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https://www.readbyqxmd.com/read/28920722/-comparative-evaluation-of-vertigo-in-patients-after-stapedotomy-and-stapedectomy
#1
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/28846785/cerebrospinal-fluid-leak-during-stapes-surgery-gushing-leaks-and-oozing-leaks-two-different-phenomena
#2
Juan Luis Quesada, Giovanni Cammaroto, Lilla Bonanno, Francesco Galletti, Pedro Quesada
Cerebrospinal fluid (CSF) leak is an uncommon event that can occur during stapes surgery. Such leaks can be classified as gushing leaks (stapes gushers) and oozing leaks. A stapes gusher is a massive flow of CSF through the perforated footplate that fills the middle ear suddenly, while an oozing leak is a slower and less profuse flow. We conducted a retrospective, observational, multicenter study of 38 patients-23 men and 15 women, aged 23 to 71 years (mean: 47)-who had experienced a CSF leak during stapes surgery...
August 2017: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/28644578/the-chorda-tympani-retractor-in-stapedectomy
#3
G Chawdhary, J Lavy
No abstract text is available yet for this article.
June 23, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28590999/surgical-management-of-a-persistent-stapedial-artery-a-review
#4
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/28316289/post-stapedectomy-granuloma-a-devastating-complication
#5
E Watts, H R F Powell, S R Saeed, R M Irving
OBJECTIVES: This paper reports three cases of severe post-stapedectomy granuloma, emphasising the variable presentation of this devastating complication and the challenges of its management. METHODS: A retrospective review was conducted of three cases of post-stapedectomy granuloma requiring surgical debulking between 2010 and 2015. Clinical symptoms, serial imaging, histopathology and post-operative outcomes were considered. RESULTS: Intra-operatively, extensive granulation tissue with erosion of the otic capsule was found...
June 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28274902/revision-stapedectomy-with-necrosis-of-the-long-process-of-the-incus-does-the-degree-of-necrosis-matter-a-retrospective-clinical-study
#6
Mohamed Ghonim, Yousef Shabana, Bassem Ashraf, Mohamed Salem
OBJECTIVE: To discuss the different modalities for managing necrosis of the long process of the incus in revision stapedectomy on the basis of the degree of necrosis and compare the results with those reported in the literature. MATERIALS AND METHODS: Thirty-six patients underwent revision stapedectomy with the necrosis of the long process of the incus from 2009 to 2016. The patients were divided into three groups on the basis of the degree of necrosis. For group A (minimal necrosis), augmentation technique with bone cement was performed...
April 2017: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/27755362/long-term-incidence-and-degree-of-sensorineural-hearing-loss-in-otosclerosis
#7
Reuven Ishai, Christopher F Halpin, Jennifer J Shin, Michael J McKenna, Alicia M Quesnel
OBJECTIVES: 1) To evaluate the long-term incidence and degree of the sensorineural component of hearing loss (SNHL) in patients with otosclerosis after accounting for expected age-related hearing loss. 2) To identify variables that might predict development of sensorineural hearing loss due to otosclerosis. STUDY DESIGN: Retrospective audiometric database and chart review. SETTING: Tertiary referral center. PATIENTS: Consecutive patients with otosclerosis observed between 1994 and 2004, with ≥10 years follow-up, excluding patients with postoperative hearing loss or surgery before the initial audiogram...
December 2016: Otology & Neurotology
https://www.readbyqxmd.com/read/27525709/stapedectomy-in-teunissen-cremers-syndrome-intraoperative-findings-and-hearing-outcomes
#8
Alice C Coombs, Philip A Bird
OBJECTIVE: To describe the intraoperative findings and outcomes of stapedectomy surgery in Teunissen-Cremers syndrome. PATIENTS: A family of three patients with bilateral conductive hearing loss because of Teunissen-Cremers syndrome. INTERVENTION: Six exploratory tympanotomies and stapedectomies, including one revision operation. MAIN OUTCOME MEASURES: Intraoperative findings and postoperative hearing results. RESULTS: There was an increased distance between the incus and the vestibule, a thicker long process of the incus, and slight variation in the relative position of the ossicles in all patients...
October 2016: Otology & Neurotology
https://www.readbyqxmd.com/read/27380537/how-often-does-stapedectomy-for-otosclerosis-result-in-endolymphatic-hydrops
#9
Reuven Ishai, Christopher F Halpin, Michael J McKenna, Alicia M Quesnel
OBJECTIVES: 1) To evaluate the long-term (≥10 year) clinical incidence of endolymphatic hydrops (EH) after stapedectomy for otosclerosis, using low-frequency sensorineural hearing loss (LFSNHL) as a marker for EH. 2) To determine the histologic incidence of EH in human temporal bone specimens (TBS) with a history of stapedectomy for otosclerosis. 3) To determine the histologic incidence of EH in a control group of human TBS. STUDY DESIGN: Retrospective review and temporal bone study...
