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van Dinther JJS, Coopman R, Vercruysse JP, Somers T, Zarowski A, Vanspauwen R, Maryn Y, Cremers CWRJ, Offeciers FE. The Bony Obliteration Tympanoplasty in Pediatric Cholesteatoma: Long-term Hearing Results. Otol Neurotol 2019; 39:715-723. [PMID: 29889781 DOI: 10.1097/mao.0000000000001846] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To present the hearing results of a 5-year longitudinal study in a pediatric population undergoing surgery for extensive cholesteatoma using a canal wall up (CWU) approach with bony obliteration of the mastoid and epitympanic space, with a standard residual rate of 5.8%, a recurrence rate of 2.9%, and all ears waterproof, free of otorrhea and all external ear canals patent and self-cleaning. STUDY DESIGN Retrospective consecutive study. PATIENTS Thirty-three children (≤18 yr) undergoing surgery for cholesteatoma (34 ears) between 1997 and 2009. INTERVENTIONS Therapeutic. SETTING Tertiary referral center. MAIN OUTCOME MEASURES Hearing and gain in hearing at 1- and 5-year postsurgery: (1) pure-tone average (PTA), (2) pure-tone average high frequency, (3) pure-tone average including 3 kHz, (4) bone conduction at corresponding frequency averages, (5) gain at corresponding air conduction and bone conduction (gain at corresponding air conduction) frequency averages. (6) The Amsterdam Hearing Evaluation Plots were used to study the individual cases. RESULTS The Amsterdam Hearing Evaluation Plots at 5-year showed in 58.8% of patients a positive gain air conduction. In 23.5% a successful functional result was achieved, defined as an air-bone gap closure to 20 dBHL or less. In 6 patients (17.6%) a limited bone conduction deterioration was shown all limited to maximum 20 dBHL. CONCLUSION The CWU bony obliteration tympanoplasty in a consecutive series of pediatric extensive cholesteatoma shows a similar to slightly improved hearing outcome as compared with CWU surgery without BOT. Although the series shows a clearly reduced reoperation rate and a significantly improved safety and hygienic outcome as compared with CWU without BOT, better hearing outcomes remain desirable in this group of children.
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Affiliation(s)
- Joost Josephus Stephanus van Dinther
- Department of Otorhinolaryngology-Head and Neck Surgery, The European Institute for Otorhinolaryngology-Head and Neck Surgery, Sint-Augustinus Hospital, Antwerp, Belgium
| | - Renaat Coopman
- Department of Otorhinolaryngology-Head and Neck Surgery, The European Institute for Otorhinolaryngology-Head and Neck Surgery, Sint-Augustinus Hospital, Antwerp, Belgium
| | - Jean-Philippe Vercruysse
- Department of Otorhinolaryngology-Head and Neck Surgery, The European Institute for Otorhinolaryngology-Head and Neck Surgery, Sint-Augustinus Hospital, Antwerp, Belgium
| | - Thomas Somers
- Department of Otorhinolaryngology-Head and Neck Surgery, The European Institute for Otorhinolaryngology-Head and Neck Surgery, Sint-Augustinus Hospital, Antwerp, Belgium
| | - Andrzej Zarowski
- Department of Otorhinolaryngology-Head and Neck Surgery, The European Institute for Otorhinolaryngology-Head and Neck Surgery, Sint-Augustinus Hospital, Antwerp, Belgium
| | - Robby Vanspauwen
- Department of Otorhinolaryngology-Head and Neck Surgery, The European Institute for Otorhinolaryngology-Head and Neck Surgery, Sint-Augustinus Hospital, Antwerp, Belgium
| | - Youri Maryn
- Department of Otorhinolaryngology-Head and Neck Surgery, The European Institute for Otorhinolaryngology-Head and Neck Surgery, Sint-Augustinus Hospital, Antwerp, Belgium
| | | | - Frans Erwin Offeciers
- Department of Otorhinolaryngology-Head and Neck Surgery, The European Institute for Otorhinolaryngology-Head and Neck Surgery, Sint-Augustinus Hospital, Antwerp, Belgium
