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[PMID]: 28468198 [Au] Autor: Kim SB; Lee HH [Ad] Endereço: Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea. [Ti] Título: Capillary Hemangioma of the Tympanic Membrane and External Auditory Canal. [So] Source: J Craniofac Surg;28(3):e231-e232, 2017 May. [Is] ISSN: 1536-3732 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Hemangiomas are very common tumors characterized by large numbers of vessels filled with blood. Capillary hemangioma is the most common type of hemangioma, whereas capillary hemangiomas of the tympanic membrane and external auditory canal are extremely rare vascular tumors. The authors present capillary hemangioma of the tympanic membrane and external auditory canal in a 54-year-old woman with right-sided aural fullness for 3 months. Under local anesthesia, the mass was resected by transcanal microscopic surgery. Histologically, the tumor was composed of thin-walled capillaries with scant stroma and diagnosed as capillary hemangioma. After surgery, her symptoms improved and she did not exhibit any signs of recurrence for 1 year. The authors also review the relevant literature related to this report. [Mh] Termos MeSH primário: Meato Acústico Externo Neoplasias da Orelha/diagnóstico Neoplasias da Orelha/terapia Hemangioma Capilar/diagnóstico Hemangioma Capilar/terapia Membrana Timpânica [Mh] Termos MeSH secundário: Feminino Seres Humanos Meia-Idade [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180205 [Lr] Data última revisão: 180205 [Sb] Subgrupo de revista: D [Da] Data de entrada para processamento: 170505 [St] Status: MEDLINE [do] DOI: 10.1097/SCS.0000000000003437

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[PMID]: 29078703 [Au] Autor: Gu A; Bauman NM [Ad] Endereço: 1 The George Washington University School of Medicine and Health Sciences, Washington, DC, USA. [Ti] Título: Bipolar Radiofrequency Ablation (Coblation) of External Auditory Canal Lymphatic Malformation and Other Soft Stenoses. [So] Source: Ann Otol Rhinol Laryngol;126(12):835-838, 2017 Dec. [Is] ISSN: 1943-572X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: INTRODUCTION: Soft tissue occlusion of the external auditory canal (EAC) can cause intense pruritis, recurrent foul smelling otorrhea, recurrent otitis externa, and conductive hearing loss. Occlusion of the EAC can be challenging to treat as the area is prone to circumferential scarring. METHODS: We describe the novel use of serial bipolar radiofrequency ablation (coblation) to treat 3 children with complete EAC occlusion from congenital and acquired conditions including lymphedema (1), microcystic lymphatic malformation (1), and venolymphatic malformation (1). RESULTS: Patients underwent a mean of 3 procedures with postoperative EAC stenting (7 days) and antibiotic and steroid aural preparations (10 days). Otologic symptoms resolved in all patients, and their EACs remained patent 14 months after last procedure (range, 4-32 months). One patient experienced a pinpoint tympanic membrane perforation that healed spontaneously 2 weeks later. CONCLUSIONS: Coblation of soft tissue stenosis of the EAC can be an effective treatment for this problematic condition. [Mh] Termos MeSH primário: Ablação por Cateter Meato Acústico Externo Otopatias/cirurgia Anormalidades Linfáticas/cirurgia [Mh] Termos MeSH secundário: Criança Pré-Escolar Otopatias/diagnóstico por imagem Otopatias/etiologia Feminino Seres Humanos Lactente Anormalidades Linfáticas/diagnóstico por imagem Masculino [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1711 [Cu] Atualização por classe: 171113 [Lr] Data última revisão: 171113 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 171029 [St] Status: MEDLINE [do] DOI: 10.1177/0003489417739011

