Research
Melkersson-Rosenthal Syndrome: An Atypical Presentation with Facial Diplegia (A Case Report and Literature Review)
Melkersson-Rosenthal Syndrome is a rare entity of unknown etiology, characterized by the triad of symptoms: recurrent face and / or lip swelling, cracked or scrotal tongue and peripheral facial palsy. This symptomatology is often incomplete. It usually begins in childhood and relapses are common. We report a case of a patient with MRS followed in the ENT and Neck Surgery department of the University Hospital August 20th of Casablanca.
Management of the Labyrinthine Fistula in Chronic Otitis Media with Cholesteatoma
Labyrinthine fistula, defined by a destruction of the bony labyrinth is one of the most feared complications during the evolution of a chronic otitis media with cholesteatoma. Relatively common, it represents 4-12% cases of chronic otitis media with cholesteatoma and essentially occurs in the lateral semi-circular canal (70-80% of cases). The abnormal opening of the bony labyrinth in the middle ear runs the risk of recurrent labyrinthitis with dizziness, sensorineural hearing loss, purulent labyrinthitis and meningitis. Its treatment is surgical, however, an alteration of cochleovestibular function during surgery may occur. We propose in this development to review signs that suggest this complication and to establish a practical management of labyrinthine fistula in chronic otitis media with cholesteatoma.