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Somers T, Vercruysse JP, Zarowski A, Verstreken M, Offeciers E. Stapedotomy with Microdrill or Carbon Dioxide Laser: Influence on Inner Ear Function. Ann Otol Rhinol Laryngol 2016; 115:880-5; discussion 886. [PMID: 17214260 DOI: 10.1177/000348940611501203] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objectives: A prospective randomized audiological analysis of 336 otosclerosis operations was conducted to compare the evolution of bone conduction thresholds after primary stapedotomy with Two different techniques to open the footplate: microdrill and carbon dioxide laser stapedotomy. Methods: To monitor the inner ear function, we compared the preoperative bone conduction thresholds with the postoperative levels at day 2, week 2, week 6, and month 6. Evolution of the bone conduction was compared for the Two studied groups (laser versus microdrill). Results: An average bone conduction loss of 1.8 dB was measured at day 2 for the middle frequencies (0.5, 1, and 2 kHz). At 4 kHz, a bone conduction loss of 7 dB was found. The bone conduction thresholds measured in the first and second months after surgery showed a gradual recovery with overclosure as the end result. Conclusions: Our results confirm the transient depression of inner ear function in the immediate postoperative period, with recovery within the first weeks after surgery. In the studied population, no statistically significant difference was found between the Two techniques that were used to make the calibrated hole (laser versus microdrill). These results demonstrate that both techniques possess the same early effect regarding inner ear function. The authors hypothesize that an early inflammatory reaction could be the cause of the transient bone conduction shift.
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Affiliation(s)
- Thomas Somers
- Department of Otorhinolaryngology, Saint Augustine Hospital, Antwerp, Belgium
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Govaerts J, Vercruysse JP, Samoy K, De Groot V, Jorissen M, Claes J. Myospherulosis as a complication of functional endoscopic sinus surgery: a double case report. B-ENT 2013; 9:339-342. [PMID: 24597112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023] Open
Abstract
INTRODUCTION Paraffinomas (also known as 'sclerosing lipogranulomas' or 'myospherulosis') are a widely acknowledged complication of cosmetic paraffin injections but they are rare following functional endoscopic sinus surgery. CASE PRESENTATIONS Our first case features a 45-year-old woman presenting with a peri-ocular swelling two weeks after functional endoscopic sinus surgery. The procedure was complicated by a fractured lamina papyracea. A nasal packing with antibiotic ointment was left in situ. Initially, the inflammation was controlled successfully with corticosteroids but the swelling persists to this day. Our second case is a 45-year-old man who suffered from a recurrent swelling of the right eyelid after endoscopic sinus surgery. Multiple treatments with oral antibiotics and corticosteroids brought about no improvement. Debulking surgery was performed and a PDS film was placed between the peri-orbita and the bony orbital floor but the swelling recurred. The patient finally consulted a plastic surgeon as a last resort, but the reconstructive procedure only exacerbated the clinical picture. In both cases a biopsy was performed which established the foreign body reaction typical of a paraffinoma. At present, both patients still suffer from this condition. CONCLUSION The complete resection of a paraffinoma is seldom possible because of diffuse infiltration and recurrence is very likely. We therefore conclude that paraffin-based ointments should not be used with nasal packing after sinus surgery, especially when there has been a lesion involving the orbital wall.
