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https://www.readbyqxmd.com/read/28799657/treatment-of-eustachian-tube-dysfunction-with-balloon-dilation-a-systematic-review
#1
REVIEW
Jolien Marieke Lieselot Huisman, Froukje Jantina Verdam, Inge Stegeman, Jacob Alexander de Ru
OBJECTIVE: Balloon dilation is a new entity in the therapeutic approach of Eustachian tube dysfunction. The aim of this systematic review is to evaluate the success of balloon dilation of the tuba auditiva in reducing symptoms in adult patients with Eustachian tube dysfunction. DATA SOURCES: Embase, PubMed, and Cochrane Library. REVIEW METHODS: The systematic literature search was conducted independently by two authors based on title and abstracts, and resulted in 36 articles...
August 11, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28742632/the-middle-ear-cleft-status-in-a-natural-cohort-with-eustachian-tube-dysfunction
#2
Udi Cinamon, Dov Albukrek, Yahav Oron, Sharon Ovnat Tamir, Abraham Goldfarb, David Dvir, Tal Marom
BACKGROUND: The Eustachian tube (ET) has a major role in the middle ear (ME) pressure homeostasis. ET dysfunction is the accepted paradigm for pressure-related ME disorders. We studied the ME status in patients with severely diminished ET opening abilities, and anticipated to find ME disorders in most of them. PATIENTS AND METHODS: ME status was evaluated in unconscious adults, who were hospitalized in a rehabilitation center with severe brain damage, requiring tracheotomy and gastrostomy...
September 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28739189/endoscopic-transcanal-myringoplasty-for-tympanic-perforations-an-outpatient-minimally-invasive-procedure
#3
Chih-Chieh Tseng, Ming-Tang Lai, Chia-Che Wu, Sheng-Po Yuan, Yi-Fang Ding
OBJECTIVE: Since the 1950s, microscopic myringoplasty has been the standard surgery for repairing a perforated tympanic membrane. In addition to conventional microscopic myringoplasty, endoscopic myringoplasty has been an emerging technique since the late 1990s. This study evaluated the efficacy of endoscopic transcanal myringoplasty for repairing tympanic perforations and examined the minimally invasive feature of this technique (no postauricular incision, no canalplasty). METHODS: We retrospectively reviewed the medical records of patients who underwent endoscopic transcanal myringoplasty for perforations of the tympanic membrane...
July 21, 2017: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/28688565/diagnostic-accuracy-of-a-general-practitioner-with-video-otoscopy-collected-by-a-health-care-facilitator-compared-to-traditional-otoscopy
#4
Thorbjörn Lundberg, Leigh Biagio de Jager, De Wet Swanepoel, Claude Laurent
OBJECTIVE: Video-otoscopy is rapidly developing as a new method to diagnose common ear disease and can be performed by trained health care facilitators as well as by clinicians. This study aimed to compare remote asynchronous assessments of video-otoscopy with otoscopy performed by a general practitioner. METHOD: Children, aged 2-16 years, attending a health center in Johannesburg, South Africa, were examined. An otologist performed otomicroscopy and a general practitioner performed otoscopy...
August 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28653118/quantitative-pneumatic-otoscopy-using-a-light-based-ranging-technique
#5
Ryan L Shelton, Ryan M Nolan, Guillermo L Monroy, Paritosh Pande, Michael A Novak, Ryan G Porter, Stephen A Boppart
Otitis media is the leading cause of hearing loss in children. It is commonly associated with fluid in the ear, which can result in up to 45 dB of hearing loss for extended periods of time during a child's most important developmental years. Accurate assessment of middle ear effusions is an important part of understanding otitis media. Current technologies used to diagnose otitis media with effusion are pneumatic otoscopy, tympanometry, and acoustic reflectometry. While all of these techniques can reasonably diagnose the presence of an effusion, they provide limited information about the infection present behind the tympanic membrane...