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[PMID]: 29049168 [Au] Autor: van der Woerd BD; MacNeil SD [Ad] Endereço: Department of Otolaryngology-Head and Neck Surgery, Western University, London, ON, Canada. [Ti] Título: Sialocutaneous fistula to the external auditory canal repaired with superficial parotidectomy and temporoparietal flap: A case report. [So] Source: Medicine (Baltimore);96(42):e7038, 2017 Oct. [Is] ISSN: 1536-5964 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: RATIONALE: Gustatory otorrhea can lead to cutaneous changes, recurrent infection, and social disruption. We present a case of a late, evolving sialocutaneous fistula to the external auditory canal, managed surgically after failing conservative therapies. This case is unique by late evolution, whereby the symptoms presented with significance 27 years after her operation and 19 years after mild symptoms initially arose. PATIENT CONCERNS: Gustatory, left-sided clear otorrhea with acutely increased volume over 8 months causing social disruption. DIAGNOSES: Sialocutaneous fistula to the external auditory canal. INTERVENTIONS: Superficial parotidectomy and temporoparietal flap for closure of fistula. OUTCOMES: No postoperative complications and resolution of gustatory otorrhea at one-year follow-up. LESSONS: This rare, but important, postoperative complication can present late with evolving symptoms, causing significant social disruption. It can be treated with conservative medical management and several surgical approaches. [Mh] Termos MeSH primário: Fístula Cutânea/cirurgia Meato Acústico Externo Glândula Parótida/cirurgia Procedimentos Cirúrgicos Reconstrutivos/métodos Fístula das Glândulas Salivares/cirurgia Retalhos Cirúrgicos [Mh] Termos MeSH secundário: Adulto Fístula Cutânea/etiologia Fáscia/transplante Fasciotomia/métodos Feminino Seres Humanos Transtornos de Início Tardio/etiologia Transtornos de Início Tardio/cirurgia Fístula das Glândulas Salivares/etiologia Sudorese Gustativa/complicações Músculo Temporal/cirurgia [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171122 [Lr] Data última revisão: 171122 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 171020 [St] Status: MEDLINE [do] DOI: 10.1097/MD.0000000000007038

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[PMID]: 28954532 [Au] Autor: Karimnejad K; Nelson EJ; Rohde RL; Costa DJ [Ad] Endereço: 1 Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, St. Louis Missouri, USA. [Ti] Título: External Auditory Canal Foreign Body Extraction Outcomes. [So] Source: Ann Otol Rhinol Laryngol;126(11):755-761, 2017 Nov. [Is] ISSN: 1943-572X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVES: To compare pediatric external auditory canal (EAC) foreign body extraction outcomes by clinical setting and identify factors predictive of successful removal. METHODS: Retrospective review of pediatric patients with EAC foreign bodies to a single institution emergency department (ED) and otolaryngology clinic (OTO) between January 2010 and April 2015. Patient characteristics, foreign body type, removal attempts, instrumentation utilized, and complications were evaluated with respect to clinical setting and patient outcome. RESULTS: In all, 1197 patients with EAC foreign bodies were identified, 759 (63%) of whom presented primarily to the ED. Successful removal was achieved in OTO in 92.9% of cases and the ED in 67.9% of cases. Beads and spherical objects had the overall lowest rates of successful removal. Likelihood of removal decreased significantly after one unsuccessful attempt. Complications were reported in 35.7% of patients undergoing removal in the ED and 5.0% of patients undergoing removal in the otolaryngology clinic. CONCLUSIONS: Patients commonly present to the ED for removal of EAC foreign bodies. Referral to an otolaryngologist is recommended if the object is spherical or after one unsuccessful attempt at removal. [Mh] Termos MeSH primário: Instituições de Assistência Ambulatorial Meato Acústico Externo Serviço Hospitalar de Emergência Corpos Estranhos/terapia Otolaringologia Avaliação de Resultados (Cuidados de Saúde) [Mh] Termos MeSH secundário: Criança Feminino Corpos Estranhos/complicações Seres Humanos Masculino Missouri Encaminhamento e Consulta Estudos Retrospectivos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171031 [Lr] Data última revisão: 171031 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170929 [St] Status: MEDLINE [do] DOI: 10.1177/0003489417731578