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Affiliation(s)
- J Govaerts
- Department of Otolaryngology and Head Neck Surgery, University Hospital of Antwerp
| | - J P Vercruysse
- Department of Otolaryngology and Head Neck Surgery, University Hospital of Antwerp
| | - K Samoy
- Department of Otolaryngology and Head Neck Surgery, University Hospital of Leuven
| | - V De Groot
- Department of Ophthalmology, University Hospital of Antwerp
| | - M Jorissen
- Department of Otolaryngology and Head Neck Surgery, University Hospital of Leuven
| | - J Claes
- Department of Otolaryngology and Head Neck Surgery, University Hospital of Antwerp
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De Foer B, Vercruysse JP, Bernaerts A, Meersschaert J, Kenis C, Pouillon M, De Beuckeleer L, Michiels J, Bogaerts K, Deckers F, Somers T, Hermans R, Offeciers E, Casselman JW. Middle ear cholesteatoma: non-echo-planar diffusion-weighted MR imaging versus delayed gadolinium-enhanced T1-weighted MR imaging--value in detection. Radiology 2010; 255:866-72. [PMID: 20501723 DOI: 10.1148/radiol.10091140] [Citation(s) in RCA: 87] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
PURPOSE To retrospectively compare non-echo-planar (non-EP) diffusion-weighted (DW) imaging, delayed gadolinium-enhanced T1-weighted magnetic resonance (MR) imaging, and the combination of both techniques in the evaluation of patients with cholesteatoma. MATERIALS AND METHODS This institutional review board-approved study, for which the need to obtain informed consent was waived, included 57 patients clinically suspected of having a middle ear cholesteatoma without a history of surgery and 63 patients imaged before "second-look" surgery. Four blinded radiologists evaluated three sets of MR images: a set of delayed gadolinium-enhanced T1-weighted images, a set of non-EP DW images, and a set of both kinds of images. Overall sensitivity, specificity, negative predictive value (NPV), and positive predictive value (PPV), as well as intra- and interobserver agreement, were assessed and compared among methods. To correct for the correlation between different readings, a generalized estimating equations logistic regression model was fitted. Results were compared with surgical results, which were regarded as the standard of reference. RESULTS Sensitivity, specificity, NPV, and PPV were significantly different between the three methods (P < .005). Sensitivity and specificity, respectively, were 56.7% and 67.6% with the delayed gadolinium-enhanced T1-weighted images and 82.6% and 87.2% with the non-EP DW images. Sensitivity for the combination of both kinds of images was 84.2%, while specificity was 88.2%. The overall PPV was 88.0% for delayed gadolinium-enhanced T1-weighted images, 96.0% for non-EP DW images, and 96.3%for the combination of both kinds of images. The overall NPV was 27.0% for delayed gadolinium-enhanced T1-weighted images, 56.5% for non-EP DW images, and 59.6% for the combination of both kinds of images. CONCLUSION MR imaging for detection of middle ear cholesteatoma can be performed by using non-EP DW imaging sequences alone. Use of the non-EP DW imaging sequence combined with a delayed gadolinium-enhanced T1-weighted sequence yielded no significant increases in sensitivity, specificity, NPV, or PPV over the use of the non-EP DW imaging sequence alone.
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Affiliation(s)
- Bert De Foer
- Department of Radiology, Sint-Augustinus Hospital, Oosterveldlaan 24, 2610 Wilrijk, Belgium
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van Dinther JJS, Vercruysse JP, De Foer B, Somers T, Zarowski A, Casselman J, Offeciers E. Subarcuate Supralabyrinthine Approach for Supralabyrinthine Petrosal Cholesteatoma. Ann Otol Rhinol Laryngol 2010; 119:42-6. [DOI: 10.1177/000348941011900108] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Congenital cholesteatomas of the petrosal apex account for 1% to 3% of all cholesteatomas and often present an important surgical challenge. This report describes an exceptional case of a “nondestructive” translabyrinthine surgical approach to a large congenital petrosal cholesteatoma that threatened the vestibulum, superior semicircular canal, facial nerve, and internal auditory canal. We applied a nonconventional transmastoid subarcuate supralabyrinthine approach in a 20-year-old patient by accessing the lesion through the center of the superior semicircular arch without damaging the integrity of the canal. This led to a complete removal of the petrosal cholesteatoma with preservation of hearing and vestibular function. Follow-up imaging performed 1 and 2 years after operation by means of non—echo-planar diffusion-weighted imaging did not show residual cholesteatoma. This report describes the first successful use of a subarcuate supralabyrinthine approach through the arches of the superior semicircular canal in a case of petrosal cholesteatoma.
