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https://www.readbyqxmd.com/read/29065085/resolution-of-persistent-post-stapedotomy-vertigo-with-migraine-prophylactic-medication
#1
Omid Moshtaghi, Hossein Mahboubi, Yarah M Haidar, Ronald Sahyouni, Harrison W Lin, Hamid R Djalilian
OBJECTIVE: To describe persistent post-stapedotomy vertigo (PSV) and its treatment using migraine prophylaxis. PATIENTS: A retrospective review of all patients with persistent PSV spanning 10 years at a tertiary academic hospital was performed. Patients who experienced persistent vertigo for a minimum of 3 months after surgery were included. Those with possible perilymph fistula, long prosthesis, and benign paroxysmal positional vertigo were excluded. INTERVENTIONS: All patients received instructions on migraine dietary and lifestyle changes and Vitamin B2 and magnesium...
December 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/29022079/co2-laser-stapedotomy-safety-influence-of-laser-energy-and-time-on-bone-conduction-hearing-levels
#2
Uwe Schönfeld, Hu Weiming, Veit M Hofmann, Sergije Jovanovic, Andreas E Albers
Total laser energy in CO2 stapedotomy depends on the laser settings and the amount of applications. It is unclear if the amount of total laser energy affects bone-conduction hearing thresholds and if possible effects are temporary or permanent. Alterations of bone-conduction hearing thresholds after single or multiple-shot CO2 laser stapedotomy were analyzed between 1 and 3 weeks and 1.5-6 months after primary (n = 501) or revision surgeries (n = 153) and correlated to time, laser energy, frequency, surgical technique, and pathology encountered in revision stapedotomy...
December 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28920722/-comparative-evaluation-of-vertigo-in-patients-after-stapedotomy-and-stapedectomy
#3
Kinga Harmat, Gergely Thurén, László Simon, Nelli Nepp, Adrienn Németh, Imre Gerlinger, Péter Bakó
INTRODUCTION AND AIM: The reason of gradually developing conductive hearing loss in otosclerotic patients is the ossification of the stapes footplate to the surrounding bony structures and the therapy of stapes fixation is mainly surgical. In stapedotomy the footplate of the stapes is fenestrated with laser and microdrill in a diameter of 0.8 mm, whereas in stapedectomy there is complete removal of the footplate followed by the reconstruction of the ossicular chain. In the early postoperative period, temporary vertigo is frequently recorded which significantly influences the recovery...
September 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/28891873/hearing-outcome-with-the-use-of-glass-ionomer-cement-as-an-alternative-to-crimping-in-stapedotomy
#4
Saad Elzayat, Ahmed Younes, Ayman Fouad, Fatthe Erfan, Ali Mahrous
OBJECTIVE: To evaluate early hearing outcomes using glass ionomer cement to fix the Teflon piston prosthesis onto the long process of incus to minimize residual conductive hearing loss after stapedotomy. STUDY DESIGN: Original report of prospective randomized control study. SETTING: Tertiary referral center. PATIENTS: A total of 80 consecutive patients with otosclerosis were randomized into two groups. Group A is a control group in which 40 patients underwent small fenestra stapedotomy using the classic technique...
October 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28816687/hearing-and-otoacoustic-emissions-outcome-of-stapedotomy-does-the-prosthesis-diameter-matter
#5
Nabil Faranesh, Ebrahim Magamseh, Suliman Zaaroura, Reem Zeidan, Avi Shupak
OBJECTIVE: To compare the hearing and otoacoustic emissions (OAE) outcome of stapedotomy employing 0.4 and 0.6 mm diameter prostheses. MATERIALS AND METHODS: In total, 18 patients with otosclerosis participated in a prospective, double-armed, randomized cohort study. All the patients underwent small fenestra drill stapedotomy employing the Causse fluroplastic large loop piston prostheses. The patients were randomly assigned to groups of 0.4 mm (n=9) and 0.6 mm (n=9) diameter prostheses...
August 2017: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/28704897/comparison-of-free-beam-and-fiber-type-co2-laser-delivery-systems-in-stapes-surgery
#6
Mun Young Chang, Hyun Seok Choi, Sang-Youp Lee, Ja-Won Koo
BACKGROUND AND OBJECTIVES: A free-beam-type CO2 laser, which use a micromanipulator mounted on a microscope as the delivery system, has the merit of not being affected by hand tremor at the time of shooting. However, this delivery system has several disadvantages, including a restricted operation range and a risk of incorrect focusing. A fiber-type CO2 laser uses a hand-held delivery system and has the opposite merits and demerits. We compared the results of stapes surgery with free-beam and fiber type delivery systems...
