Introduction: Inner ear function can be modified by middle ear surgery. Objectives: This study aimed to describe bone threshold conduction changes after myringoplasty. Design: Prospective study. Materials and Methods: Determination of preoperative and 6- to 12-month postoperative bone conduction thresholds for patients consecutively treated by primary underlay myringoplasty. Results: The mean bone conduction threshold improvement was 1 ± 6 dB (p = 0.006). There were significant differences in bone conduction threshold changes by surgical approach and for patients with tympanosclerosis. There were no ‘dead ears’ following intervention, and only a 1% risk of impairment. Conclusions: Anatomically successful myringoplasty can partially improve bone conduction with minimal risk of impairment.
Schwannomas are benign peripheral nerve neoplasms that arise from Schwann cells. They usually occur in the adult population. The most common site in the head and neck region is the parapharyngeal space. Intrapharyngeal schwannomas are extremely rare, and those that have been reported all occurred in adults. We report what to the best of our knowledge is the first case of an intrapharyngeal schwannoma in a pediatric patient. The patient, a 15-yearold boy, was treated successfully with surgical excision.
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