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https://www.readbyqxmd.com/read/29780146/propylthiouracil-induced-otitis-media-with-antineutrophil-cytoplasmic-antibody-associated-vasculitis
#1
Rika Tanaka, Yasuhiro Shimojima, Hideaki Moteki, Dai Kishida, Ken-Ichi Ueno, Yoshiki Sekijima
We herein report a case of otitis media with antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (OMAAV) induced by propylthiouracil (PTU). A 30-year-old Japanese woman with Graves' disease, who was treated with PTU, reported with otitis media with sensorineural hearing loss bilaterally and trigeminal neuralgia on the left side, as well as elevated serum levels of myeloperoxidase-ANCA. Prior treatment with antibiotics was ineffective even after tympanostomy. However, clinical remission was immediately achieved after initiating prednisolone together with PTU withdrawal...
May 18, 2018: Internal Medicine
https://www.readbyqxmd.com/read/29776326/validity-of-the-hum-test-a-simple-and-reliable-alternative-to-the-weber-test
#2
Omar H Ahmed, Sara C Gallant, Ryan Ruiz, Binhuan Wang, William H Shapiro, Erich P Voigt
OBJECTIVES: To compare the diagnostic performance of the Hum Test against the Weber Test using pure tone audiometry (PTA) as the "gold standard" comparator. METHODS: 29 participants with normal hearing of ages 18 to 35 without any history of hearing abnormalities or otologic conditions were enrolled. Subjects underwent three tests (Hum Test, Weber Test, and PTA) across two conditions: with an ear plug in one ear (side randomized) and without ear plugs...
June 2018: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/29771042/-alarming-system-in-real-time-and-high-quality-display-using-volumerendering-for-otologic-surgical-navigation-a-preclinical-study
#3
W Y Zhang, G D Feng, S Q Chen, Q W Huang, Z Q Gao
Objective: The aim of this study is to design and develop a novel navigation framework that alarms the surgeon with sound during drilling and dynamically renders the high quality medical image data. Method: The accuracy of the proposed system were measured with a skull model using paired point registration and the target registration error (TRE) was computed. We segmented the accurate structure of target and compute the minimum distance between the drill tip and the target. Once the drill tip approached the target structures, the system would alarm the surgeon...
May 20, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29765825/early-career-surgical-practice-for-cerebellopontine-angle-tumors-in-the-era-of-radiosurgery
#4
Giannantonio Spena, Tommaso Sorrentino, Roberto Altieri, Luca Redaelli de Zinis, Roberto Stefini, Pier Paolo Panciani, Marco Fontanella
We analyzed the outcomes of patients with large cerebellopontine angle (CPA) tumors treated by a skull-base team in which two surgeons (one neurosurgeon and one otological surgeon) were in the beginning of their careers (<40 years old). Data of patients operated on between April 2012 and March 2016 were reviewed. All factors related to surgical training were considered. Thirty-one patients had vestibular schwannomas, while 26 had meningiomas. Mean tumor diameter was 30.6 mm (range, 23-49 mm) for schwannomas and 35 mm (range, 22-51 mm) for meningiomas...
June 2018: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/29764780/what-is-the-required-frequency-of-mri-scanning-in-the-wait-and-scan-management
#5
Thomas Somers, Romain Kania, Jerome Waterval, Tony Van Havenbergh
The wait and scan policy is being increasingly used as the first measure after the diagnosis of a vestibular schwannoma (VS) using magnetic resonance imaging (MRI). As part of the European Academy of Otology and Neuro-Otology (EAONO) position statement on VS, the frequency of imaging has been studied in the literature. Among 163 studies, 29 fulfilled the inclusion criteria and were scored using the Grading of Recommendations, Assessment, Development, and Evaluation system. Because tumor growth rate during the first 5 years of follow-up is predictive of further growth during the upcoming years, a protocol for wait and scan is useful for centers dealing with this condition...
April 2018: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/29753685/endoscopic-ear-surgery-skills-training-improves-medical-student-performance
#6
Matthew M Dedmon, Deborah X Xie, Brendan P O Connell, Neal P Dillon, Patrick S Wellborn, Marc L Bennett, David S Haynes, Robert F Labadie, Alejandro Rivas
OBJECTIVE: Analyze medical student performance using an endoscopic ear surgery (EES) skills trainer over time. DESIGN: Simulation experience. SETTING: Surgical skills lab. PARTICIPANTS: Five medical students and 1 expert surgeon completed 3 training sessions using an EES trainer to practice specific tasks designed to improve instrument control. During each session, participants performed 3 tasks, such as placing beads onto wires, 5 times per session for a total of 15 trials per task...
