign body in the external ear is a common presentation especially in children. However, foreign body in the middle ear manifested with only symptom of tinnitus is a rare and unexpected presentation. Foreign body in the middle ear are commonly due to iatrogenic cause such as complication of myringotomy and ventilation tube insertion surgery. There are reported cases of complications of myringotomy and ventilation tube insertion, and they typically presented with the ear infection manifestation, myringosclerosis or permanent perforation of tympanic membrane. Currently, there are only few reported cases in literatures of foreign body in the middle ear following complication of medial migration of ventilation tube into a middle ear with intact tympanic membrane.

Matched MeSH terms: Ear, External; Ear, Middle; Middle Ear Ventilation

Bilateral middle ear cholesterol granuloma in familial hypercholesterolemia

Masaany M, Siti HS, Nurliza I, Mazita A

Otolaryngol Head Neck Surg, 2008 Jun;138(6):803-4.

PMID: 18503863 DOI: 10.1016/j.otohns.2008.02.020

Cholesterol granuloma (CG) is a histologic description of foreign body giant cell formation toward cholesterol crystals. The majority of temporal bone CG is unilateral and most common in the petrous apex. Middle ear CG is usually the result of underlying ear diseases. Primary middle ear CG is very rare. Most reported CG has not been associated with familial hypercholesterolemia (FH). FH, an autosomal dominant disorder, manifests as high levels of serum cholesterol and low density lipoprotein (LDL) cholesterol. We report a rare case of FH and bilateral aggressive primary middle ear CG. This publication has been approved by the IRB, Hospital Alor Setar.

Matched MeSH terms: Ear Diseases/diagnosis; Ear Diseases/etiology*; Ear Diseases/therapy; Ear, Middle*

Fulltext Ear foreign body: tackling the uncommons

Irfan M

Med J Malaysia, 2012 Jun;67(3):352.

PMID: 23082438

Matched MeSH terms: Ear*

Fulltext Temporal bone carcinoma: a case report

Noorizan Y, Asma A

Med J Malaysia, 2010 Jun;65(2):162-4.

PMID: 23756808 MyJurnal

Temporal bone carcinoma may masquerade as an infective process causing late diagnosis. A delay in treatment as a result of missed diagnosis would carry a poor prognosis as the disease progresses to an advanced stage. We present a lady with history of chronic otorrhea, who developed left sided otalgia associated with hearing loss in her sixth decade. She underwent surgery which revealed left mastoiditis and cholesteatoma. After a year, she had a mass in her left ear and pus discharge which was initially treated as an infection. The biopsy of the mass was proven to be squamous cell carcinoma. High index of suspicion is necessary when encountering patients presenting with a mass in the ear canal with prior history of chronic otorrhea or cholesteatoma. Proper tissue biopsy is crucial. Early referral to tertiary centre is required for further management of the patient.

Matched MeSH terms: Ear Canal*

Beyond a tympanic membrane perforation: a superb view of normal middle ear structures

Rahmat O

Ear Nose Throat J, 2007 Jul;86(7):375.

PMID: 17702308

Matched MeSH terms: Ear, Middle/anatomy & histology*

Fulltext Congenital ossicular abnormality. A case report

Khanijow VK, Phang WK, Kerr AI

Med J Malaysia, 1987 Dec;42(4):314-6.

PMID: 3454405

In children, congenital deafness presents not infrequently. The majority of cases are sensorineural in nature and congenital conductive deafness is far less common. The causes range from abnormalties and fixation of ossicles, ankylosed malleo-incudal joint and absence of one or more ossicles. We describe a case of congenital ossicular abnormality, presenting with conductive deafness.

Matched MeSH terms: Ear Ossicles/abnormalities*

"Hypertrichosis pinnae auris" in Malaysian peoples

Pallie W

Med J Malaya, 1968 Sep;23(1):67-72.

PMID: 4237562

Matched MeSH terms: Ear, External*

Fulltext Isolated facial palsy due to intra-aural tick (ixodoidea) infestation

Zamzil Amin, A., Baharudin, A., Shahid, H., Din Suhaimi, S., Nor Affendie, M.J.

Archives of Orofacial Sciences, 2007;2(1):51-53.

MyJurnal

A tick in the ear is a very painful condition and removal is difficult because it grips firmly to the external auditory canal or tympanic membrane. Facial paralysis is a rarely reported localised neurological complication of an intra-aural tick infestation. The pathophysiology of localised paralysis is discussed, together with the safe way of handling patients with an intra-aural tick infestation.

Matched MeSH terms: Ear; Ear Canal

Syringomyelia / bulbia presenting as anhidrosis

Choy, Yew Sing, Sinniah, D.

Malaysian Journal of Child Health, 1992;4(1):6-12.

MyJurnal

Reported is the first case of syringomyelia and syringobulbia associated with Arnold Chiari I malformation in a Malaysian child. The initial complaint was that of unilateral anhidrosis of the face. The chief presenting features were dissociated sensory loss, asymmetrical weakness of the left upper limb associated with subluxation of left shoulder and signs of upper motor neurone lesion in the left lower limb. One unusual feature was the presence of vesiculation followed by ulceration of the pinnae of both ears. Magnetic resonance imaging (MRI) of the posterior fossa and cervical and thoracic cord facilitated the diagnosis and was the most useful diagnostic procedure in this child.

Matched MeSH terms: Ear, External; Ear Auricle

Fulltext Management of otitis media with effusion in children

Zulkiflee S, Siti Sabzah MH, Philip R, Md Aminuddin MY

Malays Fam Physician, 2013;8(2):32-35.

