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https://www.readbyqxmd.com/read/28498271/epidemiology-of-dizzy-patient-population-in-a-neurotology-clinic-and-predictors-of-peripheral-etiology
#1
Thomas Muelleman, Matthew Shew, Rahul Subbarayan, Axel Shum, Kevin Sykes, Hinrich Staecker, James Lin
OBJECTIVE: To compare the proportion of peripheral versus nonperipheral dizziness etiologies among all patients, inclusive of those presenting primarily or as referrals, to rank diagnoses in order of frequency, to determine whether or not age and sex predict diagnosis, and to determine which subgroups tended to undergo formal vestibular testing. STUDY DESIGN: Retrospective cohort. SETTING: Academic neurotology clinic. PATIENTS: Age greater than 18 neurotology clinic patients with the chief complaint of dizziness...
July 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28498266/use-of-positive-airway-pressure-following-middle-ear-surgery-a-practice-survey-of-otologists
#2
Douglas S Ruhl, Anthony M Tolisano, Bradley W Kesser, George T Hashisaki, Macario Camacho
BACKGROUND: Positive airway pressure (PAP) devices are used as treatment for obstructive sleep apnea (OSA). PAP may increase middle ear pressure which is of interest to otologic surgeons. There is a lack of data to guide management of PAP therapy after middle ear surgery. OBJECTIVE: To elucidate how otologic surgeons manage PAP in their patients after ear surgery. STUDY DESIGN: A survey e-mailed to practicing members of the American Neurotology Society...
July 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28496432/vestibular-loss-in-older-adults-is-associated-with-impaired-spatial-navigation-data-from-the-triangle-completion-task
#3
Yanjun Xie, Robin T Bigelow, Scott F Frankenthaler, Stephanie A Studenski, Scott D Moffat, Yuri Agrawal
BACKGROUND: Vestibular inputs have been shown to play a critical role in spatial navigation. In this study, we sought to evaluate whether vestibular loss due to aging contributes to impaired spatial navigation as measured by the triangle completion task (TCT). MATERIALS AND METHODS: We recruited three types of participants: young controls <55 years of age, older controls ≥55 years of age, and older patients from a Neurotology Clinic with evidence of vestibular physiologic impairment but who did not have any known vestibular disorder...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28437363/intratympanic-dexamethasone-in-the-treatment-of-m%C3%A3-ni%C3%A3-re-s-disease-a-comparison-of-two-techniques
#4
Jason A Beyea, Ryan S Instrum, Sumit K Agrawal, Lorne S Parnes
OBJECTIVE: To assess the efficacy and safety of two different intratympanic dexamethasone (IT Dex) injection protocols for intractable unilateral Ménière's disease. STUDY DESIGN: Prospective case series. SETTING: Tertiary neurotology clinic. PATIENTS: One hundred six consecutive adult patients with definite unilateral Ménière's disease who had failed medical management were studied for an average of 1,061 days. None had previous oral steroid, IT steroid, or ablative treatment...
July 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28419063/the-effect-of-elevated-intracranial-pressure-on-frequency-tuning-of-air-conducted-ocular-vestibular-myogenic-potentials-in-m%C3%A3-ni%C3%A3-re-s-disease-patients
#5
Rebecca Maxwell, Claudia Jerin, Robert Gürkov
OBJECTIVE: To investigate the effect of increased intracranial pressure on ocular vestibular-evoked myogenic potential (oVEMP) amplitudes and frequency tuning in patients with Ménière's disease (MD) to elucidate whether oVEMPS recorded under such conditions could provide a simple and accurate diagnostic test for MD. SETTING: Tertiary referral center for otology and neurotology. PATIENTS: Ten patients with certain unilateral MD (mean age = 48...
July 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28418275/factors-influencing-cochlear-patency-after-translabyrinthine-surgery
#6
Brian Rodgers, Emily Stucken, Aaron Metrailer, Eric Sargent
Objective To determine predictive factors for cochlear obliteration after translabyrinthine surgery for vestibular schwannoma. Study Design Case series with chart review. Setting Neurotology referral center. Subjects and Methods In total, 345 charts were reviewed, resulting in 103 patients who underwent translabyrinthine surgery between January 2010 and July 2015 and had postoperative magnetic resonance imaging (MRI) for review. Surveillance MRI performed after translabyrinthine resection of vestibular schwannomas was reviewed...
April 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28384775/superior-canal-dehiscence-syndrome-affecting-3-families
#7
Katherine D Heidenreich, Paul R Kileny, Sameer Ahmed, Hussam K El-Kashlan, Tori L Melendez, Gregory J Basura, Marci M Lesperance
Importance: Superior canal dehiscence syndrome (SCDS) is an increasingly recognized cause of hearing loss and vestibular symptoms, but the etiology of this condition remains unknown. Objective: To describe 7 cases of SCDS across 3 families. Design, Setting, and Participants: This retrospective case series included 7 patients from 3 different families treated at a neurotology clinic at a tertiary academic medical center from 2010 to 2014. Patients were referred by other otolaryngologists or were self-referred...