May 9, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29747963/the-possible-effect-of-human-menopausal-gonadotropin-on-the-audio-vestibular-system
#7
Montaser Abdel-Salam, Osama G Abdel-Naby Awad, Mohamed El-Badry, Ahmed Ibrahim, Mahmoud Hosny Ibrahiem
OBJECTIVE: Human menopausal gonadotropin (HMG) is one of the commonest drugs used for ovarian stimulation with no reports on the audio-vestibular system. This study aims to examine HMG on the hearing profile of patients planning intracytoplasmic sperm injection (ICSI). METHODS: This prospective study was conducted from June 2016 to June 2017 in a tertiary referral hospital. The audio-vestibular system of a total of 30 patients was evaluated using pure tone audiometry, distortion product otoacoustic emissions (DPOAEs in the form of a DP-gram) and Vestibular-evoked myogenic potential (VEMP) immediately before therapy and at the day 10 after therapy...
May 7, 2018: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/29746651/the-impact-of-the-veteran-s-affairs-medical-system-on-an-otolaryngology-residency-training-program
#8
Alexander Lanigan, Mark Spaw, Christopher Donaghe, Joseph Brennan
Introduction: The field of otolaryngology has become the leading specialty in the management of head and neck pathology and trauma. Graduate medical education programs tasked to train military head and neck surgeons within the Department of Defense (DoD) maintain certification by ensuring adequate surgical case volume and training. In recent years, surgical case numbers have declined due to an overall healthy active duty patient population and deployments of residency faculty. As such, a novel initiative between the San Antonio Military Medical Center and the South Texas Veteran's Healthcare system was developed to provide seamless care among active duty service members, dependents, retirees, and veterans...
May 9, 2018: Military Medicine
https://www.readbyqxmd.com/read/29737928/dorothy-wolff-a-pioneer-in-otopathology
#9
Danielle R Trakimas, Aaron K Remenschneider
Dorothy Wolff, PhD, was an inspirational anatomist, pathologist, auditory physiologist, and surgical innovator. Though little known, she worked throughout the mid-20th century in the midst of a revolution in otologic surgery, influencing well-known otologists such as Julius Lempert, MD, Phillip E. Meltzer, MD, and Richard Bellucci, MD. Wolff's seminal work included pathologic studies of the operated human ear, which provided the anatomic basis for effective modern techniques of surgical hearing rehabilitation...
May 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29736776/3d-fiber-deposited-polymeric-scaffolds-for-external-auditory-canal-wall
#10
Carlos Mota, Mario Milazzo, Daniele Panetta, Luisa Trombi, Vera Gramigna, Piero A Salvadori, Stefano Giannotti, Luca Bruschini, Cesare Stefanini, Lorenzo Moroni, Stefano Berrettini, Serena Danti
The external auditory canal (EAC) is an osseocartilaginous structure extending from the auricle to the eardrum, which can be affected by congenital, inflammatory, and neoplastic diseases, thus reconstructive materials are needed. Current biomaterial-based approaches for the surgical reconstruction of EAC posterior wall still suffer from resorption (biological) and extrusion (synthetic). In this study, 3D fiber deposited scaffolds based on poly(ethylene oxide terephthalate)/poly(butylene terephthalate) were designed and fabricated to replace the EAC wall...
May 7, 2018: Journal of Materials Science. Materials in Medicine
https://www.readbyqxmd.com/read/29732909/treatment-of-patients-with-benign-paroxysmal-positional-vertigo-and-severe-immobility-using-the-particle-repositioning-chair-a-retrospective-cohort-study
#11
Alexander L Luryi, Juliana Lawrence, Michael LaRouere, Seilesh Babu, Dennis I Bojrab, John Zappia, Eric W Sargent, Christopher A Schutt
OBJECTIVE: To report treatment of benign paroxysmal positional vertigo (BPPV) in patients unable to undergo traditional canalith repositioning maneuvers (CRMs) using a particle repositioning chair (PRC). METHODS: A retrospective chart review was conducted at a single high-volume otology practice of patients diagnosed with BPPV from 2007 to 2017 with immobility prohibiting use of traditional CRMs. Patients were diagnosed and treated using a PRC, and outcome measures including resolution, recurrence, and number of treatment visits were recorded...
May 1, 2018: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/29728180/different-concentrations-of-mesna-application-have-an-effect-on-the-internal-ear
#12
Remzi Dogan, Sabri Baki Eren, Ozge Gedik, Alper Yenıgun, Mehmet Serif Aydın, Busranur Eser, Orhan Ozturan
OBJECTIVE: The use of Mesna as a chemical dissector in higher concentrations may reduce the length of time of operation by providing more effective dissection as well as being used in otologic pathologies such as tympanosclerosis. In this study, it was aimed to assess the effect of Mesna on the internal ear, which was applied intra-tympanically in higher concentrations than the conventional use. METHODS: Twenty-four female rats were included in our study. The rats were randomly divided into three groups (Group 1: Mesna 50%, Group 2: Mesna 100%, Group 3: Saline)...
June 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29728172/hearing-loss-in-pediatric-temporal-bone-fractures-evaluating-two-radiographic-classification-systems-as-prognosticators
#13
A Bhindi, L Carpineta, B Al Qassabi, S Waissbluth, R Ywakim, J J Manoukian, L H P Nguyen
INTRODUCTION: Temporal bone fractures (TBF) are traditionally classified by their angle of fracture relative to the petrous ridge, and more recently by whether or not they violate the otic-capsule. This study compared rates of hearing loss (HL) and signs of otologic dysfunction among fracture types of both classification systems, within the pediatric population. METHODS: Pediatric patients were retrospectively characterized from a previously identified cohort of TBF patients, diagnosed from 2000 to 2014...
