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Otology & Neurotology

Mathieu Trudel, Mathieu Côté, Daniel Philippon, David Simonyan, Noémie Villemure-Poliquin, Richard Bussières
OBJECTIVE: To compare scala vestibuli versus scala tympani cochlear implantation in terms of postoperative auditory performances and programming parameters in patients with severe scala tympani ossification. STUDY DESIGN: Retrospective case-control study. SETTING: Tertiary referral center. PATIENTS: One hundred three pediatric and adult patients who underwent cochlear implant surgery between 2000 and 2016. Three groups were formed: a scala vestibuli group, a scala tympani with ossification group, and a scala tympani without ossification group...
April 26, 2018: Otology & Neurotology
Hyun Jin Lee, Sung Huhn Kim, In Seok Moon, Jinsei Jung, Jeon Mi Lee, Jae Young Choi
OBJECTIVE: Conventional hearing aids have some limitations in overcoming a large air-bone gap or in cases of severe high-frequency hearing loss. The authors aimed to evaluate the benefit of a new bimodal hearing configuration combining cochlear implantation (CI) and middle ear implant (MEI) in patients with severe mixed conductive and ski-slope hearing loss. STUDY DESIGN: Retrospective case review. SETTING: Tertiary referral center. PATIENTS: Four patients with severe to profound hearing loss, who underwent CI in one ear and MEI in the other, were enrolled...
April 24, 2018: Otology & Neurotology
Lindsey Westover, Gary Faulkner, William Hodgetts, Fraaz Kamal, Edmond Lou, Don Raboud
OBJECTIVE: This study aims to provide a clinical evaluation of the Advanced System for Implant Stability Testing (ASIST) for assessment of implant stability for bone-anchored hearing aid patients. We evaluate the longitudinal changes in implant interface stability during the first year following surgery. METHODS: ASIST measurements were collected for 39 patients selected to receive a bone anchored hearing aid for hearing loss. Measurements were collected at the time of surgery and at 3 days, 2 weeks, 1 month, 3 months, 6 months, and 12 months following surgery...
April 24, 2018: Otology & Neurotology
Ophir Handzel, Adi Brenner-Ullman, Oren Cavel, Yahav Oron, Oshri Wasserzug, Dan M Fliss, Omer J Ungar
OBJECTIVE: To discuss the clinical implications of the association between temporal bone tegmen dehiscence (TD) necessitating surgical correction and the adjacent dehiscent superior semicircular canal (SSCD). STUDY DESIGN: Retrospective. SETTING: Tertiary referral center. PATIENTS: Sixteen patients with idiopathic TD, with or without SSCD, requiring surgical correction. INTERVENTIONS: Corrective surgery for TD...
April 24, 2018: Otology & Neurotology
Christina Cromwell, Jordan Tyler, Rachael Nobbs, Adam Hockaday, Sean Donnelly, Richard Clendaniel
OBJECTIVE: Many studies have published conflicting results regarding the necessity of post-maneuver postural restrictions following treatment of benign paroxysmal positional vertigo (BPPV). The purpose of this meta-analysis is to complete an updated, comprehensive review to determine best practice following a repositioning maneuver (RM). DATA SOURCES: PubMed, CINAHL, and Embase were searched through July 2016. The reference lists of the selected studies were searched for studies that were not identified in the electronic database searches...
April 24, 2018: Otology & Neurotology
Jae-Jin Song, Sung Kwang Hong, Sang Yeon Lee, Sung Joon Park, Seong Il Kang, Yong-Hwi An, Jeong Hun Jang, Ji Soo Kim, Ja-Won Koo
OBJECTIVE: To describe the results of a thorough evaluation in a large series of patients with an enlarged vestibular aqueduct (EVA), focusing on vestibular manifestations with etiological considerations. STUDY DESIGN: Retrospective chart review of patients with EVA. SETTING: Tertiary referral center. PATIENTS: A total of 22 EVA patients with a median age of 8 years (6 mo-35 yr) who underwent both audiovestibular and radiologic examinations...
April 16, 2018: Otology & Neurotology
Carolina Der, Sofía Bravo-Torres, Nicolás Pons
AIM: The aim of this study is to present the middle fossa technique (MFT) as an alternative for patients who cannot undergo traditional surgery for active transcutaneous bone conduction implants (ATBCI) due to their altered anatomy or desire for future aesthetic reconstruction. DESIGN: A case series descriptive study was designed. The MFT was developed. Preoperative and postoperative information from 24 patients with external auditory canal atresia (EACA) and implanted with ATBCI was reviewed...