August 2017: Journal of the Association for Research in Otolaryngology: JARO
https://www.readbyqxmd.com/read/28625006/butterfly-cartilage-tympanoplasty-an-alternative-new-technique-instead-of-conventional-surgery-method
#6
Isa Kaya, Murat Benzer, Sercan Gode, Cem Bilgen, Tayfun Kirazli
Butterfly graft inlay tympanoplasty is a well-established technique for the repair of small- and medium-sized perforations. There are some difficulties with application of conventional butterfly technique and it affects our success rate of graft healing. With some modifications of graft preparation we can make better success rates. The aim of this study was to present the new renovation of conventional method, describe about what kind of changes we made and its technical facilities about the procedure. The study design is a prospective case series...
June 17, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28598686/how-your-ears-can-tell-what-is-hidden-in-your-heart-wild-type-transthyretin-amyloidosis-as-potential-cause-of-sensorineural-hearing-loss-inelderly-amylodeafness-pilot-study
#7
Emilie Béquignon, Aziz Guellich, Sophie Barthier, Marc Raynal, Virginie Prulière-Escabasse, Florence Canouï-Poitrine, André Coste, Thibaud Damy
BACKGROUND: Wild-type transthyretin amyloidosis (ATTRwt) is an age-related life-threatening condition. Prognosis is mainly dependent on cardiac involvement. Other organs and tissues may be affected. Their early recognition may increase awareness of physicians and positively affects the prognosis. Presbycusis is another age-related disorder. Whether this disease is associated to ATTRwt amyloidosis is unknown. METHODS: Sixteen consecutive patients with confirmed diagnosis of ATTRwt amyloidosis at the Mondor Amyloidosis Network, France, underwent otoscopy and audiological tests including pure tone audiometry, speech reception threshold and speech discrimination score...
June 9, 2017: Amyloid: the International Journal of Experimental and Clinical Investigation
https://www.readbyqxmd.com/read/28576537/can-changes-in-parentally-measured-acoustic-reflectometry-levels-predict-the-middle-ear-status
#8
Nora Erkkola-Anttinen, Miia K Laine, Paula A Tähtinen, Aino Ruohola
OBJECTIVE: Spectral gradient acoustic reflectometry (SG-AR) may be used to detect middle ear effusion. Our aim was to investigate whether increasing SG-AR levels between two SG-AR examinations indicate deterioration from a healthy middle ear to acute otitis media (AOM). METHODS: We enrolled 185 children (age 6-35 months) whose parents were willing to use the SG-AR at home daily. Measurement pairs of parental home SG-AR examination results were generated and analyzed...
April 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28499303/-long-term-follow-up-and-patient-satisfaction-after-tympanoplasty-with-titanium-clip-prothesis
#9
Guido Wolferts, Daniel Schicke, K-Wolfgang Delank
Aim of the present study is to evaluate the long term results of ossiculoplasty using titanium clip prosthesis. A retrospective analysis with prospective follow-up has been done including for all patients who had a Clip-PORP implanted between the years 2002-2013. Following this, audiometric hearing results were measured with clinical examination including otoscopy and quality of life evaluation using Glasgow benefit inventory. 48 patients (51 ears, 29 men, 19 women, average age 44.1 years) received followed up after an average duration of 6...
May 12, 2017: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/28492927/prevalence-of-auditory-problems-in-children-with-feeding-and-swallowing-disorders
#10
Vishakha Waman Rawool
Purpose: Although an interdisciplinary approach is recommended for assessment and management of feeding or swallowing difficulties, audiologists are not always included in the interdisciplinary team. The purpose of this study is to report the prevalence of middle ear and hearing problems in children with feeding and swallowing disorders and to compare this prevalence with that in typical children. Method: A total of 103 children were included in the study: 44 children with feeding and swallowing disorders and 59 children without any such disorders...