June 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29701437/-novelties-in-ent-2017
#14
Francis Marchal
Rhinology : balloon sinuplasty and its potential commercial links ; factors of recurrence of sinunasal polyposis ; olfactory dysfunction and biofilms. Otology : effect of music and headphones on children ; vaccination and otitis media. Pharyngo-laryngology : interest of DISE (Drug Induce Sleep Endoscopy) in case of Sleep Apnea Syndrome; adenotonsillectomy and interest of robotic surgery.Salivary glands : presence of Helicobacter pylori in buccal cavity ; pepsin testing in saliva in case of reflux ; antibacterial effect of xylitol ; interest of propolis in treating candidosis...
April 25, 2018: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29696657/surgical-simulation-and-applicant-perception-in-otolaryngology-residency-interviews
#15
Maheer M Masood, Elizabeth D Stephenson, Douglas R Farquhar, Zainab Farzal, Parth V Shah, Robert A Buckmire, Wade G McClain, J Madison Clark, Brian D Thorp, Adam J Kimple, Charles S Ebert, Lauren A Kilpatrick, Samip N Patel, Rupali N Shah, Adam M Zanation
OBJECTIVE: The traditional resident applicant interview involves multiple oral interviews. The implementation of surgical simulations adds an additional dimension of assessment but can be perceived in a stressful way by applicants. The purpose of this project is to describe low-fidelity simulations that were implemented for the 2016 to 2017 residency interviews and obtain applicant perception of these simulations. METHODS: Six simulation modules were created, which reflected tasks used in six subspecialties within otolaryngology (pediatrics, otology, laryngology, facial plastics, rhinology, and head/neck)...
April 25, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29676348/branchiootorenal-syndrome-a-case-report
#16
Saheed Babatunde Nasir, Saadatu Jafar Ladan, Alfred Nicholas Bemu, Joshua Jibrin
Branchiootorenal syndrome is a rare autosomal dominant disorder characterised by branchial arch anomaly, hearing loss, renal anomalies and other otologic manifestations. We report a case of apparent de novo mutation that presented with hearing loss, branchial sinus and other manifestations of the disease. It is extremely rare in the West African region, and we suggest a high index of suspicion in a patient presenting with branchial sinus and/or hearing loss.
January 2018: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29673069/short-term-memory-impairment-in-vestibular-patients-can-arise-independently-of-psychiatric-impairment-fatigue-and-sleeplessness
#17
Laura Smith, David Wilkinson, Mayur Bodani, Rowena Bicknell, S S Surenthiran
Vestibular dysfunction is associated with visual short-term memory impairment; however, it remains unclear if this impairment arises as a direct result of the vestibular dysfunction or is a consequence of comorbid changes in mood, affect, fatigue, and/or sleep. To this end, we assessed the concurrence and interdependence of these comorbidities in 101 individuals recruited from a tertiary balance clinic with a neuro-otological diagnosis. Over fifty per cent of the sample showed reduced visuospatial short-term memory, 60% and 37% exceeded cut-off on the Beck Anxiety and Depression Inventories, respectively, 70% exceeded cut-off on the Fatigue Severity Scale, 44% reported daytime sleepiness on the Epworth Sleepiness Scale, and 78% scored above cut-off on the Pittsburgh Sleep Quality Index...
April 19, 2018: Journal of Neuropsychology
https://www.readbyqxmd.com/read/29656762/clinical-guideline-on-bone-conduction-implants
#18
María José Lavilla Martín de Valmaseda, Laura Cavalle Garrido, Alicia Huarte Irujo, Faustino Núñez Batalla, Manuel Manrique Rodriguez, Ángel Ramos Macías, Carlos de Paula Vernetta, Elisa Gil-Carcedo Sañudo, Luis Lassaleta, Isabel Sánchez-Cuadrado, Juan Manuel Espinosa Sánchez, Ángel Batuecas Caletrio, Carlos Cenjor Español
INTRODUCTION AND GOALS: During the last decade there have been multiple and relevant advances in conduction and mixed hearing loss treatment. These advances and the appearance of new devices have extended the indications for bone-conduction implants. The Scientific Committee of Audiology of the Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello SEORL-CCC (Spanish Society of Otolaryngology and Head and Neck Surgery), together with the Otology and Otoneurology Committees, have undertaken a review of the current state of bone-conduction devices with updated information, to provide a clinical guideline on bone-conduction implants for otorhinolaryngology specialists, health professionals, health authorities and society in general...
April 13, 2018: Acta Otorrinolaringológica Española
https://www.readbyqxmd.com/read/29649053/bilateral-congenital-cholesteatoma
#19
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
https://www.readbyqxmd.com/read/29649052/recurrence-in-benign-paroxysmal-positional-vertigo-a-large-single-institution-study
#20
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
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