July 2017: Journal of Audiology & Otology
https://www.readbyqxmd.com/read/28646272/rhesus-cochlear-and-vestibular-functions-are-preserved-after-inner-ear-injection-of-saline-volume-sufficient-for-gene-therapy-delivery
#7
Chenkai Dai, Mohamed Lehar, Daniel Q Sun, Lani Swarthout Rvt, John P Carey, Tim MacLachlan, Doug Brough, Hinrich Staecker, Alexandra M Della Santina, Timothy E Hullar, Charles C Della Santina
Sensorineural losses of hearing and vestibular sensation due to hair cell dysfunction are among the most common disabilities. Recent preclinical research demonstrates that treatment of the inner ear with a variety of compounds, including gene therapy agents, may elicit regeneration and/or repair of hair cells in animals exposed to ototoxic medications or other insults to the inner ear. Delivery of gene therapy may also offer a means for treatment of hereditary hearing loss. However, injection of a fluid volume sufficient to deliver an adequate dose of a pharmacologic agent could, in theory, cause inner ear trauma that compromises functional outcome...
August 2017: Journal of the Association for Research in Otolaryngology: JARO
https://www.readbyqxmd.com/read/28604579/how-to-avoid-a-learning-curve-in-stapedotomy-a-standardized-surgical-technique
#8
Pingling Kwok, Otto Gleich, Katharina Dalles, Elisabeth Mayr, Peter Jacob, Jürgen Strutz
OBJECTIVE: To evaluate, whether a learning curve for beginners in stapedotomy can be avoided by using a prosthesis with thermal memory-shape attachment in combination with a standardized laser-assisted surgical technique. STUDY DESIGN: Retrospective case review. SETTING: Tertiary referral center. PATIENTS: Fifty-eight ears were operated by three experienced surgeons and compared with a group of 12 cases operated by a beginner in stapedotomy...
August 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28590999/surgical-management-of-a-persistent-stapedial-artery-a-review
#9
Thadé Pieter Marie Goderie, Waiel Hussain Fadhlallah Alkhateeb, Conrad Frits Smit, Erik Frans Hensen
OBJECTIVE: To evaluate the outcome and per- and postoperative complications of the surgical management of patients with a persistent stapedial artery (PSA). METHODS: A systemic literature search for reports on patients treated for pulsatile tinnitus and/or conductive hearing loss caused by a PSA was conducted of the PubMed and Embase databases using the terms "stapedial" and "artery." Inclusion criteria were adequate description of the intervention and pre- and postoperative signs and symptoms...
July 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28561306/stapes-prosthesis-length-and-hearing-outcomes
#10
Qasim Husain, Kenny F Lin, Samuel H Selesnick
OBJECTIVES: First, to determine if prosthesis length plays a role in optimizing successful hearing outcomes in stapedotomy surgery; and second, to determine if patient factors such as height are correlated with prosthesis length. STUDY DESIGN: Retrospective chart review. METHODS: Retrospective chart review of patients undergoing stapedotomy surgeries with adequate follow up. Length of prosthesis, pre-/postoperative audiograms, and follow-up data were obtained...
May 31, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28542633/new-chamber-stapes-prosthesis-a-preliminary-assessment-of-the-functioning-of-the-prototype
#11
Monika Kwacz, Magdalena Sołyga, Maciej Mrówka, Konrad Kamieniecki
Piston-stapedotomy is the most common method for hearing restoration in patients with otosclerosis. In this study, we have experimentally examined a prototype of a new chamber stapes prosthesis. The prototype was implanted in a human cadaver temporal bone. The round window vibrations before and after implantation were measured for the acoustic signal (90 dB SPL, 0.8-8 kHz) in the external auditory canal. In comparison with a 0.4-mm piston prosthesis, the chamber prosthesis induced significantly higher vibration of the round window, especially for frequencies above 1...
2017: PloS One
https://www.readbyqxmd.com/read/28498487/the-malleus-to-oval-window-revision-stapedotomy-efficacy-and-longitudinal-study-outcome
#12
Peter A Benedict, Ling Zhou, Robert Peng, Darius Kohan
OBJECTIVE: To determine the longitudinal effectiveness of the malleus to oval window stapedotomy technique among patients undergoing revision surgery when the incus is unavailable. STUDY DESIGN: Retrospective, case series. METHODS: Charts of 15 patients who underwent 17 malleus attachment stapedotomies performed by a single surgeon from 2000 to 2015 were reviewed. Surgery was ambulatory, transcanal, with laser technique, and under local anesthesia...
May 12, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28485298/the-surgical-treatment-results-of-otosclerosis-at-the-department-of-otolaryngology-silesian-medical-university-in-zabrze-in-years-2000-2010
#13
Gabriela Czerwińska, Wojciech Ścierski, Grzegorz Namysłowski, Grażyna Lisowska, Maciej Misiołek
BACKGROUND: Otosclerosis is a cause of 5-9% of all hearing loss. The most effective treatment of otoslerosis is stapedotomy. AIM: The aim of this study was to evaluate the results of otosclerosis surgical treatment and to examine the impact of disease stage, time of the signs, age and sex on the results. MATERIAL AND METHODS: 105 patients who underwent operation due to otosclerosis at the Department of Otolaryngology University Hospital in Zabrze at the age of 18-65 were analyzed...
