I\u27m there for you

As innately curious beings, we spend the duration of our lives wandering. It also remains natural, however, to hope for a sense of stability. This can be found with a variety of things, namely physical places, or steady interpersonal relationships. Whichever it may be, when a strong, relaxing, connection is created, there forms a psychological space where the comforting energy of one\u27s respite engulfs them. Such a place can be left and revisited, but remains dependent on each thinker to perceive and appreciate their own

Osseointegrated Auditory Devices—Transcutaneous: Sophono and Baha Attract

© 2018 Elsevier Inc. Percutaneous osseointegrated bone conduction auditory devices provide excellent auditory rehabilitation. Device-related complications relate to skin abutment interface and cosmetic concerns, resulting in the development of transcutaneous devices. The Sophono and Baha Attract are safe and considered cosmetically superior to the percutaneous Baha Connect and Ponto. They provide excellent auditory enhancement; however, owing to indirect connectivity between processor and implant, there is on average 5- to 7-db less gain when compared with percutaneous bone-anchored implants. Surgical implantation of either device is usually performed under monitored sedation, in an ambulatory setting, with less than a 1-hour operative time, and minimal complications

Metastatic squamous cell carcinoma of the tonsil presenting as otorrhea: a case report

We describe the case of a 52-year-old man with a history of squamous cell carcinoma (SCC) of the tonsil who presented with right subacute otalgia and otorrhea. Dedicated computed tomography of the temporal bones showed opacification within the mastoid process with destruction of bony mastoid septations consistent with coalescent mastoiditis. Preoperative imaging showed no destruction or expansion of the bony eustachian tube that would indicate that a direct spread had occurred. An urgent cortical mastoidectomy was performed. Intraoperatively, a friable white mass surrounded with purulence and granulation tissue was biopsied and returned as SCC. The discrete metastasis was removed without complication. Postoperatively, the patient was prescribed palliative chemotherapy. This case shows that a metastatic SCC can be masked by an overlying mastoiditis, and thus it should be considered in the differential diagnosis of a patient with a history of oropharyngeal cancer