Displaying publications 1 - 20 of 38 in total

Abstract:
Sort:
  1. Das S, Suhaimi FH, Othman F, Latiff AA
    Bratisl Lek Listy, 2008;109(1):31-3.
    PMID: 18447260
    In literature, there is paucity of information on the different shapes of styloid processes of the temporal bone of the skull. Textbooks of anatomy describe the styloid process to be slender, approximately 2.5 cm in length and concave on the anterior aspect only. In the present case, we observed the styloid process to be much longer than usual, bearing a concavity on the anterior, as well as the posterior aspects as a consequence of which, the bone was constricted in its proximal part. The mastoid process which is usually conical, was found to be rounded in this case. The length of the styloid process measured 2.8 and 2.7 cm on left and right sides, respectively. The skiagram displayed the biconcave profile of the styloid process and the rounded appearance of the mastoid process, thus substantiated the findings on gross examination of the skull. The anatomical knowledge of the mastoid process is important for surgeons assessing the mastoid air cells. The elongated styloid process is often a feature of Eagle's syndrome. An enlarged and calcified styloid process is often asymptomatic, unless detected radiologically. An abnormally elongated styloid process or its calcification may cause recurrent throat pain, foreign body sensation, dysphagia, or facial pain. An enlarged styloid process may also compress upon the internal carotid artery, leading to transient ischemic attack and may pose a threat to anesthetists performing intubation procedures. Awareness of such variations may be of clinical importance to radiologists and surgeons (Fig. 2, Ref. 11). Full Text (Free, PDF) www.bmj.sk.
    Matched MeSH terms: Mastoid/abnormalities
  2. Raman R
    PMID: 23119414 DOI: 10.1007/BF02991691
    An alternate approach to the mastoid antrum for acellular mastoid is presented.
    Matched MeSH terms: Mastoid
  3. Asma A, Shaharudin MH, Muhd Almyzan A, Lokman S
    Med J Malaysia, 2013 Jun;68(3):217-21.
    PMID: 23749009 MyJurnal
    A canal wall down mastoidectomy (CWDM) is an effective technique for eradication of advanced chronic otitis media or cholesteatomas. A retrospective study was conducted at a Malaysian Tertiary Medical Center between June 1996 to December 2003 to evaluate the outcome of Modified Radical Mastoidectomy(MRM), a form of CWDM for patients with chronic active otitis media (OM) with cholesteatoma, chronic mastoiditis or chronic active OM with cholesteatoma and mastoiditis. All new cases of MRM which fulfilled the selection criteria were reviewed. The main outcome measures were the hearing outcome and status of dry ear postoperatively. A total of 84 patients had undergone CWDM. However only 63 patients (26 male, 37 female) were included for analysis. The age of the patients ranged between 5 months to 72 years (mean, 31years). The majority of the patients (86%) were adults and 9 (14%) were children. The ossicular chain was eroded in 91% (57 cases). There were 33 patients (53%) who showed no improvement of Air Bone Gap (ABG) closure while 16 patients (25%) had a post-operative improvement. The presence or absence of stapes suprastructure was found to be the major factor in determining the amount of ABG (Chi squared test, P = 0.025 preoperatively and P = 0.031 postoperatively). A dry ear was achieved in 78% of patients with 3% recurrence rate. In conclusion, the study showed that a proper MRM gave high percentage of dry ear and this procedure did not worsen the hearing.
    Matched MeSH terms: Mastoid/surgery
  4. Sethu Thakachy Subha, Mohamad Doi, Hemalata Kumari
    MyJurnal
    Mastoid osteoma is a rare benign neoplasm of mesenchymal origin. Osteomas of the temporal bone are
    infrequent, and these mastoid osteomas are a definite rare occurrence. These tumours can present with
    cosmetic deformity and sometimes with pain. In this report we describe a patient with mastoid osteoma
    who presented with cosmetic deformity and experienced retro auricular pain.
    Matched MeSH terms: Mastoid
  5. Wong CY, Khairi MD, Mohamed SA, Irfan M
    Med J Malaysia, 2010 Dec;65(4):307-8.
    PMID: 21901952
    Dural exposure may occur during the course of thinning the tegmen tympani and tegmen mastoideum in mastoid procedure. If large area of dura is exposed or lacerated, cerebrospinal fluid and brain herniation may enter the mastoid cavity. We report a case of a patient with injured dura mater and tegmen mastoideum during mastoidectomy for chronic suppurative otitis media with cholesteatoma managed by using DuraGen. The dura mater and tegmen defect healed totally showing the success of the procedure. A collagen matrix like DuraGen is an option for repairing dural tear in mastoid region.
