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Immunoglobulin G4-Related Disease Presenting as Temporal Bone Lesion with Facial Nerve Palsy
We report a case of IgG4-RD with infiltration of the temporal bone and surrounding structures in a patient with systemic vasculitis on systemic steroids. A 31-year-old woman presented with right-sided facial weakness, headache, and right ear hearing loss. On examination, redness and retraction of the right tympanic membrane and facial paresis (House-Brackman IV) were noted. Computed tomography imaging showed mastoiditis, temporal lobe stroke, and brain abscess. Magnetic resonance imaging (MRI) showed infiltration in the infratemporal fossa, nasopharynx, spreading along the Eustachian tube and perineurally along the branche...
Source: ORL - June 7, 2022 Category: ENT & OMF Source Type: research

Video-Oculography to Guide Neuroimaging for Dizziness and Vertigo
Dizziness and vertigo are among the most common presenting symptoms in both the emergency department (ED) and ambulatory outpatient clinics, with recent estimates suggesting roughly 18 million visits per year in the US (nearly 5 million to EDs and>13 million to outpatient clinics). These symptoms are caused by a wide array of conditions, but the most common benign causes are otologic, and the most common dangerous cause is stroke. Stroke accounts for 3% to 5% of dizziness presentations in the ED, and some evidence suggests that it may account for a similar percentage of dizziness presentations in ambulatory care clinics...
Source: JAMA Otolaryngology - Head and Neck Surgery - April 7, 2022 Category: ENT & OMF Source Type: research

Internal carotid artery calcifications in a South African population: A CBCT imaging study
ConclusionsDetection of calcifications along the course of the ICA was possible using CBCT images taken for dental treatment purposes. Early detection of calcifications allows for appropriated referral and assessment which will be beneficial to the patient presenting with ICA calcifications.
Source: Oral Surgery - April 5, 2022 Category: ENT & OMF Authors: Andr é Uys, Diana Mavuso Tags: ORIGINAL ARTICLE Source Type: research

Bilateral lingual artery stenosis: A rare, late complication of chemoradiotherapy
Discussion Small vessel disease is a possible complication in patients treated by RT for head and neck cancer. Although the risk of these complications is not directly related to the total radiation dose, higher doses appear to accelerate the development of vascular lesions. Practitioners must be aware of the possibility of these complications, especially in patients surviving more than 5 years.
Source: European Annals of Otorhinolaryngology, Head and Neck Diseases - March 10, 2017 Category: ENT & OMF Source Type: research

Skull base osteomyelitis missed in mastoidectomy for cholesteatoma.
Conclusions A high suspicion of skull base involvement should be warranted, even if radiological findings are not atypical, in cases of chronic otitis media (COM) with cholesteatoma. Objective To investigate some clues indicating the development of skull base osteomyelitis (SBO) in patients who received mastoidectomy, through reviewing pre-operative temporal bone computed tomography (TBCT). Method Retrospective review of patients with SBO after mastoidectomy for COM. A total of five patients with SBO after mastoidectomy with available pre-operative TBCTs were enrolled in this study. Results All patients were diagnosed as C...
Source: Acta Oto-Laryngologica - January 15, 2016 Category: ENT & OMF Authors: Lee HS, Yang CJ, Lee JH, Ahn JH Tags: Acta Otolaryngol Source Type: research

Carotid Atheroma: Detection Through Dental Panoramic Radiograph And Cone-Beam Computed Tomography
Calcium salt deposition in atherosclerotic plaques induces their calcification, resulting in vascular obstruction, which can cause stroke. This pathological process can affect the carotid arteries. Here, we report the surprising finding of a carotid artery atheroma in a 60-year-old asymptomatic female. The condition was identified on a panoramic radiograph taken at the beginning of dental treatment, which showed aspects suggesting carotid artery atheroma. Cone-beam computed tomography confirmed those aspects, which are very similar to those of calcified triticeous cartilage.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - July 11, 2015 Category: ENT & OMF Authors: GILBERTO NONATO DE ABRANTES FILHO, RAFAELA SIMÃO DE ABRANTES, CAMILA HELENA MACHADO DA COSTA, RICARDO VILLAR BELTRÃO, PEDRO PAULO DE ANDRADE SANTOS, GEORGE JOÃO FERREIRA DO NASCIMENTO, MANUELLA SANTOS CARNEIRO ALMEIDA Source Type: research

OI0258 Calcification of the carotid artery using panoramic radiography
This study evaluated calcification of the carotid artery using panoramic radiography and computed tomography (CT) of the neck.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - April 11, 2014 Category: ENT & OMF Authors: Hiromi Hayashi, Yasuhisa Shinozaki, Junichi Hayasaka, Yoshiyuki Tsuchiya, Hiroto Itoh, Tadahide Noguchi, Mikio Kusama, Yoshinori Jinbu Tags: Online Only Article Source Type: research

Risks of radiation versus risks from injury: A clinical decision analysis for the management of penetrating palatal trauma in children
ConclusionsRoutine use of computed tomography with angiography for well‐appearing children with palatal trauma should be reconsidered, as the risk of radiation‐induced malignancy may outweigh the benefit of identifying the rare carotid injury. Level of Evidence2b. Laryngoscope, 2013
Source: The Laryngoscope - February 12, 2013 Category: ENT & OMF Authors: Kara E. Hennelly, Andrew M. Fine, Dwight T. Jones, Stephen Porter Tags: Pediatrics Source Type: research