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[PMID]: 28871844 [Au] Autor: Anschuetz L; Bonali M; Guarino P; Fabbri FB; Alicandri-Ciufelli M; Villari D; Caversaccio M; Presutti L [Ad] Endereço: 1 Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Modena, Modena, Italy. [Ti] Título: Management of Bleeding in Exclusive Endoscopic Ear Surgery: Pilot Clinical Experience. [So] Source: Otolaryngol Head Neck Surg;157(4):700-706, 2017 Oct. [Is] ISSN: 1097-6817 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: Objective Transcanal exclusive endoscopic ear surgery requires the management of the endoscope and the surgical instruments in the external auditory canal. Bleeding in this narrow space is one of the most challenging issues, especially for novice endoscopic ear surgeons. We aim to assess the severity and occurrence of bleeding and describe strategies to control the bleeding during endoscopic ear surgery. We hypothesize that bleeding is reasonably controllable in endoscopic ear surgery. Study Design Case series with chart review. Setting Tertiary referral center. Subjects and Methods We retrospectively assessed 104 consecutive cases of exclusive endoscopic ear surgery at the University Hospital of Modena, Italy. The surgical videos and the patient charts were carefully investigated and analyzed. Results Hemostatic agents included injection of diluted epinephrine (1:200,000, 2% mepivacaine), cottonoids soaked with epinephrine (1:1000), mono- or bipolar cautery, washing with hydrogen peroxide, and self-suctioning instruments. The localization of bleeding in the external auditory canal was most frequently the posterior superior part, and inside of the middle ear, it was the pathology itself. Statistical analysis revealed significant differences comparing the mean arterial pressure and the type of intervention among bleeding scores. Conclusion The management of bleeding in endoscopic ear surgery is feasible through widely available hemostatic agents in reasonable frequency. This study gives an instructive overview on how to manage the bleeding in the exclusive endoscopic technique. Even the highest bleeding scores could be managed in an exclusively endoscopic technique. [Mh] Termos MeSH primário: Perda Sanguínea Cirúrgica/prevenção & controle Otopatias/cirurgia Técnicas Hemostáticas Cirurgia Endoscópica por Orifício Natural/efeitos adversos Procedimentos Cirúrgicos Otológicos/efeitos adversos [Mh] Termos MeSH secundário: Adolescente Adulto Idoso Idoso de 80 Anos ou mais Criança Pré-Escolar Meato Acústico Externo Feminino Seguimentos Seres Humanos Masculino Meia-Idade Projetos Piloto Estudos Retrospectivos Resultado do Tratamento Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171012 [Lr] Data última revisão: 171012 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170906 [St] Status: MEDLINE [do] DOI: 10.1177/0194599817726982

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[PMID]: 28807901 [Au] Autor: Furutera T; Takechi M; Kitazawa T; Takei J; Yamada T; Vu Hoang T; Rijli FM; Kurihara H; Kuratani S; Iseki S [Ad] Endereço: Section of Molecular Craniofacial Embryology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan. [Ti] Título: Differing contributions of the first and second pharyngeal arches to tympanic membrane formation in the mouse and chick. [So] Source: Development;144(18):3315-3324, 2017 09 15. [Is] ISSN: 1477-9129 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: We have proposed that independent origins of the tympanic membrane (TM), consisting of the external auditory meatus (EAM) and first pharyngeal pouch, are linked with distinctive middle ear structures in terms of dorsal-ventral patterning of the pharyngeal arches during amniote evolution. However, previous studies have suggested that the first pharyngeal arch (PA1) is crucial for TM formation in both mouse and chick. In this study, we compare TM formation along the anterior-posterior axis in these animals using expression as a marker of the second pharyngeal arch (PA2). In chick, the EAM begins to invaginate at the surface ectoderm of PA2, not at the first pharyngeal cleft, and the entire TM forms in PA2. Chick-quail chimera that have lost PA2 and duplicated PA1 suggest that TM formation is achieved by developmental interaction between a portion of the EAM and the columella auris in PA2, and that PA1 also contributes to formation of the remaining part of the EAM. By contrast, in mouse, TM formation is highly associated with an interdependent relationship between the EAM and tympanic ring in PA1. [Mh] Termos MeSH primário: Região Branquial/embriologia Membrana Timpânica/embriologia [Mh] Termos MeSH secundário: Animais Região Branquial/metabolismo Embrião de Galinha Galinhas Meato Acústico Externo/embriologia Orelha Média/embriologia Embrião de Mamíferos/metabolismo Proteínas de Fluorescência Verde/metabolismo Proteínas de Homeodomínio/metabolismo Camundongos Camundongos Knockout Modelos Biológicos Fenótipo Codorniz/embriologia Membrana Timpânica/metabolismo [Pt] Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T [Nm] Nome de substância: 0 (Homeodomain Proteins); 0 (Hoxa2 protein, mouse); 0 (enhanced green fluorescent protein); 147336-22-9 (Green Fluorescent Proteins) [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171126 [Lr] Data última revisão: 171126 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170816 [St] Status: MEDLINE [do] DOI: 10.1242/dev.149765