May 24, 2017: Journal of Speech, Language, and Hearing Research: JSLHR
https://www.readbyqxmd.com/read/28485038/a-cross-sectional-evaluation-of-the-validity-of-a-smartphone-otoscopy-device-in-screening-for-ear-disease-in-nepal
#11
R Mandavia, T Lapa, M Smith, M F Bhutta
OBJECTIVES: Hearing loss is a neglected international health problem. The greatest burden of ear disease is in low-income countries where there is also a lack of resources. In this context, screening for otological disease may be worthwhile. Cupris© has developed an otoscopy device that offers the possibility of low-cost mass screening in remote communities. We evaluated the validity of this device in diagnosing ear disease, and in determining whether referral to an ENT centre is warranted...
May 9, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28480781/digital-otoscopy-versus-microscopy-how-correct-and-confident-are-ear-experts-in-their-diagnoses
#12
Aaron C Moberly, Margaret Zhang, Lianbo Yu, Metin Gurcan, Caglar Senaras, Theodoros N Teknos, Charles A Elmaraghy, Nazhat Taj-Schaal, Garth F Essig
Introduction With the growing popularity of telemedicine and tele-diagnostics, clinical validation of new devices is essential. This study sought to investigate whether high-definition digital still images of the eardrum provide sufficient information to make a correct diagnosis, as compared with the gold standard view provided by clinical microscopy. Methods Twelve fellowship-trained ear physicians (neurotologists) reviewed the same set of 210 digital otoscope eardrum images. Participants diagnosed each image as normal or, if abnormal, they selected from seven types of ear pathology...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28465813/sensorineural-hearing-loss-in-patients-with-chronic-suppurative-otitis-media-is-there-a-significant-correlation
#13
Amin Amali, Nima Hosseinzadeh, Shahram Samadi, Shirin Nasiri, Jayran Zebardast
INTRODUCTION: Hearing loss as a sequel of chronic suppurative otitis media (CSOM) is often conductive, but recent studies have found an additional sensorineural component in these patients, thus demonstrating inner ear damage. The aim of the study was to determine the association between CSOM and sensorineural hearing loss (SNHL) and to assess the influence of patient's age, duration of disease, and presence of cholesteatoma and ossicular erosion on the degree of SNHL. METHODS: In a retrospective study, the medical records of 119 patients who underwent surgery was reviewed...
February 2017: Electronic Physician
https://www.readbyqxmd.com/read/28439691/comparison-of-endoscopic-and-microscopic-tympanoplasty
#14
Che-Hung Kuo, Hsing-Mei Wu
Tympanoplasty was conventionally performed using a microscope for decades. However, since the endoscope began to be used in middle ear surgery in the 1970s, endoscopic tympanoplasty has gained increasing attention. The main objective of this study was to compare endoscopic and microscopic tympanoplasty with and without ossiculoplasty, demonstrating the potential advantages, disadvantages, and outcomes of each. This retrospective study included 126 patients with chronic otitis media who received tympanoplasty from 2013 to 2015 in our hospital...
April 24, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28434272/wideband-acoustic-immittance-in-children-with-down-syndrome-prediction-of-middle-ear-dysfunction-conductive-hearing-loss-and-patent-pe-tubes
#15
Lisa L Hunter, Douglas H Keefe, M Patrick Feeney, David K Brown, Jareen Meinzen-Derr, Alaaeldin M Elsayed, Julia M Amann, Vairavan Manickam, Denis Fitzpatrick, Sally R Shott
OBJECTIVE: The purpose of this study was to evaluate pressurised wideband acoustic immittance (WAI) tests in children with Down syndrome (DS) and in typically developing children (TD) for prediction of conductive hearing loss (CHL) and patency of pressure equalising tubes (PETs). DESIGN: Audiologic diagnosis was determined by audiometry in combination with distortion-product otoacoustic emissions, 0.226 kHz tympanometry and otoscopy. WAI results were compared for ears within diagnostic categories (Normal, CHL and PET) and between groups (TD and DS)...
