The XXXX Point: A Novel Clinical Gesture in Otolaryngology.

@entity1 @entity158 @entity230 @entity7867 @entity479
INTRODUCTION: In cases of @entity7867 without any accompanying findings, some @entity1 locate their @entity7867 below the attachment of the lobule, at the apex of the jugulodigastric region. PURPOSE: To present a series of these @entity1 for whom nasal @entity230 or myringotomy usually ameliorated their @entity158 . MATERIALS AND METHODS: Thirty-two @entity1 with normal physical examinations, tympanograms, and age-appropriate audiograms spontaneously indicated @entity7867 at "the @entity7867 point." Inspection of the oropharynx and nasal airway, palpation of the neck and temporal mandibular joints, and nasopharyngoscopy/laryngoscopy ruled out referred causes of @entity7867 . @entity1 were offered either nasal @entity479 spray or trial myringotomy followed by tympanostomy tube. RESULTS: @entity7867 improved in all 10 (100%) @entity1 who selected nasal @entity230 . @entity7867 resolved in 17 of 20 (85%) myringotomy @entity1 . Three @entity1 declined intervention. In all, symptoms improved in 27/29 treated @entity1 (93%). CONCLUSION: This description of "the @entity7867 point" introduces a new otolaryngologic gesture in physical examination that can aid in the therapeutic management of some @entity1 with @entity7867 and normal examinations. This is an uncontrolled case series that serves as a pilot study for further exploration of this gesture.
