array:23 [ "pii" => "S2173573524000395" "issn" => "21735735" "doi" => "10.1016/j.otoeng.2023.10.011" "estado" => "S300" "fechaPublicacion" => "2024-05-01" "aid" => "1219" "copyright" => "Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello" "copyrightAnyo" => "2023" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Acta Otorrinolaringol Esp. 2024;75:202-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0001651923001255" "issn" => "00016519" "doi" => "10.1016/j.otorri.2023.10.009" "estado" => "S300" "fechaPublicacion" => "2024-05-01" "aid" => "1219" "copyright" => "Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Acta Otorrinolaringol Esp. 2024;75:202-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imágenes en otorrinolaringología</span>" "titulo" => "Osteomas de conducto y promontorio. Hipoacusia bilateral" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "202" "paginaFinal" => "203" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Canal and promontory osteomas: Bilateral hearing loss" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0015" "etiqueta" => "Figura 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 639 "Ancho" => 1120 "Tamanyo" => 64081 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Montserrat Asensi Díaz, Carlos Martín Oviedo, Miguel Ángel Arístegui Ruíz" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Montserrat" "apellidos" => "Asensi Díaz" ] 1 => array:2 [ "nombre" => "Carlos" "apellidos" => "Martín Oviedo" ] 2 => array:2 [ "nombre" => "Miguel Ángel" "apellidos" => "Arístegui Ruíz" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173573524000395" "doi" => "10.1016/j.otoeng.2023.10.011" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573524000395?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651923001255?idApp=UINPBA00004N" "url" => "/00016519/0000007500000003/v2_202405171141/S0001651923001255/v2_202405171141/es/main.assets" ] ] "itemAnterior" => array:19 [ "pii" => "S2173573524000371" "issn" => "21735735" "doi" => "10.1016/j.otoeng.2023.10.009" "estado" => "S300" "fechaPublicacion" => "2024-05-01" "aid" => "1216" "copyright" => "Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Acta Otorrinolaringol Esp. 2024;75:200-1" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Regarding the process of adaptation and validation into Spanish of the specific questionnaire on quality of life in patients with tracheostomy (TQOL)" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "200" "paginaFinal" => "201" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Respecto al proceso de adaptación y validación al español del cuestionario específico de calidad de vida en pacientes con traqueostomía (TQOL)" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ángel Roco-Videla, Valeska Torres-Bustos" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Ángel" "apellidos" => "Roco-Videla" ] 1 => array:2 [ "nombre" => "Valeska" "apellidos" => "Torres-Bustos" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001651923001231" "doi" => "10.1016/j.otorri.2023.10.007" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651923001231?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573524000371?idApp=UINPBA00004N" "url" => "/21735735/0000007500000003/v1_202405260943/S2173573524000371/v1_202405260943/en/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Otorhinolaryngology</span>" "titulo" => "Canal and promontory osteomas: bilateral hearing loss" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "202" "paginaFinal" => "203" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Montserrat Asensi-Diaz, Carlos Martin Oviedo, Miguel Angel Aristegui Ruiz" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Montserrat" "apellidos" => "Asensi-Diaz" "email" => array:1 [ 0 => "mariamontserrat.asensi@salud.madrid.org" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Carlos" "apellidos" => "Martin Oviedo" ] 2 => array:2 [ "nombre" => "Miguel Angel" "apellidos" => "Aristegui Ruiz" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Otorrinolaringología, Hospital General Universitario Gregorio Marañón, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Osteomas de conducto y promontorio. Hipoacusia bilateral" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 862 "Ancho" => 945 "Tamanyo" => 84960 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 48-year-old woman attended the clinic due to progressive hearing loss and bilateral intermittent otorrhea. She denied any other otological symptoms. As a history of interest, she referred to repeated otitis since childhood.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Otoscopy showed pedunculated and rounded lesions in the external auditory canal (EAC) (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>), suggestive of auditory canal osteomas. Additionally, she had bilateral duct eczema, with traces of otorrhea in the right ear. Likewise, a central retraction of the tympanic membrane was observed in both ears, coinciding with a whitish retro-tympanic lesion compatible with promontory osteomas.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Tone audiometry showed moderate mixed hearing loss in the right ear and mild transmissive hearing loss in the left ear.</p><p id="par0020" class="elsevierStylePara elsevierViewall">A computed tomography (CT) of the petrous bones was requested (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>), which showed a nodular bone lesion cantered on the promontory with a maximum axis of 3 mm that had contact with both tympanic membranes, causing a marked retraction of them. Images were compatible with osteomas of the cochlear promontories.</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">Topical treatment was initiated in the right ear. An assessment of hearing aid adaptation and follow-up in consultations to control eczema and osteomas was recommended.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Osteomas are common benign bone lesions in the temporal bone. Although their most common location is the EAC, it is possible to find them in the middle ear, mainly affecting the promontory and/or the ossicular chain. The main symptom is conductive hearing loss, although they can also cause otorrhea, tinnitus or be asymptomatic.</p><p id="par0035" class="elsevierStylePara elsevierViewall">CT is the imaging test of choice for diagnosis and treatment varies, depending on the symptoms, from periodic check-ups to surgical excision.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 862 "Ancho" => 945 "Tamanyo" => 84960 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 825 "Ancho" => 945 "Tamanyo" => 75890 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 639 "Ancho" => 1120 "Tamanyo" => 64081 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735735/0000007500000003/v1_202405260943/S2173573524000395/v1_202405260943/en/main.assets" "Apartado" => array:4 [ "identificador" => "5869" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in otorhinolaryngology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735735/0000007500000003/v1_202405260943/S2173573524000395/v1_202405260943/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573524000395?idApp=UINPBA00004N" ]
Journal Information
Share
Download PDF
More article options
Images in Otorhinolaryngology
Canal and promontory osteomas: bilateral hearing loss
Osteomas de conducto y promontorio. Hipoacusia bilateral
Montserrat Asensi-Diaz
, Carlos Martin Oviedo, Miguel Angel Aristegui Ruiz
Corresponding author
Servicio de Otorrinolaringología, Hospital General Universitario Gregorio Marañón, Madrid, Spain