SavedAdd your journal

Journals / Haseki Tıp Bülteni / 2013 / Cilt: 51 - Sayı: 1

Kolesteatom olgusunda işitme kaybının eşlik etmediği izole inkus kısa kolu destrüksiyonu

Isolated destruction of the short process of the ıncus without hearing lose in a case of cholesteatoma

Hasan Hüseyin BALIKÇI
HÜSAMETTİN YAŞAR
Murat Haluk ÖZKUL
Mustafa GÜRDAL
Mustafa KARAKAŞ
Pages
24–25
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This case opens up new dimensions in the discussion of whether the incus short process contributes to hearing. (The Medical Bulletin of Haseki 2013; 51: 24-5)

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Cholesteatoma frequently results in destruction of the ossicles and the surrounding structures.
📊
Key Findings & Data:In the odiometric analysis of the patient 6 months post-operatively, the air-bone gap had recovered from 15 dB preoperatively to a postoperative hearing threshold with an average of 5dB at the airline as well as the boneline.
💡
Conclusion & Impact:This case opens up new dimensions in the discussion of whether the incus short process contributes to hearing. (The Medical Bulletin of Haseki 2013; 51: 24-5)
🔬Design:Research Article
📍Scope:2013 Verileri
⚙️Variables:Domain Parameters

Abstract

Cholesteatoma frequently results in destruction of the ossicles and the surrounding structures. The most frequent consequence is erosion of the long process of the incus, however, necrosis may be observed anywhere along the ossicular chain. Isolated destruction of the short process of the incus is an extremely unusual condition. In this study, we describe a patient who presented with otorrhea and hearing impairment. The diagnosis of attico-antral cholesteatoma was established and surgery was performed. During surgery, it was observed that the ossicular chain was intact with the exception of an absent short process of the incus. In the odiometric analysis of the patient 6 months post-operatively, the air-bone gap had recovered from 15 dB preoperatively to a postoperative hearing threshold with an average of 5dB at the airline as well as the boneline. This case opens up new dimensions in the discussion of whether the incus short process contributes to hearing. (The Medical Bulletin of Haseki 2013; 51: 24-5)

Özet

Kolesteatom sıklıkla kemikçiklerin ve çevre yapıların destrüksiyonuna neden olur. En sık inkus uzun kolu erozyona uğrar. Bununla birlikte kemikçik zincirin herhangi bir yerinde nekroz görülebilir. Ancak izole inkus kısa kol destrüksiyonu sıra dışı bir durumdur. Otore ve işitme azlığı şikayetleri ile tarafımıza başvuran ve attikoantral kolesteatom nedeniyle opere ettiğimiz bu vakada operasyon sırasında kemikçik zincirin intakt olduğunu, ancak inkus kısa kolunun olmadığını gördük. Hastanın postoperatif 6. ayda yapılan odyometrik analizinde, preoperatif dönemde 15 dB olan hava kemik yolu açıklığı (gap) kapandı. Postoperatif dönemde hem havayolu, hem kemik yolu eşiği ortalama 5 dB olarak saptandı. Bu durum inkusun kısa kolunun işitmeye katkısı olup olmadığı tartışmalarına yeni bir boyut kazandıracak niteliktedir. (Haseki T›p Bülteni 2013; 51: 24-5)

🔖

Cite This Article

BALIKÇI, H. H., YAŞAR, H., ÖZKUL, M. H., GÜRDAL, M., KARAKAŞ, M. (2013). Kolesteatom olgusunda işitme kaybının eşlik etmediği izole inkus kısa kolu destrüksiyonu. Haseki Tıp Bülteni, Cilt: 51 - Sayı: 1, 24–25. https://ajindex.com/articles/267945

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (8)

  1. Tos M. Pathology of ossicular chain in various chronic middle ear diseases. J Laryngol Otol 1979;93:769-80
  2. Gaurano JL, Joharjy IA. Middle ear cholesteatoma: characteristic CT findings in 64 patients. Ann Saudi Med 2004;24:442-7
  3. Sakami M, Seo T, Node M, Fukazawa K, Sone M, Mishiro Y. Cholesteatoma otitis media with intact ossicular chain. Auris Nasus Larynx 1999;26:147-51
  4. Pappas DG. Bondy’s modified radical mastoidectomy revisited. Ear Nose Throat J 1994;73:15-8
  5. Subotic R, Femenic B. Histological changes of incus with cholesteatoma in the attic. Acta Otolaryngol 1991;111:358-61
  6. Lacosta JL, Infante JC, Pison F Functional Surgery of choleteatoma. I. Closed techniques. Acta Otorrinolaringol Esp 1997;48:115-20
  7. Aslan A, Aslan GG. Consideration of isolated destruction of the short process of the incus in a case of cholesteatoma. Eur Arch Otorhinolaryngol 2005;262:844-46
  8. Rupa V, Krishnaswami H, Job A. Autograft ossicle selection in cholesteatomatous ear disease: histopathological considerations. J Laryngol Otol 1997;111:807-9.