April 6, 2017: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28349763/radiographic-evidence-of-occult-intracranial-hypertension-in-patients-with-m%C3%A3-ni%C3%A3-re-s-disease
#8
Kareem O Tawfik, Shawn M Stevens, David Mihal, Mark S Costello, Rebecca S Cornelius, Ravi N Samy, Myles L Pensak
Objectives (1) Describe the prevalence of radiographic signs of intracranial hypertension (ICH) in Ménière's disease (MD) and (2) compare the prevalence of radiographic signs of ICH in MD patients managed medically to those managed surgically. Study Design Case-control study. Setting Academic neurotologic practice. Subjects and Methods Adult MD patients (aged ≥17 years) treated from 2011 to 2015 were reviewed. Inclusion required magnetic resonance imaging (MRI) of the head and follow-up >6 months. Patients with intracranial tumors, mass effect, trauma, previous intracranial surgery, and glaucoma were excluded...
March 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28192383/pilot-study-evaluating-the-impact-of-otology-surgery-videos-on-otolaryngology-resident-education
#9
Charles Poon, Shawn M Stevens, Justin S Golub, Myles L Pensak, Ravi N Samy
OBJECTIVES: Use of videos as educational tools is not a novel concept; however, there is a paucity of high-quality video resources available to otolaryngology trainees. We hypothesized that residents would deem surgical-videos using a multimedia-style format more valuable as preparatory tools. Aims of this study: 1) develop portfolio of otology/neurotology videos overviewing key steps, anatomy, and pearls by a senior surgeon; 2) have residents rate the effectiveness of the videos as a preoperative tool...
March 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28192380/intratympanic-triamcinolone-and-dexamethasone-in-the-treatment-of-m%C3%A3-ni%C3%A3-re-s-syndrome
#10
Mejd Jumaily, Farhoud Faraji, Anthony A Mikulec
OBJECTIVE: To describe the safety and potential efficacy of intratympanic administration of triamcinolone (40 mg/mL) in the treatment of unilateral Ménière's syndrome. STUDY DESIGN: Single-institution retrospective analysis. SETTING: Tertiary referral neurotology clinic. PATIENTS: Eighteen patients diagnosed with unilateral Ménière's syndrome with vertigo refractory to medical management. INTERVENTION(S): Intratympanic injection of triamcinolone or dexamethasone...
March 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28168887/cervical-and-ocular-vemp-testing-in-diagnosing-superior-semicircular-canal-dehiscence
#11
Jacob B Hunter, Neil S Patel, Brendan P O'Connell, Matthew L Carlson, Neil T Shepard, Devin L McCaslin, George B Wanna
Objective To determine the sensitivity and specificity of ocular and cervical vestibular evoked myogenic potentials (VEMPs) in the diagnosis of superior semicircular canal dehiscence (SCD) and to describe the VEMP response characteristics that are most sensitive to SCD and compare the findings to previous reports. Study Design Case series with chart review. Setting Two tertiary neurotologic referral centers. Subjects and Methods Cervical and ocular VEMP peak-to-peak amplitudes and thresholds from 39 adult patients older than 18 years with surgically confirmed SCD were compared with 84 age-matched controls...
May 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28167021/consideration-for-routine-outpatient-pediatric-cochlear-implantation-a-retrospective-chart-review-of-immediate-post-operative-complications
#12
Sunthosh K Sivam, Charles A Syms, Susan M King, Brian P Perry
INTRODUCTION: Cochlear implantation is well accepted as the treatment of choice for prelingual deafness in children [1]. However, the safety of routinely performing this procedure on an outpatient basis is debated. We aim to assess immediate postoperative complications that would affect a surgeon's decision to perform pediatric cochlear implantation on an outpatient basis. METHODS: A retrospective chart review was conducted which included all children 17 years old or younger who underwent cochlear implantation from 2004 to 2014 in a private neurotology practice...
March 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28125516/-dickkopf-related-protein-3-as-a-sensitive-and-specific-marker-for-cerebrospinal-fluid-leaks-otology-neurotology-2016-37-299-303
#13
Gregor Bachmann-Harildstad, Cem Meço, Olaf Michel
No abstract text is available yet for this article.