    Matched MeSH terms: Mastoid/surgery*
  6. Ong CA, Prepageran N, Godbole S, Raman R
    Asian J Surg, 2007 Jan;30(1):57-9.
    PMID: 17337373
    To study the rate and pattern of epithelial migration in 18 dry, open mastoidectomy cavities.
    Matched MeSH terms: Mastoid/pathology*
  7. Raman R, Kumar V, Arianayagam S, Peh SC
    J Craniomaxillofac Surg, 1989 Apr;17(3):143-5.
    PMID: 2708537
    A hitherto undescribed group of lesions consisting of cystic bony lesions, exostosis, fibromatous lesion, unilateral tonsillar hypertrophy, epidermoid cyst (cholesteatoma) and hyperplasia of the mandible confined to the left side of the face is reported. The case may represent a variant of the Proteus syndrome.
    Matched MeSH terms: Mastoid*
  8. Roslenda, A.R., Asma, A., Igbal, F.R.W., Jeevanan, J.
    Medicine & Health, 2010;5(2):103-107.
    MyJurnal
    Congenital cholesteatoma (CC) is rare clinical condition and It is known as a pearly white mass medial to an intact tympanic membrane. In this case report, we describe a 6-year-old boy who presented with a one year history of left ear discomfort, reduced hearing, followed by ear discharge two months prior to admission. Otoscopic examination revealed a large attic perforation. Radiological investigation showed extensive cholesteatoma in the mastoid, mesotympanum and epitympanum with destruction of the ossicles including the stapes footplate. He underwent radical mastoidectomy in view of extensive cholesteatoma with tympanoplasty type V. In this case report, the classification, treatment and theories related to CC are discussed.
    Matched MeSH terms: Mastoid
  9. Mohd Khairi MD, Ramiza Ramza R
    Med J Malaysia, 2012 Apr;67(2):217-8.
    PMID: 22822649 MyJurnal
    Cholesterol granuloma is a histological term used to describe the foreign body reaction towards cholesterol crystals causing granuloma. We report a case of cholesterol granuloma in a patient who presented with a mass in her ear after 6 years of mastoidectomy. The diagnosis has been confirmed by MRI and postoperative findings. The difference between cholesterol granuloma and the other entities especially cholesteatoma and meningoencephalic herniation must be made in view of its implications and surgical management of each lesion.
    Matched MeSH terms: Mastoid/pathology; Mastoid/surgery*
  10. Sivarajasingam M, Rajan P
    Otol Neurotol, 2007 Sep;28(6):869-70.
    PMID: 17435522
    Matched MeSH terms: Mastoid/pathology; Mastoid/radiography
  11. Ong HY, Goh LC, Santhi K, Sha'ariyah MM
    Oman Med J, 2018 Mar;33(2):167-170.
    PMID: 29657688 DOI: 10.5001/omj.2018.31
    Langerhans cell histiocytosis (LCH) is a rare proliferative disorder, which commonly arises in the bone and may involve other systems. To date, the diagnosis of temporal bone LCH remains a challenge as it may masquerade as a common ear infection. We report a case of a child who presented to us with persistent bilateral ear discharge for four months and was not responding to treatment. Her condition subsequently worsened, with clinical features and radiological findings suggestive of mastoid cellulitis. Nevertheless, further histopathology study revealed LCH.
    Matched MeSH terms: Mastoid
  12. Ami M, Zakaria Z, Goh BS, Abdullah A, Saim L
    Malays J Med Sci, 2010 Oct;17(4):44-50.
    PMID: 22135560 MyJurnal
    Mastoid abscess remains a recognised complication of otitis media despite the advent of antibiotics. The objectives of this study were to describe the risk factors in patients with mastoid abscess following acute and chronic otitis media and discuss the management of this infection.
    Matched MeSH terms: Mastoid
  13. Puraviappan P, Prepageran N, Ong CA, Abd Karim R, Lingham OR, Raman R
    Ear Nose Throat J, 2014 Jun;93(6):E55-6.
    PMID: 24932833
    Matched MeSH terms: Mastoid/radiography
  14. Philip R, Prepageran N, Raman R, Waran V
    Med J Malaysia, 2009 Sep;64(3):248-9.
    PMID: 20527282 MyJurnal
    Patients who have had middle-ear or mastoid surgery are at an increased risk of developing cerebrospinal fluid (CSF) otorrhoea. The CSF leak is usually from defects in the tegmen or posterior cranial fossa. We present a patient with CSF otorrhoea following a modified radical mastoidectomy seven years ago. There was an unusual communication between the internal auditory meatus (IAM) and the middle ear. Radiologic imaging like the MRI is useful in identifying the site of leak.