April 30, 2017: Otolaryngologia Polska
https://www.readbyqxmd.com/read/28401629/a-1-470%C3%A2-nm-diode-laser-in-stapedotomy-mechanical-thermal-and-acoustic-effects
#14
Simone P C Koenraads, Tjeerd de Boorder, Wilko Grolman, Digna M A Kamalski
BACKGROUND AND OBJECTIVES: Multiple laser systems have been investigated for their use in stapes surgery in patients with otosclerosis. The diode 1,470 nm laser used in this study is an attractive laser system because it is easily transported and relatively inexpensive in use. This wavelength has relative high absorption in water. This study aimed to investigate the mechanical, thermal, and acoustic effects of the diode 1,470 nm laser on a stapes in an inner ear model. MATERIALS AND METHODS: Experiments were performed in an inner ear model including fresh frozen human stapes...
April 11, 2017: Lasers in Surgery and Medicine
https://www.readbyqxmd.com/read/28350269/review-of-a-single-surgeon-s-stapedotomy-cases-performed-with-a-nickel-titanium-prosthesis-over-a-14-year-period
#15
Natalie Justicz, Kaitlyn F Strickland, Kevin K Motamedi, Douglas E Mattox
CONCLUSION: Stapes surgery with a nickel titanium prosthesis is a safe and well-tolerated procedure that leads to a significant improvement in hearing outcomes. OBJECTIVE: To identify the efficacy and safety of stapedotomy procedures performed with a nickel titanium prosthesis for patients with otosclerosis. METHODS: A review of 431 unique stapedotomies performed over 14 years by a single surgeon at an academic tertiary care center yielded 312 cases with nickel titanium prosthesis that met inclusion criteria of otosclerosis diagnosis, initial surgery in operative ear, and presence of pre-operative and post-operative audiograms...
April 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/28319495/endoscopic-stapes-surgery-a-comparison-with-microscopic-surgery
#16
Rhona Sproat, Constantina Yiannakis, Arunachalam Iyer
OBJECTIVE: To investigate postoperative audiological outcomes and complication rates for fully endoscopic and microscopic stapes surgery carried out by a single surgeon in one center. PATIENTS: All patients having undergone endoscopic and non-endoscopic stapes surgery for otosclerosis from September 2009 to August 2016 under a single surgeon. INTERVENTION(S): Stapedotomy using either an operating microscope or endoscope for visualization. Stapedotomy was carried out using a standard approach...
June 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28285827/our-auditory-results-using-the-vibrant-soundbridge-on-the-long-process-of-the-incus-20-years-of-data
#17
Anaïs Grégoire, Jean-Philippe Van Damme, Chantal Gilain, Benoit Bihin, Pierre Garin
OBJECTIVE: After 20 years of experience with different types of middle ear implants, we analyzed our database about the Vibrant Soundbridge (VSB) to know the rate of complications, the effect on the residual hearing and the audiometric gain in our center. METHOD: The study was retrospective and included all VSB implants bound to the long process of the incus in our tertiary medical center between january 1999 and february 2015. We observed the effect of surgery on residual hearing by comparing bone and air conduction thresholds before and after implantation...
March 9, 2017: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/28285424/stapes-surgery-in-sweden-evaluation-of-a-national-based-register
#18
Karin Strömbäck, Lars Lundman, Andreas Bjorsne, Joakim Grendin, Anna Stjernquist-Desatnik, Ylva Dahlin-Redfors
The aim of the National Quality Registries is to monitor the outcome of healthcare given to patients. The Swedish Quality register for otosclerosis surgery is one of the nine official national registers for ear, nose and throat diseases in Sweden. Since 2004, surgical and audiological results and patient satisfaction scores have been systematically collected from a majority of the ear, nose and throat clinics performing stapes surgery in Sweden. The results of 1688 patients who underwent primary operations for otosclerosis were evaluated for 24 out of totally 26 clinics performing stapes surgery, between 2004 and 2010...
June 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28229059/comparison-of-fluoroplastic-causse-loop-piston-and-titanium-soft-clip-in-stapedotomy
#19
Mohammad Faramarzi, Nafiseh Gilanifar, Sareh Roosta
INTRODUCTION: Different types of prosthesis are available for stapes replacement. Because there has been no published report on the efficacy of the titanium soft-clip vs the fluoroplastic Causse loop Teflon piston, we compared short-term hearing results of both types of prosthesis in patients who underwent stapedotomy due to otosclerosis. MATERIALS AND METHODS: A total of 57 ears were included in the soft-clip group and 63 ears were included in the Teflon-piston group...
January 2017: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/28151457/effectiveness-of-stapedotomy-in-improving-hearing-sensitivity-for-53-otosclerotic-patients-retrospective-review
#20
Farid Alzhrani, Mohammad M Mokhatrish, Murad O Al-Momani, Hassan Alshehri, Abdulrahman Hagr, Soha N Garadat
BACKGROUND: Otosclerosis is a common cause of progressive hearing impairment that causes fixation of the stapes. Surgical intervention is the preferred treatment approach to ameliorate the conductive hearing loss associated with stapedial otosclerosis. However, given that it is a difficult and delicate procedure, the surgery may fail for a number of reasons. Therefore, it is very important to evaluate the success rate of the surgical approach used in each regional center. OBJECTIVE: To examine the effectiveness of stapedotomy in improving hearing sensitivity for otosclerotic patients at King Abdul Aziz University Hospital in Riyadh...
January 2017: Annals of Saudi Medicine
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