When fibrous dysplasia affects the temporal bone, it most often presents with conductive hearing loss attributable to stenosis of the external auditory canal. Sensorineural hearing loss has usually been attributed to involvement of the otic capsule. We present a patient with bilateral fibrous dysplasia of the temporal bones who complained of unilateral hearing loss, facial tingling, and facial twitching. The audiogram showed severe sensorineural hearing loss. The hearing markedly improved and facial twitching and tingling ceased after decompression of the internal auditory canal via a middle fossa approach. This is the only case of which we are aware showing reversal of sensorineural hearing loss caused by fibrous dysplasia.
The presence of retropharyngeal node metastasis cannot be determined by computed tomographic imaging alone. Arch Otolaryngol Head Neck Surg. 2000;126:1478-1481
Scientific Posters P237 rhinitis and differentiate which symptom predominates in each disease. Regarding both signs and symptoms, we divided the score obtained into 4 groups of treatment. Methods: We analyzed 352 patients in the Otolaryngology Department of the University of Sat Paulo. On the basis of clinical history, allergy skin-prick tests, and nasal cytology, they were separated into AR, IR, and NARES. The table is divided into signs and symptoms, giving each item 4 points (0 to 3) that can range from 0 to 24. The groups of treatment are I, II, III, and IV, each one with a specific treatment. In this study we analyzed the data for group III only in the first visit, and all the groups for the signs, symptoms, and treatment.
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