Clinical Audiogram of the Week: vol5, no10

This case was presented in a recent (vol5,no10) issue of otorhinolaryngology news:

A 37-year old female presented with 1 year history of right aural tinnitus, hearing loss, and initial vertigo which had since resolve. The only significant medical history is allergic rhinitis which is seasonal. Clinical examination including Otoscopy was negative. Pure Tone Audiometry revealed the audiogram demonstrated here:

Diagnosis: Right Meniere's Syndrome. 'Syndrome' and not 'Disease' because the underlying aetiology suspected here is allergy. Hearing loss in Meniere's disease is thought to be caused by distortion of the basilar membrane by fluid pressure an effect maximized at its widest point. This point is at the apical turn, hence the low frequency character of the typical hearing loss. In our experience, this hearing loss is the most difficult to correct of the triad that characterize this syndrom

RE: Case of The Week - Vol6, No2

This case was presented in a recent edition of the otorhinolaryngology news:

A 27-year-old female presented with hoarseness of 5 months duration. Symptom dated to last delivery that was complicated, necessitated prolonged intubation and nasogatric tube feeding for over a week. Hoarseness has been persistent since then. No associated cough or breathlessness. Indirect Laryngoscopy revealed the features shown here.

Post intubation laryngeal polyp of the type seen here is presumably rare. At direct micro-laryngo-bronchoscopy, supraglottic polypoidal masses, on either side, and with ball-valve effects were seen and excised. Immediate post op disappearance of hoarseness was noted.