April 16, 2018: Otology & Neurotology
Charissa N Kahue, Brendan P O'Connnell, Matthew M Dedmon, David S Haynes, Alejandro Rivas
OBJECTIVE: To report short (∼4 mo) and long-term (>12 mo) audiometric outcomes following ossiculoplasty using a titanium clip partial ossicular reconstruction prosthesis. METHODS: Case series at a single tertiary referral center reviewing 130 pediatric and adult patients with conductive hearing loss (CHL) secondary to chronic otitis media (n = 121, 93%) or traumatic ossicular disruption (n = 9, 7%) who underwent partial ossiculoplasty from January 2005 to December 2015 with the CliP prosthesis...
April 16, 2018: Otology & Neurotology
Jungmin Ahn, Gwanghui Ryu, Minwoong Kang, Yang-Sun Cho
OBJECTIVE: The aim of this study was to correlate the postoperative hearing outcomes with regard to the length of prosthesis of the partial ossicular replacement prosthesis (PORP) in patients with congenital aural atresia. STUDY DESIGN: Retrospective review of medical records. SETTING, PATIENTS, INTERVENTION, MAIN OUTCOME MEASURE: The medical records of 131 patients (132 ears) who underwent canaloplasty with PORP by a single surgeon from 2011 to 2016 were reviewed for demographic data, Jahrsdoerfer score, grade of microtia, length of prosthesis, and audiometric outcomes...
April 16, 2018: Otology & Neurotology
Marian B A Rodenburg-Vlot, Liesbet Ruytjens, Rianne Oostenbrink, Marc P van der Schroeff
OBJECTIVE: Sensorineural hearing loss is a common sequela of bacterial meningitis. The objective of this study is to delineate the incidence and course of hearing loss after bacterial meningitis. STUDY DESIGN: Retrospective cohort study. SETTING: Tertiary referral center. PATIENTS: Data of 655 patients who suffered from bacterial meningitis between 1985 and 2015 were analyzed. INTERVENTIONS: None...
April 13, 2018: Otology & Neurotology
Chang Ho Lee, Mi Kyung Kim, Hyoung-Mi Kim, Cheongse Won, Tae Hyun Shin, So Young Kim
OBJECTIVE: To report the first large case series of extremely rare bilateral congenital cholesteatoma (CC). STUDY DESIGN: A retrospective cohort study. SETTING: University hospital otology referral clinic. PATIENTS: Six hundred four children with surgically confirmed CC. MAIN OUTCOME MEASURES: The bilateral CCs were compared with the unilateral CCs. RESULTS: The incidence of bilateral CC was 3...
April 11, 2018: Otology & Neurotology
Alexander L Luryi, Juliana Lawrence, Dennis I Bojrab, Michael LaRouere, Seilesh Babu, John Zappia, Eric W Sargent, Eleanor Chan, Ilka Naumann, Robert S Hong, Christopher A Schutt
OBJECTIVE: To report rates of recurrence in benign paroxysmal positional vertigo (BPPV) and associated patient and disease factors. STUDY DESIGN: Retrospective chart review. SETTING: Single high-volume otology practice. PATIENTS: Patients diagnosed with BPPV from 2007 to 2016 with documented resolution of symptoms. INTERVENTION: Diagnostic and particle repositioning maneuvers for BPPV. MAIN OUTCOME MEASURES: BPPV recurrence, time to recurrence, and ear(s) affected at recurrence...
April 11, 2018: Otology & Neurotology
Sang Hun Lee, Myung Hoon Yoo, Jun Woo Park, Byung Chul Kang, Chan Joo Yang, Woo Suk Kang, Joong Ho Ahn, Jong Woo Chung, Hong Ju Park
OBJECTIVES: To evaluate whether video head impulse test (vHIT) gains are dependent on the measuring device and method of analysis. STUDY DESIGN: Prospective study. METHODS: vHIT was performed in 25 healthy subjects using two devices simultaneously. vHIT gains were compared between these instruments and using five different methods of comparing position and velocity gains during head movement intervals. RESULTS: The two devices produced different vHIT gain results with the same method of analysis...