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De Foer B, Kenis C, Vercruysse JP, Somers T, Pouillon M, Offeciers E, Casselman JW. Imaging of Temporal Bone Tumors. Neuroimaging Clin N Am 2009; 19:339-66. [DOI: 10.1016/j.nic.2009.06.003] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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De Foer B, Vercruysse JP, Bernaerts A, Maes J, Deckers F, Michiels J, Somers T, Pouillon M, Offeciers E, Casselman JW. The value of single-shot turbo spin-echo diffusion-weighted MR imaging in the detection of middle ear cholesteatoma. Neuroradiology 2007; 49:841-8. [PMID: 17768611 DOI: 10.1007/s00234-007-0268-3] [Citation(s) in RCA: 82] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2007] [Accepted: 06/04/2007] [Indexed: 01/29/2023]
Abstract
INTRODUCTION Single-shot (SS) turbo spin-echo (TSE) diffusion-weighted (DW) magnetic resonance imaging (MRI) is a non echo-planar imaging (EPI) technique recently reported for the evaluation of middle ear cholesteatoma. We prospectively evaluated a SS TSE DW sequence in detecting congenital or acquired middle ear cholesteatoma and evaluated the size of middle ear cholesteatoma detectable with this sequence. The aim of this study was not to differentiate between inflammatory tissue and cholesteatoma using SS TSE DW imaging. METHODS A group of 21 patients strongly suspected clinically and/or otoscopically of having a middle ear cholesteatoma without any history of prior surgery were evaluated with late post-gadolinium MRI including this SS TSE DW sequence. RESULTS A total of 21 middle ear cholesteatomas (5 congenital and 16 acquired) were found at surgery with a size varying between 2 and 19 mm. Hyperintense signal on SS TSE DW imaging compatible with cholesteatoma was found in 19 patients. One patient showed no hyperintensity due to autoevacuation of the cholesteatoma sac into the external auditory canal. Another patient showed no hyperintensity because of motion artifacts. CONCLUSION This study shows the high sensitivity of this SS TSE DW sequence in detecting small middle ear cholesteatomas, with a size limit as small as 2 mm.
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Affiliation(s)
- Bert De Foer
- Department of Radiology, A.Z. Sint-Augustinus Hospital, Antwerp, Belgium.
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De Foer B, Vercruysse JP, Pouillon M, Somers T, Casselman JW, Offeciers E. Value of high-resolution computed tomography and magnetic resonance imaging in the detection of residual cholesteatomas in primary bony obliterated mastoids. Am J Otolaryngol 2007; 28:230-4. [PMID: 17606036 DOI: 10.1016/j.amjoto.2006.09.010] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2006] [Revised: 09/07/2006] [Accepted: 09/24/2006] [Indexed: 11/20/2022]
Abstract
PURPOSE The objective of this study was to assess the value of high-resolution computed tomography (HRCT) and that of magnetic resonance imaging (MRI), including postcontrast T(1)-weighted images and echo-planar diffusion-weighted (EP-DW) images, in the detection of residual cholesteatomas after primary bony obliteration of the mastoid. PATIENTS AND METHODS Twenty-three patients underwent a second-look surgery 8 to 18 months after they underwent a primary bony obliteration technique. All patients were evaluated by HRCT and MRI before their second-look surgery. A retrospective analysis was performed. RESULTS A residual cholesteatoma was found in 2 of the 23 patients; both cases of cholesteatoma had a diameter less than 4 mm. In these 2 patients, residual cholesteatoma was found in the middle ear cavity and not in the obliterated mastoid. In all cases, HRCT showed a homogeneous obliteration of the mastoid cavity. On MRI, only one cholesteatoma pearl was detected using contrast-enhanced T(1)-weighted imaging. Findings from the EP-DW imaging were negative for all cases. CONCLUSION This study demonstrates that HRCT is still the imaging technique of choice for the evaluation of bony obliterated mastoids. It shows the low sensitivity and specificity of HRCT for the characterization of an associated opacified middle ear and those of contrast-enhanced T(1)-weighted imaging and EP-DW imaging for the detection of small residual cholesteatomas after primary bony obliteration.
