Objective: To discuss an effect of transmastoid repair of superior semicircular canal dehiscence and its resolution using a mastoid titanium mesh plate. Patients: A 53-year-old woman with a history of superior canal dehiscence syndrome (SCDS) and subsequent transmastoid repair experienced dizziness and a loud, drum-like sound in her repaired ear when touching the ear. Palpating the skin over the mastoid defect reproduced the symptoms and could be observed on binocular microscopy as tympanic...
Wed Aug 28, 2019 03:00
Objective: Metastatic lesions to the internal auditory meatus (IAM) and/or the cerebellopontine angle (CPA) are rare and may appear like a vestibular schwannoma (VS). We herein raise the issue of the diagnosis and treatment of nine malignant cases of the CPA and IAM among three referral centers in France and Japan. The aim of this study was 1) to report malignant lesions of the CPA, their diagnosis and treatment, 2) to review the literature, 3) to propose criteria of suspicion for malignant tumors...
Wed Aug 28, 2019 03:00
Objective: This study aimed to evaluate the diagnostic accuracy of high-resolution T2-weighted magnetic resonance imaging (T2wi) in terms of detecting vestibular schwannoma compared with gadolinium-enhanced T1-weighted MRI (GdT1wi). Data Sources: Five databases (PubMed, SCOPUS, Embase, the Web of Science, and the Cochrane database). Data Selection: Two authors independently searched five databases up to January 2019 on diagnosis of vestibular schwannomas via T2wi. Data Extraction:...
Wed Aug 28, 2019 03:00
Objective: To determine whether early intervention with intratympanic steroid injection, known as concurrent intratympanic steroid therapy, is effective as a supplement to systemic steroid therapy for treating moderate-severe to severe Bell's palsy. Design: An open-label historical control trial. Setting: Tertiary referral center. Participants: A total of 35 Bell's palsy patients presenting with House–Brackmann grade IV or higher were treated with intratympanic steroid therapy concurrent...
Wed Aug 28, 2019 03:00
Hypothesis: Objective physiologic changes measured using electrocochleography at the round window (ECOGRW) are observable during endolymphatic sac decompression and shunt surgery (ELS). Background: Limited effective treatment options are available to patients with Menière's disease (MD) who have failed conservative management, experience persistent vertigo symptoms, and have substantial residual hearing. ELS is a feasible therapeutic option for these patients. However, the efficacy of this...
Wed Aug 28, 2019 03:00
No abstract available
Wed Aug 28, 2019 03:00
No abstract available
Wed Aug 28, 2019 03:00
Objective: To compare the microbial flora of cholesteatoma and normal middle ears using gene-based sequencing analysis. Study Design: Controlled ex vivo human study. Setting: Academic, tertiary medical center. Subjects and Methods: Brush, swab, and tissue samples were each taken from cholesteatoma matrix and uninvolved tissue in patients with previously untreated, acquired cholesteatoma (n = 19) or middle ear mucosa from patients undergoing cochlear implantation with no history...
Wed Aug 28, 2019 03:00
Objective: Evaluation of triphasic pulse stimulation in comparison to the traditional biphasic pulse stimulation in cochlear implant (CI) patients with unintended facial nerve costimulation. Study Design: Retrospective case review. Setting: Cochlear Implant Center of a University Department of Otolaryngology, Head and Neck Surgery. Patients: Fifteen CI patients (MED-EL, Innsbruck, Austria) received a triphasic fitting map instead of a biphasic fitting map due to a previous diagnosis...
Wed Aug 28, 2019 03:00
Objective.: The Dizziness Handicap Inventory (DHI) is a 25-item self-report questionnaire developed to measure the disabling and handicapping impact of dizziness. The present investigation was conducted in an effort to re-assess the factor structure of the DHI. Study Design.: Retrospective study. Setting.: Tertiary care center. Patients.: Subjects were 1,991 patients who were evaluated in the Mayo Clinic-Rochester Vestibular and Balance Laboratory. Main Outcome Measures.: Exploratory...
Wed Aug 28, 2019 03:00
Objectives: To assess the audiological outcomes, practicalities, and impact on quality of life of a new, nonimplantable, adhesive retained bone conduction hearing aid in children. Study design: A prospective, single-subject repeat measure, cohort study. Setting: Community and in pediatric assessment center. Patients: Twenty-one children aged between 5 and 15 years with a conductive hearing loss of >/=25 dB HL in the better hearing ear. Intervention: Audiological comparisons...