April 11, 2018: Otology & Neurotology
Ophir Handzel, Joseph B Nadol
: Cockayne syndrome (CS) is a rare autosomal recessive syndrome resulting in defective DNA repair. Its features include cachectic dwarfism, hearing loss, skin hypersensitivity to sunlight, premature aging, and dementia. Presented is a right temporal bone of a patient who died at the age of 29 years. The clinical course was compatible with type 1 CS, the classical form. Homozygous missense variant in the ERCC6 gene (Excision Repair Cross-Complementation group 6) was found, compatible with CS complementation group B...
April 11, 2018: Otology & Neurotology
Samuel A C MacKeith, Tilak Das, Martin Graves, Andrew Patterson, Neil Donnelly, Richard Mannion, Patrick Axon, James Tysome
OBJECTIVE: Semi-automated volume segmentation tools (SAVST) offer a less time consuming technique compared with manual volume segmentation method. No data exists to suggest which of the available applications are optimal for use with vestibular schwannomas (VS). This study aims to compare repeatability and usability of three different SAVST for measurement of VS. STUDY DESIGN: Experimental comparison of three SAVST. SETTING: Tertiary skull base unit...
April 11, 2018: Otology & Neurotology
Christina L Runge, Fang Du, Yi Hu
OBJECTIVE: Electrical stimulation with a cochlear implant (CI) elicits abnormally high neural synchrony, which poses significant challenges for speech perception. Previous investigations showed that constant-amplitude high-rate pulse trains (HRPs) desynchronize neural responses and improve stimulus encoding. The study objective was to investigate the effects of HRP on speech perception in adult CI users. STUDY DESIGN: Prospective, within-subject design. SETTING: Tertiary CI center...
April 11, 2018: Otology & Neurotology
Shawn M Stevens, Andrew Redmann, Kayla Whitaker, Alyson Ruotanen, Lisa Houston, Theresa Hammer, Ravi N Samy
OBJECTIVE: Report on the safety/efficacy of a novel, carbon dioxide (CO2) laser-assisted protocol for hearing-preservation cochlear implantation (HPCI) and electric-acoustic stimulation (EAS). STUDY DESIGN: Retrospective case review. SETTING: Tertiary referral center. PATIENTS: Adult patients meeting established criteria for HPCI and EAS. INTERVENTION: Therapeutic/rehabilitative. A standardized protocol used CO2 laser to achieve meticulous hemostasis and perform cochleostomy was evaluated...
April 11, 2018: Otology & Neurotology
Guangwei Zhou, Cassandra Goutos, Sophie Lipson, Jacob Brodsky
OBJECTIVE: To examine peak head velocity in video head impulse testing of pediatric patients and its effect on vestibulo-ocular reflex (VOR) gain. STUDY DESIGN: Retrospective case review. SETTING: Tertiary referral center. PATIENTS: Pediatric patients ages 3 to 18 years old who underwent video head impulse testing during clinical evaluation of dizziness and/or imbalance. INTERVENTION(S): Conducted video head impulse test (vHIT) in horizontal, left anterior-right posterior (LARP), and right anterior-left posterior (RALP) planes...
April 11, 2018: Otology & Neurotology
Akira Toriihara, Masashi Nakadate, Tomoyuki Fujioka, Jun Oyama, Takeshi Tsutsumi, Takahiro Asakage, Atsunobu Tsunoda, Ukihide Tateishi
OBJECTIVE: Our objective was to evaluate the clinical usefulness of positron emission tomography/computed tomography using 2-deoxy-2-[F-18]fluoro-D-glucose (FDG-PET/CT) for staging cancer of the external auditory canal (EAC). STUDY DESIGN: Retrospective case review. SETTING: Tertiary referral center. PATIENTS: Twenty-three patients (seven men, 16 women, mean age of 59.6-year-old) who underwent FDG-PET/CT and high-resolution CT within 1 month for staging cancer of the EAC between July 2006 and December 2014 were enrolled in this study...
April 11, 2018: Otology & Neurotology
Matthew J Zdilla, Janusz Skrzat, Magdalena Kozerska, Bartosz Leszczyński, Jacek Tarasiuk, Sebastian Wroński
BACKGROUND: The oval window is an important structure with regard to stapes surgeries, including stapedotomy for the treatment of otosclerosis. Recent study of perioperative imaging of the oval window has revealed that oval window niche height can indicate both operative difficulty and subjective discomfort during otosclerosis surgery. With regard to shape, structures incorporated into the oval window niche, such as cartilage grafts, must be compatible with the shape of the oval window...
April 11, 2018: Otology & Neurotology
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