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[PMID]: 28802363 [Au] Autor: Ping C; Yanling H; Youhua W; Shufen W; Zhinan W; Zhongfang X [Ad] Endereço: ENT Department of Wuhan Children's Hospital (Wuhan Maternal and Child Health Care Hospital), Tongji Medical College, Huazhong University of Science & Technology, China. Electronic address: aeiuo@163.com. [Ti] Título: Epidemiology of cerumen impaction among municipal kindergartens children in Wuhan, China. [So] Source: Int J Pediatr Otorhinolaryngol;100:154-156, 2017 Sep. [Is] ISSN: 1872-8464 [Cp] País de publicação: Ireland [La] Idioma: eng [Ab] Resumo: OBJECTIVE: To investigate the epidemiology of cerumen impaction among children of municipal kindergartens in Wuhan. METHODS: The ear canal of children of municipal kindergartens in Wuhan was examined using an electric otoscope by the same otologist in 2005, 2006 and 2012, with age, gender, ears and the nature of cerumen (dry cerumen or wet cerumen) recorded. A chi-square test was performed to investigate for significant differences between cerumen impaction rates and the recorded variables. RESULTS: A total of 1,214, 1863 and 5205 children were examined in 2005, 2006 and 2012, and cerumen impaction prevalence rates for each year were 17.2%, 15.4% and 10%, respectively. Prevalence of cerumen impaction was significantly lower in 2012 than in 2005 or 2006. In 2005, dry cerumen impaction accounted for 22.2% of the total dry cerumen, while wet cerumen impaction only accounted for 5% of the total wet cerumen, showing a statistically significant difference. CONCLUSION: The prevalence of cerumen impaction among children of kindergartens in Wuhan is higher than 10%, and children with dry cerumen are more prone to cerumen impaction. Annual otological examination of kindergarten children is recommended. And improved community ear health promotion activities should reduce the avoidable prevalence of cerumen impaction in pediatric population. [Mh] Termos MeSH primário: Otopatias/epidemiologia [Mh] Termos MeSH secundário: Cerume Criança Pré-Escolar China/epidemiologia Meato Acústico Externo Feminino Seres Humanos Masculino Otoscópios Prevalência Estudos Retrospectivos Instituições Acadêmicas [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171002 [Lr] Data última revisão: 171002 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170814 [St] Status: MEDLINE

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[PMID]: 28688556 [Au] Autor: Majumder A; Wick CC; Collins R; Booth TN; Isaacson B; Kutz JW [Ad] Endereço: Department of Otolaryngology - Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA. [Ti] Título: Pediatric Langerhans cell histiocytosis of the lateral skull base. [So] Source: Int J Pediatr Otorhinolaryngol;99:135-140, 2017 Aug. [Is] ISSN: 1872-8464 [Cp] País de publicação: Ireland [La] Idioma: eng [Ab] Resumo: OBJECTIVE: Describe the presentation, imaging characteristics, management, and outcomes of pediatric patients with Langerhans cell histiocytosis (LCH) of the temporal bone. METHODS: A retrospective chart review was performed between 2000 and 2014 at a single tertiary care children's hospital. Fourteen patients were identified with a diagnosis of LCH and involvement of the temporal bone. RESULTS: Ten patients were female and ten were Caucasian. Mean age at diagnosis was 3 years (range 0.3-9.6 years). The most common presenting symptoms were scalp lesions, postauricular lesions, otalgia, and persistent ear infections. Three patients had documented hearing loss. Four cases had otic capsule invasion. Computed tomography demonstrated a lytic temporal bone lesion within the following subsites: mastoid, squamous temporal bone, external auditory canal, middle ear, and petrous apex. Four patients had intracranial disease. Extent and location of disease prompted all patients to be initially managed with chemotherapy. Surgical excision was limited to one case of localized recurrence. After a mean follow-up of 85.2 months (SD 42.4 months) there were no deaths but eight patients had a recurrence. Two patients developed long-term otologic sequelae requiring surgery. One patient developed labyrinthitis ossificans. CONCLUSION: LCH has a varied presentation, age distribution, and treatment algorithm. This series of 14 pediatric patients with temporal bone involvement supports a limited role for surgical resection. Long-term follow-up is critical for detection of local and disseminated disease, and for monitoring of otologic complications. [Mh] Termos MeSH primário: Histiocitose de Células de Langerhans/diagnóstico Base do Crânio/patologia Osso Temporal/patologia [Mh] Termos MeSH secundário: Doenças Ósseas/patologia Criança Pré-Escolar Meato Acústico Externo/patologia Feminino Histiocitose de Células de Langerhans/complicações Histiocitose de Células de Langerhans/terapia Seres Humanos Lactente Masculino Estudos Retrospectivos Tomografia Computadorizada por Raios X [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170803 [Lr] Data última revisão: 170803 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170710 [St] Status: MEDLINE