April 22, 2017: International Journal of Audiology
https://www.readbyqxmd.com/read/28383365/design-and-validation-of-a-three-dimensional-printed-flexible-canine-otoscopy-teaching-model
#16
Belle Marie D Nibblett, Mary Mauldin Pereira, Fortune Sithole, Paul A D Orchard, Eric B Bauman
INTRODUCTION: A teaching model was sought to improve canine otoscopy skill and reduce use of teaching dogs. METHODS: An otoscopy teaching model was printed in a flexible medium on a desktop three-dimensional printer from a magnetic resonance image of a canine external ear canal. The model was mounted in a polyvinyl dog mannequin. Validation of the teaching model was sought from student, faculty, and dog perspective. Student perception of prelaboratory training was assessed using a survey regarding their experience...
April 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/28381402/transcutaneous-immunization-with-a-band-aid-prevents-experimental-otitis-media-in-a-polymicrobial-model
#17
Laura A Novotny, John D Clements, Steven D Goodman, Lauren O Bakaletz
Otitis media (OM) is a common pediatric disease, and nontypeable Haemophilus influenzae (NTHI) is the predominant pathogen in chronic OM, recurrent OM, and OM associated with treatment failure. OM is also a polymicrobial disease, wherein an upper respiratory tract viral infection predisposes to ascension of NTHI from the nasopharynx, the site of colonization, to the normally sterile middle ear, resulting in disease. Using a clinically relevant viral-bacterial coinfection model of NTHI-induced OM, we performed transcutaneous immunization (TCI) via a band-aid delivery system to administer each of three promising NTHI vaccine candidates derived from bacterial adhesive proteins and biofilm mediators: recombinant soluble PilA (rsPilA), chimV4, and integration host factor...
June 2017: Clinical and Vaccine Immunology: CVI
https://www.readbyqxmd.com/read/28372531/panel-1-epidemiology-and-diagnosis
#18
REVIEW
Preben Homøe, Kari Kværner, Janet R Casey, Roger A M J Damoiseaux, Thijs M A van Dongen, Hasantha Gunasekera, Ramon G Jensen, Ellen Kvestad, Peter S Morris, Heather M Weinreich
Objective To create a literature review between 2011 and June 1, 2015, on advances in otitis media (OM) epidemiology and diagnosis (including relevant audiology studies). Data Sources Electronic search engines (PubMed, EMBASE, and Cochrane Library) with a predefined search strategy. Review Methods Articles with appropriate epidemiologic methodology for OM, including acute mastoiditis and eustachian tube dysfunction. Items included OM worldwide and in high-risk populations, OM-related hearing loss, news in OM diagnostics, prenatal risk factors and comorbidities, postnatal risk factors, genetics, microbiological epidemiology, guidelines, and quality of life...
April 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28306484/evaluation-of-the-economic-and-clinical-feasibility-of-introducing-rigid-endoscopy-and-laparoscopy-to-a-small-animal-general-practice
#19
Kelly Jones, J Brad Case, Brian Evans, Eric Monnet
OBJECTIVE To evaluate the economic and clinical feasibility of introducing rigid endoscopy and laparoscopy to a small animal general practice. DESIGN Prospective study. SAMPLE A single 2-veterinarian small animal practice in southern California. PROCEDURES In early 2012, endoscopic equipment was purchased, and both veterinarians in the practice undertook training in rigid endoscopic and laparoscopic procedures. Subsequently, information for client-owned animals that underwent endoscopic and laparoscopic procedures during a 12-month period (2012 to 2013) was collected...
April 1, 2017: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/28301636/real-time-structured-light-based-otoscopy-for-quantitative-measurement-of-eardrum-deformation
#20
Sam Van der Jeught, Joris J J Dirckx
No abstract text is available yet for this article.
January 1, 2017: Journal of Biomedical Optics
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