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Hearing Preservation

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https://www.readbyqxmd.com/read/28929130/cytoskeletal-stability-in-the-auditory-organ-in-vivo-rhoa-is-dispensable-for-wound-healing-but-essential-for-hair-cell-development
#1
Tommi Anttonen, Ilya Belevich, Maarja Laos, Anni Herranen, Eija Jokitalo, Cord Brakebusch, Ulla Pirvola
Wound healing in the inner ear sensory epithelia is performed by the apical domains of supporting cells (SCs). Junctional F-actin belts of SCs are thin during development but become exceptionally thick during maturation. The functional significance of the thick belts is not fully understood. We have studied the role of F-actin belts during wound healing in the developing and adult cochlea of mice in vivo. We show that the thick belts serve as intracellular scaffolds that preserve the positions of surviving cells in the cochlear sensory epithelium...
September 2017: ENeuro
https://www.readbyqxmd.com/read/28929084/long-term-treatment-response-and-patient-outcomes-for-vestibular-schwannoma-patients-treated-with-hypofractionated-stereotactic-radiotherapy
#2
Mira A Patel, Ariel E Marciscano, Chen Hu, Ignacio Jusué-Torres, Rupen Garg, Arif Rashid, Howard W Francis, Michael Lim, Kristin J Redmond, Daniele Rigamonti, Lawrence R Kleinberg
PURPOSE: The aim of this study is to evaluate long-term treatment outcome and toxicities among vestibular schwannoma (VS) patients treated with hypofractionated stereotactic radiotherapy (HSRT). METHODS: 383 patients with unilateral VS treated with HSRT (25 Gy, five fractions) between 1995 and 2007 were retrospectively reviewed. Treatment failure was defined as requiring salvage microsurgery. Posttreatment new/progressive clinical symptoms or increases in baseline tumor volume (BTV) due to treatment effect or progression were noted...
2017: Frontiers in Oncology
https://www.readbyqxmd.com/read/28894813/the-importance-of-electrode-location-in-cochlear-implantation
#3
REVIEW
Brendan P O'Connell, Jacob B Hunter, George B Wanna
OBJECTIVES: As indications for cochlear implantation have expanded to include patients with more residual hearing, increasing emphasis has been placed on minimally traumatic electrode insertion. Histopathologic evaluation remains the gold standard for evaluation of cochlear trauma, but advances in imaging techniques have allowed clinicians to determine scalar electrode location in vivo. This review will examine the relationship between scalar location of electrode arrays and audiologic outcomes...
December 2016: Laryngoscope Investigative Otolaryngology
https://www.readbyqxmd.com/read/28892717/predictors-of-hearing-outcomes-following-low-dose-stereotactic-radiosurgery-in-patients-with-vestibular-schwannomas-a-retrospective-cohort-review
#4
Ryh-Hsin Lin, Tang-Chuan Wang, Chia-Der Lin, Hung-Lin Lin, Hsiung-Kwang Chung, Ching-Yuang Wang, Yung-An Tsou, Ming-Hsui Tsai
OBJECTIVES: Hearing deterioration is a major concern for hearing-preserved patients with vestibular schwannomas who are treated with stereotactic radiosurgery (SRS). Thus, determining which patients are more likely to have worse hearing outcomes following SRS may facilitate clinicians in deciding whether conservative policy should be applied in the interest of hearing preservation. This study aimed to define the predictors of hearing outcomes following SRS. PATIENTS AND METHODS: This retrospective study included 100 patients who underwent low-dose SRS (12- to 13-Gy marginal dose) for vestibular schwannomas between January 2004 and January 2014...
September 5, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28891670/aging-and-syntactic-representations-evidence-of-preserved-syntactic-priming-and-lexical-boost
#5
Sophie M Hardy, Katherine Messenger, Elizabeth A Maylor
Young adults can be primed to reuse a syntactic structure across otherwise unrelated utterances but it is not known whether this phenomenon exists in older adults. In a dialogue task, young and older adults described transitive verb target pictures after hearing active or passive sentences. Both groups were more likely to produce a passive sentence following a passive prime than following an active prime (indicating syntactic priming), and this effect increased when the prime and target involved the same verb (indicating lexical boost)...