Wed Aug 28, 2019 03:00
Objective: Previous research has shown that tumor growth during observation of small-to-medium sized sporadic vestibular schwannomas (VSs) occurs almost exclusively within 3 to 5 years following diagnosis. This has led some to consider ending surveillance after this interval. This study seeks to characterize a cohort of patients with tumors that exhibited late growth. Study Design: Retrospective cohort study. Setting: Tertiary referral center. Patients: Adults with sporadic VSs...
Wed Aug 28, 2019 03:00
No abstract available
Wed Aug 28, 2019 03:00
Objective: The etiology of sensorineural hearing loss (SNHL) in patients with jugular paraganglioma (JP) whose tumors lack inner ear fistulae or vestibulocochlear nerve involvement is unknown. Recent literature has proposed that occlusion of the inferior cochlear vein may be causative. Herein, we assess the association between radiologic involvement of the cochlear aqueduct (CA) and the development of SNHL. Study Design: Blinded, retrospective review of imaging and audiometry. Setting:...
Wed Aug 28, 2019 03:00
Objectives: This study aimed to evaluate the safety and efficacy of transvenous stent-assisted coil embolization for dehiscent high jugular bulb (HJB) with tinnitus and contralateral hypoplastic venous sinus. Study Design: Case series with chart review. Setting: Tertiary academic medical center. Methods: From September 2008 to October 2018, a series of patients with dehiscent HJB presenting with intractable pulsatile tinnitus abated only by ipsilateral jugular vein compression were...
Wed Aug 28, 2019 03:00
Hypothesis: The characteristics of auditory brainstem response (ABR), electrocochleogram (ECochG), and distortion product otoacoustic emissions (DPOAE) of different degrees of selective outer hair cells (OHCs) loss may be helpful for clinicians to evaluate the pathogeny, diagnosis, and rehabilitation of individuals’ hearing loss. Background: How many OHCs are necessary to maintain cochlear amplifier function remains unknown. The electrophysiologic characteristics may indicate different degrees...
Wed Aug 28, 2019 03:00
Objective: To prospectively evaluate opioid consumption following adult outpatient otologic surgery. Study Design: Prospective observational. Setting: Single-tertiary referral center. Patients: Patients scheduled for otologic surgery who did not have a history of chronic opioid use were recruited between February 2018 and February 2019. Interventions and Main Outcome Measures: Opioid consumption was queried using telephone or in-person surveys administered between postoperative...
Wed Aug 28, 2019 03:00
Objective: Characterize differences in adult cochlear implant outcomes and programming parameters for a straight (CI422/522) and a precurved (CI532) electrode array. Setting: Cochlear implant (CI) program at a tertiary otologic center. Patients: Fifty-eight adults were included in the study; 29 were implanted with CI422 or CI522 and 29 were implanted with CI532. Each CI532 recipient was matched to a CI422/522 recipient in terms of age and preoperative hearing thresholds for comparison...
Wed Aug 28, 2019 03:00
Publication date: Available online 30 August 2019Source: European Annals of Otorhinolaryngology, Head and Neck DiseasesAuthor(s): E. Legris, S. Roux, J.-M. Aoustin, J. Galvin, D. BakhosAbstractObjectiveTo assess the impact of rehabilitation systems (CROS: Contralateral Routing of Signal; BAHA: Bone-Anchored Hearing Aid; CI: cochlear implant) on cortical auditory evoked potentials (CAEP) and auditory performance in unilateral hearing loss.Subjects and methodTwenty-one adults with unilateral hearing...
Sat Aug 31, 2019 14:39
Publication date: Available online 29 August 2019Source: European Annals of Otorhinolaryngology, Head and Neck DiseasesAuthor(s): E. Vicaut, B. Bertrand, J.-L. Betton, A. Bizon, D. Briche, L. Castillo, J.-B. Lecanu, P. Lindas, B. Lombard, O. Malard, J.-C. Merol, P.-J. Monteyrol, T. Nasser, B. Navailles, V. Prulière-Escabasse, R. Stringini, B. VerillaudAbstractObjectivesSurgical navigation systems (SNS) are now widely used in endoscopic endonasal surgery. Benefit, however, has not been fully studied....
Fri Aug 30, 2019 15:36
Publication date: Available online 31 August 2019Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Aneta Górska–Kot, David Greenberg, Karolina Gastoł, Adam Zieliński, Noga Givon-LaviAbstractBackgroundBacterial etiologic data for acute otitis media (AOM) otopathogens in Poland are scarce. The aim of this study was to determine the bacterial etiology and antibiotic susceptibility patterns of otopathogens in children prior to the introduction of the pneumococcal conjugated vaccine...
Sat Aug 31, 2019 14:49
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