    Matched MeSH terms: Mastoid/surgery*
  15. Long YT, bin Sabir Husin Athar PP, Mahmud R, Saim L
    Asian J Surg, 2004 Jul;27(3):176-9.
    PMID: 15564156
    A 6-year review of complications of mastoid surgery between June 1995 and June 2001 revealed five cases with serious iatrogenic complications from mastoid surgery, of which four were facial nerve palsy and two were labyrinthine fistula. One of these patients had concomitant facial nerve palsy and labyrinthine fistula. There were two cases of complete facial nerve palsy (House Brackmann grade VI) and two cases of incomplete palsy (House Brackmann grades IV and V). The second genu was the site of injury in three of the four cases. Of the four cases with facial nerve palsy, two patients had full recovery (House Brackmann grade I), one recovered only to House Brackmann grade III, and one was lost to follow-up. Both patients with labyrinthine fistula had postoperative vertigo and profound sensorineural hearing loss. The site of iatrogenic fenestration was the lateral semicircular canal in both cases.
    Matched MeSH terms: Mastoid/surgery*
  16. Subha ST, Raman R, Cheah PL, Soo Hoo TS
    Med J Malaysia, 2004 Dec;59(5):680-1.
    PMID: 15889574
    A rare case of mastoid infection caused by actinomyces israelii is presented. This patient underwent exploratory mastoidectomy followed by long term oral pencillin. She responded well to the treatment and has been asymptomatic on follow up to date.
    Matched MeSH terms: Mastoid*
  17. Asma A, Marina MB, Mazita A, Fadzilah I, Mazlina S, Saim L
    Singapore Med J, 2009 Dec;50(12):1154-7.
    PMID: 20087551
    This study aims to review the management and discuss the outcome of patients with iatrogenic facial nerve palsy.
    Matched MeSH terms: Mastoid/surgery*
  18. Vasiwala R, Burud I, Lum SK, Saren RS
    Med J Malaysia, 2015 Oct;70(5):314-5.
    PMID: 26556123 MyJurnal
    Rhabdomyosarcoma is a rare tumour in the middle ear and mastoid cavity in children and the diagnosis is difficult. Repeated histological examination may be essential to confirm the diagnosis. We report a 6 year old boy with a left aural polyp, otorrhoea and facial nerve palsy who was initially thought to have otitis media and mastoiditis. He had polypectomy and the tissue taken for histopathology suggested an inflammatory condition. Subsequently he had mastoidectomy. Tissue taken during mastoidectomy was however reported as rhabdomyosarcoma. The child developed a cerebral abscess and eventually succumbed. A literature review of the disease, radiological findings, immunohistochemical features and treatment options is described.
    Matched MeSH terms: Mastoid; Mastoiditis
  19. Che Mohd Hilmi Che Mat1, Zulkiflee Salahuddin, Nik Azrizie Muhamed, Irfan Mohamad
    MyJurnal
    Osteomas occur in all parts of the temporal bone, including the mastoid, squamous, middle
    ear, styloid process, internal auditory canal and external auditory canal (EAC). The EAC has
    been reported to be the most common site, followed by the mastoid and squamous parts.
    Diagnosis is made based on history, clinical examination and radiological findings. Computed
    tomography reveals a pedunculated hyperdense mass that usually arises from the
    tympanosquamous suture. Surgical removal of EAC osteomas can be achieved using the
    endaural or postauricular approaches. It can be performed with a drill or osteotome, either
    endoscopically or by using microscopy. This report presents two patients with EAC osteomas
    who underwent excision under microscopy using the endaural approach. Surgery is the gold
    standard treatment, while close observation may be considered in asymptomatic patients.
    Matched MeSH terms: Mastoid
  20. Hong CX, Razuan NA, Alias A, Hassan FH, Nasseri Z
    Auris Nasus Larynx, 2021 Aug;48(4):788-792.
    PMID: 32513602 DOI: 10.1016/j.anl.2020.05.007
    Zygomatic root abscess is a rare extracranial extratemporal complication of otitis media. To the best of our knowledge, there are only a few scattered cases of zygomatic root abscesses reported in the literature. We present an unusual case of a zygomatic root abscess in a 24 years old adult. He presented with one month duration of right zygomatic swelling. Otoscopic examination revealed superior and posterior external auditory canal wall sagging with an intact tympanic membrane. High Resolution Computed Tomography (HRCT) temporal bone revealed a rim enhancing lesion lateral to the zygomatic process with fluid filled mastoid air cells. He was managed with antibiotics and staged surgical interventions. He recovered well. Our case serves to shed light on the pathways of infection, clinical manifestations and timely staged surgical intervention in this rare pathology.
    Matched MeSH terms: Mastoid
Filters
Contact Us

Please provide feedback to Administrator (afdal@afpm.org.my)

External Links