August 2016: Otology & Neurotology
https://www.readbyqxmd.com/read/27364152/diagnostic-efficacy-and-therapeutic-impact-of-computed-tomography-in-the-evaluation-of-clinically-suspected-otosclerosis
#10
Cristina Dudau, Fakhruddin Salim, Dan Jiang, Steve E J Connor
OBJECTIVE: To assess the diagnostic efficacy and therapeutic impact of CT in evaluating patients with clinically suspected otosclerosis. METHODS: CT scans performed over a 5-year period for clinically suspected otosclerosis were retrospectively reviewed. CT diagnoses were correlated with subsequent surgical management. For otosclerosis positive cases, clinically significant extensions of otosclerosis were correlated with audiometry and the diagnosis was correlated with surgical findings...
March 2017: European Radiology
https://www.readbyqxmd.com/read/27318888/late-pneumolabyrinth-after-stapedectomy
#11
G Ziade, R Barake, T El Natout, M-A El Natout
INTRODUCTION: Pneumolabyrinth is defined as the presence of air within the inner ear causing cochleovestibular signs and symptoms. Twenty-seven cases of pneumolabyrinth are published in the literature of which only two were described as delayed pneumolabyrinth as a complication of stapes surgery. CASE REPORT: A 45-year-old male patient presented with vertigo after Valsalva maneuver 12 years after stapedectomy. He was diagnosed with delayed pneumolabyrinth on high resolution computed tomography and underwent an exploratory tympanotomy with surgical repair...
November 2016: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/27273408/focal-endolymphatic-hydrops-as-seen-in-the-pars-inferior-of-the-human-inner-ear
#12
Joseph B Nadol
HYPOTHESIS: Endolymphatic hydrops of the human inner ear may be localized focally in the pars inferior of the human inner ear. BACKGROUND: Endolymphatic hydrops may be found in the human inner ear in patients who in life had suffered from Ménière's syndrome or a variety of other disorders. The degree of endolymphatic hydrops may differ based on location in the inner ear. METHODS: A computer-assisted search of all cases in the collection of the Massachusetts Eye and Ear Infirmary in which endolymphatic hydrops was found in the inner ear yielded 13 specimens in which there was good evidence for focal endolymphatic hydrops in the pars inferior...
August 2016: Otology & Neurotology
https://www.readbyqxmd.com/read/27144044/revision-stapedectomy-in-a-female-patient-with-inner-ear-malformation
#13
Tirth R Patel, Aaron C Moberly
Objectives. We describe an unusual case of surgical management of congenital mixed hearing loss in a female patient with inner ear malformation. This report outlines the role of temporal bone imaging and previous surgical history in evaluating a patient's risk of perilymph gusher during stapes surgery. Methods. A 68-year-old female patient with a history of profound bilateral mixed hearing loss due to ossicular and cochlear malformation presented to our otology clinic. She had undergone multiple unsuccessful previous ear surgeries...
2016: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/27140016/sympathetic-hearing-loss-a-review-of-current-understanding-and-report-of-2-cases
#14
REVIEW
Patrick F Morgan, Peter G Volsky, Barry Strasnick
Sympathetic hearing loss (SHL) is a rare complication that appears to occur when the immune system is primed against sequestered inner ear antigens. SHL has been implicated in delayed hearing loss after acoustic tumor removal, revision stapedectomy, and temporal bone fractures. We present 2 cases of suspected SHL after excision of skull base tumors during which the surgical approach had violated the otic capsule. Both patients experienced delayed contralateral sensorineural hearing loss. In comparing our cases with those previously reported, we hope to inspire others to do likewise and to develop an understanding of this clinical entity...
April 2016: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/26991224/stapediovestibular-ankylosis-in-an-hiv-hcv-copositive-patient
#15
Stephan Radoslavov Lolov
To the best of the author's knowledge, no case of a patient with stapediovestibular ankylosis who was also coinfected with human immunodeficiency virus (HIV) and hepatitis C virus (HCV) has been previously described in the literature. This report describes the case of a 36-year-old woman who was diagnosed with all three conditions. The clinical diagnosis of stapes fixation was based on otoscopic, audiometric, tympanometric, and surgical findings. Stapedectomy was performed, and perilymph and serum samples were obtained and tested for anti-HIV and anti-HCV antibodies...