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Affiliation(s)
- Bert De Foer
- Department of Radiology, AZ Sint-Augustinus, Wilrijk, Belgium
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Somers T, Vercruysse JP, Zarowski A, Verstreken M, Schatteman I, Offeciers FE. Transient depression of inner ear function after stapedotomy: skeeter versus CO(2) laser technique. Adv Otorhinolaryngol 2007; 65:267-272. [PMID: 17245057 DOI: 10.1159/000098841] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
Performing stapes surgery for otosclerosis is known to be potentially irreversibly harmful to the inner ear function in about 1% of the cases. An early postoperative transient depression of the bone conduction thresholds is frequently detected after stapes surgery. The purpose of this study was to compare the evolution of bone conduction thresholds after primary stapedotomy with two different techniques: skeeter versus CO(2) laser stapedotomy. Audiological data of 336 otosclerosis operations performed by 2 surgeons between 1997 and 2003 were subjected to analysis. The calibrated hole in the footplate was performed randomly either with the skeeter drill or with the CO(2) laser. Preoperative bone conduction thresholds were compared with the postoperative levels (day 2-3, week 2, week 6 and month 6) in all patients. Evolution of the bone conduction was compared for the two studied subgroups (laser versus skeeter).
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Affiliation(s)
- T Somers
- University ENT Department, Sint-Augustinus Hospital, Wilrijk, Belgium
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Abstract
Congenital nasal pyriform aperture stenosis has been described as an unusual cause of neonatal nasal obstruction. Clinical suspicion is based on respiratory distress, cyclic cyanosis, apneas, and feeding difficulties. A bony overgrowth of the maxillary nasal processes is thought to be responsible for this deformity. This anomaly has been reported as an isolated feature or can be associated with craniofacial or central nervous system anomalies. Surgery is indicated in cases of severe respiratory distress, feeding difficulties, and when conservative methods fail.
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Vercruysse JP, De Foer B, Pouillon M, Somers T, Casselman J, Offeciers E. The value of diffusion-weighted MR imaging in the diagnosis of primary acquired and residual cholesteatoma: a surgical verified study of 100 patients. Eur Radiol 2006; 16:1461-7. [PMID: 16514469 DOI: 10.1007/s00330-006-0160-2] [Citation(s) in RCA: 128] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2005] [Revised: 12/12/2005] [Accepted: 01/12/2006] [Indexed: 01/29/2023]
Abstract
Our goal was to determine the value of echo-planar diffusion-weighted MR imaging in detecting the presence of primary acquired and residual cholesteatoma. One hundred patients were evaluated by preoperative magnetic resonance (MR) imaging with diffusion-weighted MR imaging. The patient population consisted of a first group of 55 patients evaluated in order to detect the presence of a primary acquired cholesteatoma. In the second group, 45 patients were evaluated for the presence of a residual cholesteatoma 8-18 months after cholesteatoma surgery, prior to second-look surgery. Surgical findings were compared with preoperative findings on diffusion-weighted imaging (DWI). The sensitivity, specificity, positive and negative predictive values of both groups was assessed. In the group of primary surgery patients, hyperintense signal compatible with cholesteatoma was found in 89% of cases with a sensitivity, specificity, positive and negative predictive value for DWI of 81, 100, 100 and 40%, respectively. In the group of second-look surgery patients, only one of seven surgically verified residual cases was correctly diagnosed using DWI, with a sensitivity, specificity, positive and negative predictive values of 12.5, 100, 100 and 72%, respectively. These results confirm the value of DWI in detecting primary cholesteatoma, but show the poor capability of DWI in detecting small residual cholesteatoma.