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[PMID]: 28658173 [Au] Autor: Nakao Y; Tanigawa T; Shibata R [Ad] Endereço: aDepartment of Otolaryngology, Yoshida General Hospital, Hiroshima bDepartment of Otolaryngology, Aichi Medical University, Aichi cDepartment of Cardiology, Nagoya University, Nagoya, Japan. [Ti] Título: Human otoacariasis caused by Amblyomma testudinarium: Diagnosis and management: Case report. [So] Source: Medicine (Baltimore);96(26):e7394, 2017 Jun. [Is] ISSN: 1536-5964 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: RATIONALE: Tick infestation of the external auditory canal (EAC) constitutes <1% of all patients presenting with ear complaints. Consequently, parameters for the diagnosis and management of ticks in the EAC have not been established. PATIENT CONCERNS: We report 2 cases of EAC infestation by Amblyomma testudinarium in 2 female patients, aged 12- and 72 years old. DIAGNOSES INTERVENTIONS AND OUTCOMES: In both patients, otoscopic examination revealed engorged ticks attached to the ear canal. The 12-year-old girl had a narrow EAC, necessitating slight dislodging of the tick to determine if its mouth parts were embedded in the EAC skin. The tick's mouth parts were confirmed to be free, enabling complete removal of the tick. The 72-year-old woman had a wide EAC, enabling tick removal using Hartman's forceps because the tick's mouth parts were confirmed to be free of the skin. Prophylactic tetracycline (200 mg/day) was administered to each patient for 7 days; neither showed any signs of fever or rash. LESSONS: This report describes 2 patients with A testudinarium infestation of the EAC, and proposes a simple, noninvasive protocol for determining if the tick is anchored to the ear canal. [Mh] Termos MeSH primário: Meato Acústico Externo/parasitologia Ixodidae Infestações por Carrapato/diagnóstico [Mh] Termos MeSH secundário: Idoso Animais Antibacterianos/uso terapêutico Antibioticoprofilaxia Criança Seres Humanos Masculino Otoscopia Tetraciclina/uso terapêutico Infestações por Carrapato/terapia [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Nm] Nome de substância: 0 (Anti-Bacterial Agents); F8VB5M810T (Tetracycline) [Em] Mês de entrada: 1707 [Cu] Atualização por classe: 170718 [Lr] Data última revisão: 170718 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170629 [St] Status: MEDLINE [do] DOI: 10.1097/MD.0000000000007394

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[PMID]: 28641691 [Ti] Título: This Month in Aerospace Medicine History. [So] Source: Aerosp Med Hum Perform;88(7):705, 2017 Jul 01. [Is] ISSN: 2375-6314 [Cp] País de publicação: United States [La] Idioma: eng [Mh] Termos MeSH primário: Medicina Aeroespacial Meato Acústico Externo Terapia a Laser Exame Físico Pilotos Teste do Limiar de Recepção da Fala Termometria Ferimentos e Lesões/cirurgia [Mh] Termos MeSH secundário: Temperatura Corporal Seres Humanos Tecnologia [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170829 [Lr] Data última revisão: 170829 [Sb] Subgrupo de revista: IM; S [Da] Data de entrada para processamento: 170624 [St] Status: MEDLINE [do] DOI: 10.3357/AMHP.4921.2017

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