PMID: 25606279 MyJurnal

Otitis media with effusion (OME) is a condition characterised by a collection of fluid within the middle ear without signs of acute inflammation. It is common in young children, with a bimodal peak at two and five years of age. Eighty percent of children have at least one episode of OME by the age of 10 years. This disease is a common ear problem among children with craniofacial anomalies including cleft palate and Down syndrome (DS).

Matched MeSH terms: Ear Diseases; Ear, Middle

A virtual analysis of the precision and accuracy of 3-dimensional ear casts generated from smartphone camera images

Farook TH, Rashid F, Jamayet NB, Abdullah JY, Dudley J, Khursheed Alam M

J Prosthet Dent, 2022 Oct;128(4):830-836.

PMID: 33642077 DOI: 10.1016/j.prosdent.2020.12.041

STATEMENT OF PROBLEM: The anatomic complexity of the ear challenges conventional maxillofacial prosthetic rehabilitation. The introduction of specialized scanning hardware integrated into computer-aided design and computer-aided manufacturing (CAD-CAM) workflows has mitigated these challenges. Currently, the scanning hardware required for digital data acquisition is expensive and not readily available for prosthodontists in developing regions.

PURPOSE: The purpose of this virtual analysis study was to compare the accuracy and precision of 3-dimensional (3D) ear models generated by scanning gypsum casts with a smartphone camera and a desktop laser scanner.

MATERIAL AND METHODS: Six ear casts were fabricated from green dental gypsum and scanned with a laser scanner. The resultant 3D models were exported as standard tessellation language (STL) files. A stereophotogrammetry system was fabricated by using a motorized turntable and an automated microcontroller photograph capturing interface. A total of 48 images were captured from 2 angles on the arc (20 degrees and 40 degrees from the base of the turntable) with an image overlap of 15 degrees, controlled by a stepper motor. Ear 1 was placed on the turntable and captured 5 times with smartphone 1 and tested for precision. Then, ears 1 to 6 were scanned once with a laser scanner and with smartphones 1 and 2. The images were converted into 3D casts and compared for accuracy against their laser scanned counterparts for surface area, volume, interpoint mismatches, and spatial overlap. Acceptability thresholds were set at <0.5 mm for interpoint mismatches and >0.70 for spatial overlap.

RESULTS: The test for smartphone precision in comparison with that of the laser scanner showed a difference in surface area of 774.22 ±295.27 mm2 (6.9% less area) and in volume of 4228.60 ±2276.89 mm3 (13.4% more volume). Both acceptability thresholds were also met. The test for accuracy among smartphones 1, 2, and the laser scanner showed no statistically significant differences (P>.05) in all 4 parameters among the groups while also meeting both acceptability thresholds.

CONCLUSIONS: Smartphone cameras used to capture 48 overlapping gypsum cast ear images in a controlled environment generated 3D models parametrically similar to those produced by standard laser scanners.

Matched MeSH terms: Ear*

Calibration and initial validation of a low-cost computer-based screening audiometer coupled to consumer insert phone-earmuff combination for boothless audiometry

Seluakumaran K, Shaharudin MN

Int J Audiol, 2022 Oct;61(10):850-858.

PMID: 34455907 DOI: 10.1080/14992027.2021.1969455

OBJECTIVE: To undertake calibration and preliminary validation of a custom-designed computer-based screening audiometer connected to consumer insert phone-earmuff combination for adult pure tone audiometry.

DESIGN: Part 1 involved electroacoustic measurement and biological calibration of a laptop-earphone pair used for the computer-based audiometry (CBA). Part 2 compared CBA thresholds obtained without a sound booth with those measured using the gold-standard clinical audiometry.

STUDY SAMPLE: 17 young normal-hearing volunteers (Part 1) and 43 normal and hearing loss subjects (Part 2) recruited from an audiology clinic via convenience sampling.

RESULTS: The transducer-device combination produced outputs suitable for measuring thresholds down to 0 dB HL. Threshold pairs obtained from the CBA and clinical audiometry were highly correlated (Spearman's correlation coefficient, ρ = 0.92, p 25 dB HL.

CONCLUSIONS: The use of a computer-based audiometer application with consumer insert phone-earmuff combination can offer a cost-effective solution for boothless screening audiometry.

Matched MeSH terms: Ear Protective Devices*

Fulltext Human aural myiasis

Lee HL, Yong YK

Southeast Asian J Trop Med Public Health, 1991 Jun;22(2):274-5.

PMID: 1948291

Matched MeSH terms: Ear Diseases/parasitology*

Fulltext Intriguing aural foreign body and algorithm of management of foreign body

Ponnuvelu K, Saniasiaya J, Abdul Gani N

BMJ Case Rep, 2021 Aug 16;14(8).

PMID: 34400422 DOI: 10.1136/bcr-2021-242122

Foreign body (FB) in the external auditory canal is more common among the paediatric age group compared with adult patients and it may be deposited in various ways. An accidental animate aural FB is reported to be commonly encountered in adults whereas inanimate FBs are likely to be found among adult patients with learning disability. An elderly man presented with accidental penetration of rattan tree stem into his ear while gardening. Removal of a FB from the external auditory canal requires expertise as deep penetration of a FB into the middle and inner ear may lead grave complications, especially when overzealous removal is attempted by nonear, nose and throat (ENT) personnel. This case emphasises on the importance of awareness of meticulous removal of a FB under proper visualisation so as to avoid unnecessary complications. Additionally, we propose an algorithm for proper removal of aural FB in an acute care setting.

Matched MeSH terms: Ear, Inner*

Displaying publications 21 - 40 of 178 in total