March 2016: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/26971342/study-of-the-improvement-in-bone-conduction-threshold-after-stapedectomy
#16
Leire García-Iza, Juan José Navarro, Miren Goiburu, Nuria Pérez, Xabier Altuna
INTRODUCTION AND OBJECTIVES: Bone conduction threshold depression is not always a result of inner ear and cochlear nerve pathology. In fact, middle ear pathologies may be responsible for such threshold depression, as occurs in otosclerosis. The aims of this study were to evaluate the improvement of bone conduction threshold in patients with otosclerosis that underwent stapedectomy and to study the postoperative audiological results. MATERIAL AND METHODS: This was a retrospective study on 95 patients (116 ears) diagnosed with otosclerosis having conductive or mixed hearing loss that received surgery (stapedectomy and complete removal of the footplate) consecutively...
September 2016: Acta Otorrinolaringológica Española
https://www.readbyqxmd.com/read/26905821/lack-of-evidence-for-nonotosclerotic-stapes-fixation-in-human-temporal-bone-histopathology
#17
Alicia M Quesnel, Reuven Ishai, Sebahattin Cureoglu, Fred Linthicum, Ivan A Lopez, Joseph B Nadol, Michael J McKenna
HYPOTHESIS: Nonotosclerotic stapes fixation does not represent a significant cause of stapes ankylosis in patients undergoing stapedectomy; the vast majority have otosclerosis. BACKGROUND: Nonotosclerotic stapes fixation has been proposed as the diagnosis in 30 to 40% of patients undergoing stapedectomy (after excluding rare congenital, systemic, and syndromic causes of stapes fixation and tympanosclerosis). This finding was based on the histopathologic evaluation of total stapedectomy surgical specimens...
April 2016: Otology & Neurotology
https://www.readbyqxmd.com/read/26571412/transcanal-endoscopic-management-of-cerebrospinal-fluid-otorrhea-secondary-to-congenital-inner-ear-malformations
#18
Yann-Fuu Kou, Vivian F Zhu, Joe Walter Kutz, Ron B Mitchell, Brandon Isaacson
OBJECTIVE: To describe the feasibility of using a transcanal endoscopic approach for management of cerebrospinal leaks secondary to congenital inner ear malformations. PATIENTS: Two pediatric patients with congenital inner ear malformations and concurrent cerebrospinal fluid leakage. INTERVENTION: A stapedectomy was performed and the inner ear was packed with temporalis muscle using a transcanal endoscopic approach. MAIN OUTCOME MEASURE: Cessation of cerebrospinal fluid leakage from the inner ear to the middle ear...
January 2016: Otology & Neurotology
https://www.readbyqxmd.com/read/26474326/temporal-bone-histopathology-in-nog-symphalangism-spectrum-disorder
#19
Alicia M Quesnel, Joseph B Nadol, G Petur Nielsen, Hugh D Curtin, Marci M Lesperance
OBJECTIVE: To describe the human temporal bone histopathology in NOG-related symphalangism spectrum disorder, a spectrum of congenital stape fixation syndromes caused by mutations in the NOG gene. To discuss implications for clinical management. PATIENT: A patient with a mutation in the NOG gene. INTERVENTION(S): Removal of temporal bones, postmortem temporal bone computed tomography, histologic processing, and review of temporal bones. MAIN OUTCOME MEASURE(S): Temporal bone histopathology and correlation with clinical, genetic, audiologic, and radiologic evaluations...
December 2015: Otology & Neurotology
https://www.readbyqxmd.com/read/26345411/differences-in-postoperative-hearing-outcomes-and-vertigo-in-patients-with-otosclerosis-treated-with-laser-assisted-stapedotomy-versus-stapedectomy
#20
Takashi Sakamoto, Shu Kikuta, Yayoi S Kikkawa, Katsuhiro Tsutsumiuchi, Kaori Kanaya, Yoko Fujimaki, Rumi Ueha, Yuki Saito, Tatsuya Yamasoba
BACKGROUND: Otosclerosis is an abnormal bone growth in the otic capsule that can result in hearing loss. In this study, we compared postoperative hearing outcomes and vestibular symptoms between patients treated with laser-assisted stapedotomy versus stapedectomy. METHODS: The medical charts of 99 ears treated with stapes surgery were retrospectively reviewed. RESULTS: A stapedotomy, partial stapedectomy, or total stapedectomy was conducted in 77, 16, and 56 ears, respectively...
2015: ORL; Journal for Oto-rhino-laryngology and its related Specialties
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