Diagnosis of acquired middle ear cholesteatoma on MR imaging is mostly done on late postgadolinium T1-weighted MR images and/or echo-planar (EPI) diffusion-weighted (DWI) MR images. We describe the appearance of a case of a complicated attical middle ear cholesteatoma on single-shot (SS) turbo spin-echo (TSE) DWI compared with EPI-DWI. This case suggests a higher reliability of SS TSE-DWI in th...

Chronic discharging ear, mostly due to middle or external ear infection, is one of the leading causes for seeking healthcare among the paediatric population in a developing country. However, a long-standing forgotten middle ear foreign body forms a rare cause for such presentation demanding a high index of suspicion from the clinicians. Most of them are iatrogenic or accidental, and are removed...

BACKGROUND Some patients with chronic middle ear disease and multiple failed revisions, who also need a hearing aid, may benefit from an active middle ear implant. An advantage of an active middle ear implant is that the ear canal is unoccluded. METHODS Following extensive experimental development in temporal bones and investigations of various locations and attachments of a Vibrant Soundbrid...

Besides eradication of chronic middle ear disease, the reconstruction of the sound conduction apparatus is a major goal of modern ear microsurgery. The material of choice in cases of partial ossicular replacement prosthesis is the autogenous ossicle. In the event of more extensive destruction of the ossicular chain diverse alloplastic materials, e. g. metals, ceramics, plastics or composits are...

In the acoustic frequency range, the mammalian middle ear is known to behave as a fairly linear system. However, strong nonlinearity has been demonstrated in response to quasi-static pressure loads, and in previous work our research group was able to detect small nonlinear distortions at sound pressure levels of 96 dB SPL in the vibrations of the gerbil’s tympanic membrane. The tympanic membran...

UNLABELLED Secretory otitis media (SOM) and recurrent acute otitis media (RAOM) may require surgical treatment to proper ventilate the middle ear. Incisional myringotomy is usually done under microscopy with a micro-knife, but it remains patent for just a few days. Recent research indicates that laser assisted myringotomies remain open much longer, allowing middle ear ventilation and healing. ...

UNLABELLED Characteristics of how external and middle ear resonance frequency can impact the capture of otoacoustic emissions. AIM to study the impact of external and middle ear resonance frequency in otoacoustic emissions. STUDY DESIGN Prospective, clinical, series study. MATERIALS AND METHODS Microphone-probe measurements were made in the external ear, together with multifrequency timpa...

INTRODUCTION  The resonant frequency is the probe frequency in which susceptance is 0 due to the neutralization of the forces of mass and stiffness components that control the middle ear. This frequency can be evaluated by multifrequency tympanometry, and the normality value for adults ranges 800-1,200 Hz. Studies about resonant frequency in children are scarce. AIM  Identify the variation of...

INTRODUCTION We describe indications and surgical technique for dividing the stapedius and tensor tympani tendons during middle ear surgery. Middle ear muscle reflexes involve contraction of the tensor tympani muscle (TTM) and stapedius muscle (SM) to increase impedance of the middle ear, and may shield the inner ear from loud, continuous nonimpact noise. Sectioning SM and TTM tendons has been ...

This report describes the CT and MR findings in one patient with a spontaneous middle ear meningocele and a second patient with a middle ear meningoencephalocele possibly related to a large intracranial mass. High-resolution CT defined anatomic relation and bone destruction, and MR aided in tissue characterization.