To the authors' knowledge, this is the first report to describe decompression of the internal auditory canal via a retrosigmoid approach for symptomatic facial and cochlear nerve compression in a patient with CED.Ĭamurati-Engelmann disease cranial nerve palsy hyperostosis internal auditory canal retrosigmoid approach. There were no more episodes of facial nerve palsy or spasm. Hearing and vestibular function were unchanged. This 3-year old male was brought to the operating room and placed under General anesthesia for removal of a foreign body from his right ear. Preoperative and Postoperative diagnosis: Foreign object in right ear. Postoperative facial nerve function was intact. Code the following CPT code: Case Study 2. Because of the progressive nature of the aforementioned cranial neuropathies in combination with the correlating severe radiological compression, a surgical decompression of the facial nerve and vestibulocochlear nerve was performed via a retrosigmoid approach with intraoperative monitoring. Radiological evaluation showed a significant thickening of the skull base with serious bilateral internal auditory canal stenosis. There were no symptoms of increased intracranial pressure or vertigo. This report describes a 27-year-old patient with suspected CED who developed progressive intermittent facial nerve paresis, hemifacial spasms, and a decrease in hearing. No evidence of infection was seen., Decompression of the left internal auditory canal was performed for hearing maintenance in a neurofibromatosis patient. After removal, the ear canals were inspected. Symptoms include contractures and pain in affected extremities but can also include manifestations of cranial hyperostosis such as intracranial hypertension, Chiari malformation, exophthalmia, frontal bossing, and several cranial neuropathies due to cranial foraminal stenosis. Study with Quizlet and memorize flashcards containing terms like Impacted cerumen was removed from the left and right ears, using lavage and suction instrumentation. Camurati-Engelmann disease (CED) is a rare condition characterized by hyperostosis of the long bones and skull base.
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