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Vercruysse JP, Claes J. Chondrosarcoma of the nasal septum: a report of two cases. B-ENT 2006; 2:27-30. [PMID: 16676844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/09/2023] Open
Abstract
Chondrosarcomas of the nasal septum are extremely rare tumours. The clinical presentation, imaging features, histopathological characteristics, and therapeutical options for this uncommon lesion are discussed. In this report, two cases are presented, and the literature regarding this rare pathology is reviewed.
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Affiliation(s)
- J P Vercruysse
- Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, University of Antwerp, Edegem, Belgium.
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Abstract
OBJECTIVE To assess the functional performance of remodeled malleus allografts in a malleus-footplate assembly in terms of hearing results and mid long-term stability. STUDY DESIGN A retrospective study of 60 consecutive patients who underwent a malleus allograft ossiculoplasty from 1993 until 2000. In all cases the incus and the stapedial arch were missing as the result of cholesteatoma (49), chronic otitis (5), incus necrosis resulting from stapes prosthesis (5), and congenital ossicular malformations (1). In all cases malleus allografts were remodeled to form a malleus-stapes assembly. RESULTS The audiometric results, using such an ossiculoplasty, revealed an overall median gain of 18.3 dB at 2 months, 22.3 dB at 6 months, and 25 dB 1 year postoperatively on Fletcher frequencies. An air-bone gap closure within 20 dB was achieved in 81% of all cases 1 year postoperatively. No cases of extrusion have been seen in our series. CONCLUSION Our findings suggest that malleus allografts are capable of generating good and stable functional results as malleus-stapes assembly.
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Affiliation(s)
- Jean-Philippe Vercruysse
- University Department of Otolaryngology, St. Augustinus Hospital, University of Antwerp, Antwerp-Wilrijk, Belgium
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Affiliation(s)
- Thomas Somers
- University Department of Otorhinolaryngology, St. Augustinus Hospital, Antwerp, Belgium.
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Somers T, Vercruysse JP, Govaerts P, Offeciers E. Giant congenital intracranial epidermoid tumor: a case report. Acta Otorhinolaryngol Belg 2001; 55:77-81. [PMID: 11256196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
Abstract
A case of a large epidermoid tumor in a middle-aged woman with limited symptomatology is reported. Intracranial epidermoid tumors are slow growing and benign lesions. Although the treatment of choice consists in complete resection, partial removal may be preferred in some very extended cases presenting with minimal symptomatology because of the lower morbidity involved. This case illustrates a key-hole approach via a retrolabyrinthine route with preservation of all labyrinthine structures, including the endolymphatic sac and duct. The epidermoid was partially removed by extensive intracapsular debulking under endoscopic control with the aim of decreasing cerebral compression. All cranial nerve functions were preserved and the 6 month postoperative imaging has remained unchanged over a 2-year long follow-up period. The literature regarding this rare pathology is also reviewed.
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Affiliation(s)
- T Somers
- University ENT-Department, Sint-Augustinus Hospital, Antwerp University, Antwerp, Belgium
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Tumba A, Laredo JD, Corvol MT, Welkenhausen R, Cleuren M, van Ongevalle AM, Vercruysse JP, van den Berghe H. Evolution of bone anomalies in 49,XXXXY syndrome. Can Assoc Radiol J 1993; 44:107-11. [PMID: 7681724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
Long-term radiologic follow-up, from the age of 1 year to 27 and 28 years respectively, was performed for two patients with the XXXXY chromosome anomaly. The patients remained sexually immature; the major abnormality observed radiologically was delayed maturation of the skeleton, the growth plates persisting into adulthood. Early degeneration of the articular cartilage, particularly at the elbows, was observed, along with hypertrophy of the epiphyses and radiohumeral dislocation. One of the patients had intra-articular osteochondroma of the left elbow of unknown cause. Cerebral computed tomography showed enlargement of the lateral ventricles in both patients and the formation of pneumatic cavities in the parietal bones in one.
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Affiliation(s)
- A Tumba
- Laboratoire de biologie cellulaire, Faculté de médecine Xavier Bichat, Paris, France
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