April 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28122101/simultaneous-binaural-bithermal-caloric-testing-clinical-value
#14
Robert T Sataloff, Meghan L Pavlick, James Drew McCaffrey, John M Davis, Shannon M Stewart
The aim of this retrospective review was to determine the clinical value of simultaneous binaural bithermal caloric testing (SBT) versus alternate binaural bithermal caloric testing (ABB) in the setting of a tertiary care neurotology clinic. Charts of 131 adults who had presented with otologic complaints and had undergone both SBT and ABB examinations were included in the study. The main outcome measure was the identification of peripheral hypofunction. One hundred two patients had a normal ABB caloric examination; 86 of those 102 patients (84...
January 2017: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/28118550/smartphone-enabled-otoscopy-in-neurotology-otology
#15
Omid Moshtaghi, Ronald Sahyouni, Yarah M Haidar, Melissa Huang, Afsheen Moshtaghi, Yaser Ghavami, Harrison W Lin, Hamid R Djalilian
Objective A smartphone-enabled otoscope (SEO) can capture tympanic membrane (TM) images. We sought to compare a SEO to microscopic otoscopy in the detection and evaluation of TM pathology in an otology/neurotology practice. Study Design Prospective single-site study in adults presenting over a 3-month period. Setting Neurotology clinic within a tertiary care academic medical center. Subjects and Methods Following consent, 57 patients underwent a medical and microscopic ear examination. Afterward, clinicians photographed bilateral TMs using a SEO...
March 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28117879/neurotological-findings-after-electrical-injury-at-the-workplace
#16
Carolina Wuesthoff, Ophir Ilan, John Alexander Rutka
OBJECTIVES/HYPOTHESIS: Neurotological findings secondary to electrical injuries have rarely been reported in the world literature. We attempt to characterize the neurotological findings following electrical injury and to determine the role head injury and loss of consciousness play in this population's clinical presentation. STUDY DESIGN: Retrospective cohort study. METHODS: A database containing 3,438 patients with work-related injuries was scanned for individuals who sustained and survived electrical injuries at work...
January 24, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28116984/validation-of-the-penn-acoustic-neuroma-quality-of-life-scale-panqol-for-spanish-speaking-patients
#17
Maria Del Mar Medina, Alvaro Carrillo, Ruben Polo, Borja Fernandez, Daniel Alonso, Miguel Vaca, Adela Cordero, Cecilia Perez, Alfonso Muriel, Ignacio Cobeta
Objective To perform translation, cross-cultural adaptation, and validation of the Penn Acoustic Neuroma Quality-of-Life Scale (PANQOL) to the Spanish language. Study Design Prospective study. Setting Tertiary neurotologic referral center. Subjects and Methods PANQOL was translated and translated back, and a pretest trial was performed. The study included 27 individuals diagnosed with vestibular schwannoma. Inclusion criteria were adults with untreated vestibular schwannoma, diagnosed in the past 12 months...
April 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28116976/relationship-between-surgically-treated-superior-canal-dehiscence-syndrome-and-body-mass-index
#18
Taha A Jan, Yew Song Cheng, Lukas D Landegger, Brian M Lin, Priya Srikanth, Marlien E F Niesten, Daniel J Lee
Objective Examine the association between body mass index (BMI) and superior canal dehiscence (SCD) among patients who have undergone surgical repair for superior canal dehiscence. Study Design Retrospective comparison study. Setting Neurotology tertiary care center. Subjects and Methods Retrospective review of consecutive adult patients evaluated at our institution for SCD syndrome between November 2006 and August 2015. A control group who underwent imaging within the same period for reasons other than SCD was also included...
April 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28116456/postoperative-imaging-of-the-internal-auditory-canal-visualization-of-active-auditory-implants
#19
I Todt, G Rademacher, P Mittmann, S Mutze, A Ernst
BACKGROUND: Assessment of the internal auditory canal (IAC) and cochlea is of central importance in neurotology. The artefacts and visibility of active auditory implants on magnetic resonance imaging (MRI) vary because of their specific magnetic components. Knowledge of the size of MRI artefacts and the options for handling them is important for the auditory rehabilitation of specific diseases (e. g., vestibular schwannoma). METHODS: The current article is a literature review...
January 23, 2017: HNO
https://www.readbyqxmd.com/read/28079679/influence-of-behavior-on-complications-of-osseointegrated-bone-conduction-devices-in-children
#20
Michael E Kubala, Matthew D Cox, Kurt L Nelson, Gresham T Richter, John L Dornhoffer
OBJECTIVE: Compare incidences of complications following implantation of osseointegrated bone conduction devices (OBCD) between children with and without behavioral disorders. STUDY DESIGN: Case series with chart review. SETTING: Tertiary referral center otology and neurotology practice. PATIENTS: Pediatric patients who underwent implantation of OBCD between May 2009 and July 2014 at Arkansas Children's Hospital. INTERVENTIONS: Implantation with Cochlear BAHA 200 series, Cochlear BAHA BI300, or Oticon OBCD...
April 2017: Otology & Neurotology
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