September 2017: Psychology and Aging
https://www.readbyqxmd.com/read/28882713/a-systematic-review-of-radiosurgery-versus-surgery-for-neurofibromatosis-type-2-vestibular-schwannomas
#6
REVIEW
Lawrance K Chung, Thien P Nguyen, John P Sheppard, Carlito Lagman, Stephen Tenn, Percy Lee, Tania Kaprealian, Robert Chin, Quinton Gopen, Isaac Yang
OBJECTIVE: Neurofibromatosis type 2 (NF2) is an autosomal dominant disease characterized by bilateral vestibular schwannomas (VS). NF2-associated VS (NF2-VS) are routinely treated with microsurgery; however, stereotactic radiosurgery (SRS) has emerged as an effective alternative in recent decades. To better elucidate the role of SRS in NF2-VS, a systematic review of the literature was conducted to compare outcomes of SRS versus surgery. METHODS: PubMed, Web of Science, Scopus, Embase, and Cochrane databases were queried using relevant search terms...
September 4, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28875115/advantages-and-complications-of-fisch-partial-mastoidotympanectomy-for-tumors-of-the-retromandibular-fossa-and-poststyloid-space
#7
Dominic J Catalano, Michael B Gluth
Objective  This study aims to characterize a single surgeon's experience with resection of tumors of the retromandibular fossa and poststyloid space utilizing the Fisch partial mastoidotympanectomy (FPMT) technique of partial temporal bone resection. Design  Retrospective review. Setting  Academic medical center. Participants  Seven patients who underwent tumor resection with FPMT. Main Outcome Measures  Complications. Results  Six males and one female underwent FPMT, with ages ranging from 44 to 79 years...
October 2017: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/28874607/no-sensitive-guanylate-cyclase-isoforms-no-gc1-and-no-gc2-contribute-to-noise-induced-inner-hair-cell-synaptopathy
#8
Dorit Möhrle, Katrin Reimann, Steffen Wolter, Markus Wolters, Ksenya Varakina, Evanthia Mergia, Nicole Eichert, Hyun-Soon Geisler, Peter Sandner, Peter Ruth, Andreas Friebe, Robert Feil, Ulrike Zimmermann, Doris Koesling, Marlies Knipper, Lukas Rüttiger
Nitric oxide (NO) activates the NO-sensitive soluble guanylate cyclase (NO-GC, sGC) and triggers intracellular signaling pathways involving cGMP. For survival of cochlear hair cells and preservation of hearing, NO-mediated cascades have both protective and detrimental potential. Here we examine the cochlear function of mice lacking one of the two NO-sensitive guanylate cyclase isoforms [NO-GC1 knockout (KO) or NO-GC2 KO]. The deletion of NO-GC1 or NO-GC2 did not influence electromechanical outer hair cell (OHC) properties, as measured by distortion product otoacoustic emissions, neither before nor after noise exposure, nor were click- or noise-burst-evoked auditory brainstem response thresholds different from controls...
October 2017: Molecular Pharmacology
https://www.readbyqxmd.com/read/28869841/effects-of-attention-on-the-speech-reception-threshold-and-pupil-response-of-people-with-impaired-and-normal-hearing
#9
Thomas Koelewijn, Niek J Versfeld, Sophia E Kramer
For people with hearing difficulties, following a conversation in a noisy environment requires substantial cognitive processing, which is often perceived as effortful. Recent studies with normal hearing (NH) listeners showed that the pupil dilation response, a measure of cognitive processing load, is affected by 'attention related' processes. How these processes affect the pupil dilation response for hearing impaired (HI) listeners remains unknown. Therefore, the current study investigated the effect of auditory attention on various pupil response parameters for 15 NH adults (median age 51 yrs...
August 30, 2017: Hearing Research
https://www.readbyqxmd.com/read/28851244/preliminary-evaluation-of-a-novel-non-linear-frequency-compression-scheme-for-use-in-children
#10
Jace Wolfe, Mila Duke, Erin C Schafer, Julia Rehmann, Siddhartha Jha, Silvia Allegro Baumann, Andrew John, Christine Jones
OBJECTIVE: The primary goal of this study was to evaluate a new form of non-linear frequency compression (NLFC) in children. The new NLFC processing scheme is adaptive and potentially allows for a better preservation of the spectral characteristics of the input sounds when compared to conventional NLFC processing. DESIGN: A repeated-measures design was utilised to compare the speech perception of the participants with two configurations of the new adaptive NLFC processing to their performance with the existing NLFC...
August 29, 2017: International Journal of Audiology
https://www.readbyqxmd.com/read/28837630/influence-of-electrode-array-stiffness-and-diameter-on-hearing-in-cochlear-implanted-guinea-pig
#11
Mylène Drouillard, Renato Torres, Elisabeth Mamelle, Daniele De Seta, Olivier Sterkers, Evelyne Ferrary, Yann Nguyen
During cochlear implantation, electrode array translocation and trauma should be avoided to preserve residual hearing. The aim of our study was to evaluate the effect of physical parameters of the array on residual hearing and cochlear structures during insertion. Three array prototypes with different stiffnesses or external diameters were implanted in normal hearing guinea pigs via a motorized insertion tool carried on a robot-based arm, and insertion forces were recorded. Array prototypes 0.4 and 0.4R had 0...
2017: PloS One
https://www.readbyqxmd.com/read/28834977/-hearing-test-results-of-18-to-20-year-old-men-preceding-military-conscription-from-2008-2010
#12
Inga Holube, Petra von Gablenz, Frank Schüssler, Roland Jacob
Objective High-frequency hearing loss is known to increase with age, whereas the amount and rate of increase of hearing loss in younger people is still unclear. A large proportion of young age groups is expected to preserve normal hearing. Therefore, the requirements for screening methods are parti-cularly high and the motivation to participate is low. The obligatory examinations preceding military conscription include a pure-tone audiogram and thus allow the analysis of the hearing status of young male adults...
August 23, 2017: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/28826715/predictive-factors-of-unfavorable-events-after-gamma-knife-radiosurgery-for-vestibular-schwannoma
#13
Ji Hee Kim, Hyun Ho Jung, Jong Hee Chang, Jin Woo Chang, Yong Gou Park, Won Seok Chang
OBJECTIVE: Gamma knife radiosurgery (GKS) for the treatment of vestibular schwannoma (VS) introduces risks to the facial nerve and auditory perception, and may involve post-treatment complications such as pseudoprogression, hydrocephalus, and other cranial neuropathies. This study of patients with VS who underwent GKS investigated radiosurgical results, focusing on post-treatment complications and identifying the factors that predict such complications. METHODS: We undertook a retrospective review of all VS patients treated with the Perfexion Leksell gamma knife between November 2007 and October 2010 at our institution...
August 4, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28826411/auditory-hallucinations-not-necessarily-a-hallmark-of-psychotic-disorder
#14
F Waters, J D Blom, R Jardri, K Hugdahl, I E C Sommer
Auditory hallucinations (AH) are often considered a sign of a psychotic disorder. This is promoted by the DSM-5 category of Other Specified Schizophrenia Spectrum And Other Psychotic Disorder (OSSSOPD), the diagnostic criteria for which are fulfilled with the sole presence of persistent AH, in the absence of any other psychotic symptoms. And yet, persistent AH are not synonymous with having a psychotic disorder, and should therefore not be uncritically treated as such. Many people who seek treatment for persistent AH have no other psychotic symptoms, have preserved reality-testing capacities, and will never develop a schizophrenia spectrum disorder...
August 22, 2017: Psychological Medicine
https://www.readbyqxmd.com/read/28817653/perilymph-pharmacokinetics-of-marker-applied-through-a-cochlear-implant-in-guinea-pigs
#15
Alec Salt, Jared Hartsock, Ruth Gill, Daniel Smyth, Jonathon Kirk, Kristien Verhoeven
Patients undergoing cochlear implantation could benefit from a simultaneous application of drugs into the ear, helping preserve residual low-frequency hearing and afferent nerve fiber populations. One way to apply drugs is to incorporate a cannula into the implant, through which drug solution is driven. For such an approach, perilymph concentrations achieved and the distribution in the ear over time have not previously been documented. We used FITC-labeled dextran as a marker, delivering it into perilymph of guinea pigs at 10 or 100 nL/min though a cannula incorporated into a cochlear implant with the outlet in the mid basal turn...
2017: PloS One
https://www.readbyqxmd.com/read/28810890/outcome-of-hearing-preservation-related-to-tumor-morphologic-analysis-in-acoustic-neuromas-treated-by-gamma-knife-radiosurgery
#16
Szu-Yen Pan, Shih-An Liu, Ming-Hsi Sun, Hsi-Kai Tsou, Shinh-Dung Lee, Yen-Ju Chen, Jason Sheehan, Meei-Ling Sheu, Hung-Chuan Pan
BACKGROUND: Gamma Knife radiosurgery (GKRS) is an important part of the neurosurgical armamentarium in the treatment of acoustic neuromas. However, the treatment outcome related to the morphology of the tumor has not been rigorously studied. In this cohort, we evaluated the morphological features of the tumor in the tumor response and neurological outcomes after GKRS. MATERIAL AND METHODS: From July 2003 to December 2008, there were 93 cases of acoustic neuromas treated upfront with GKRS with 64 cases with serviceable hearing and 29 cases without serviceable hearing to fulfill the margin dose of 12Gy with at least follow up 5 years...
August 15, 2017: Radiation Oncology
https://www.readbyqxmd.com/read/28799140/management-of-labyrinthine-fistula-hearing-preservation-versus-prevention-of-residual-disease
#17
S Geerse, M J F de Wolf, F A Ebbens, E van Spronsen
The objective of the study was to evaluate postoperative hearing and disease control after cholesteatoma surgery for labyrinthine fistulas. In a retrospective cohort study, we evaluated a consecutive cohort comprising 44 patients (45 ears) with labyrinthine fistulas associated with chronic otitis media with cholesteatoma who underwent surgery between 2002 and 2015. We looked at patient characteristics, pre- and postoperative bone conduction thresholds (BCT), operative approach and findings, extent of disease and the occurrence of residual disease...
August 10, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28796091/comparing-outcomes-following-salvage-microsurgery-in-vestibular-schwannoma-patients-failing-gamma-knife-radiosurgery-or-microsurgery
#18
Hyun-Jin Lee, Mi Joo Kim, Seung Hyun Koh, Won Seok Chang, In Seok Moon
OBJECTIVE: The increasing use of primary gamma-knife radiosurgery (GKS) for the treatment of vestibular schwannoma (VS) has led to a concomitant increase in the number of patients requiring salvage surgery for GKS failure. When patients underwent GKS as the primary treatment, it is known that dissecting tumor from adjacent nerves during salvage surgery is more difficult. In this report, we share our clinical experience with such patients and analyze the clinical findings of patients with tumor regrowth/recurrence...
October 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28796087/hearing-preservation-during-cochlear-implantation-and-electroacoustic-stimulation-in-patients-with-slc26a4-mutations
#19
Kyung Jin Roh, Sera Park, Jin Se Jung, In Seok Moon, Sung Huhn Kim, Mi Young Bang, Jae Young Choi
BACKGROUND AND OBJECTIVES: Patients with SCL26A4 mutations presenting with Mondini deformity and enlarged vestibular aqueduct (EVA) tend to have comparable residual hearing. Although cochlear implantation (CI) produces good results in this group, deterioration of residual hearing can be an adverse event after surgery due to accompanying cochlear malformation and perilymph leakage during cochleostomy. The purpose of this study was to investigate if CI in patients with SCL26A4 mutations via the round window (RW) approach could achieve preservation of residual hearing, and to evaluate their speech reception with electroacoustic stimulation (EAS)...
October 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28796083/a-new-slim-modiolar-electrode-array-for-cochlear-implantation-a-radiological-and-histological-study
#20
Matti Iso-Mustajärvi, Hanna Matikka, Frank Risi, Sini Sipari, Teemu Koski, Tytti Willberg, Antti Lehtimäki, Jyrki Tervaniemi, Heikki Löppönen, Aarno Dietz
HYPOTHESIS: To explore the results of a new slim modiolar electrode array (SMA) with respect to intracochlear placement and trauma evaluated by detailed radiologic imaging and histology. BACKGROUND: Hearing and structure preservation is the goal of cochlear implantation for advanced hearing outcomes. Currently, this is most consistently achieved with thin lateral wall electrodes. Modiolar electrodes are located nearer the modiolus and may provide some electrophysiological advantages, but have a greater tendency for causing insertion trauma...
October 2017: Otology & Neurotology
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