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Otoscopy

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https://www.readbyqxmd.com/read/29785976/the-study-of-attenuation-levels-and-the-comfort-of-earplugs
#1
Alessandra G Samelli, Raquel F Gomes, Tiago V Chammas, Bárbara G Silva, Renata R Moreira, Ana C Fiorini
Introduction: This study aimed to analyze and compare four different types of earplugs, divided into premolded plugs and foam plug models, in relation to the level of attenuation, comfort, and the size of the external acoustic meatus (EAM) in an attempt to identify how these variables influence the choice of specific hearing protection devices (HPDs). Materials and Methods: A cross-sectional observational study was performed in a sample of 49 participants, oriented toward the ideal placement of four HPDs, two premolded and two foam plugs (3M™)...
May 2018: Noise & Health
https://www.readbyqxmd.com/read/29764722/middle-ear-disease-in-children-with-cleft-palate
#2
REVIEW
Tulasi Kota Karanth, Kenneth R Whittemore
OBJECTIVE: The objective of this review is to summarize all aspects of middle ear diseases in children with cleft palate (CP). METHODS: PubMed, Scopus, The Cumulative Index to Nursing and Allied Health Literature (CINAHL) and The Cochrane Library were searched for English-language randomized control trials (RCTs), meta-analyses, systematic reviews and observational studies published through 31st July 2017. RESULTS: Epidemiology and pathogenesis of middle ear diseases in children with cleft palate have been discussed in this review...
May 12, 2018: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/29747530/endoscopy-in-otolaryngology-utilising-smartphone-as-the-capturing-device
#3
Mehmet Mazhar Çelikoyar, Ozgun Tolga Aktas
Mobile technology has been a significant development. With the advent of smartphones and many applications, it is possible to integrate endoscopic instruments. This is a study where the authors were able to use a smartphone as the capturing device for endoscopic examinations and were able to get satisfactory results on all but two of the 52 patients, doing four endoscopic examinations commonly being performed in otolaryngology clinics: rigid nasal endoscopy, rigid laryngoscopy, otoscopy and flexible fiberoptic naso-laryngoscopy...
May 10, 2018: Journal of Visual Communication in Medicine
https://www.readbyqxmd.com/read/29664723/the-value-of-electrically-evoked-stapedius-reflex-in-determining-the-maximum-comfort-level-of-a-cochlear-implant
#4
Kelly Cristina Lira de Andrade, Lilian Ferreira Muniz, Pedro de Lemos Menezes, Silvio da Silva Caldas Neto, Aline Tenório Lins Carnaúba, Mariana de Carvalho Leal
BACKGROUND: One of the most important steps for good user performance with a cochlear implant (CI) is activation and programming, aimed at determining the dynamic range. In adults, current levels are determined by psychophysical measures. In babies, small children, or individuals with multiple disorders, this procedure requires techniques that may provide inconsistent responses because of auditory inexperience or the age of the child, making it a very difficult process that demands the collaboration of both the patient and the family...
April 2018: Journal of the American Academy of Audiology
https://www.readbyqxmd.com/read/29561194/book-review-color-atlas-of-endo-otoscopy-sanna-mario-russo-alessandra-caruso-antonio-taibah-abdelkader-piras-gianluca-color-atlas-of-endo-otoscopy-1st-ed-new-york-ny-thieme-publishers-2017-hard-cover-illustrated-348-pages-109-99
#5
https://www.readbyqxmd.com/read/29552381/pneumatic-low-coherence-interferometry-otoscope-to-quantify-tympanic-membrane-mobility-and-middle-ear-pressure
#6
Jungeun Won, Guillermo L Monroy, Pin-Chieh Huang, Roshan Dsouza, Malcolm C Hill, Michael A Novak, Ryan G Porter, Eric Chaney, Ronit Barkalifa, Stephen A Boppart
Pneumatic otoscopy to assess the mobility of the tympanic membrane (TM) is a highly recommended diagnostic method of otitis media (OM), a widespread middle ear infection characterized by the fluid accumulation in the middle ear. Nonetheless, limited depth perception and subjective interpretation of small TM displacements have challenged the appropriate and efficient examination of TM dynamics experienced during OM. In this paper, a pneumatic otoscope integrated with low coherence interferometry (LCI) was adapted with a controlled pressure-generating system to record the pneumatic response of the TM and to estimate middle ear pressure (MEP)...
February 1, 2018: Biomedical Optics Express
https://www.readbyqxmd.com/read/29550920/analyzing-eustachian-tube-function-in-patients-with-symptoms-of-chronical-eustachian-tube-dysfunction-by-pressure-chamber-measurements
#7
Moritz F Meyer, Christine Korthäuer, Stefanie Jansen, Karl-Bernd Hüttenbrink, Dirk Beutner
PURPOSE: The determination of Eustachian tube dysfunction (ETD) subtypes in daily routines is based on symptoms of the patient, otoscopy, nasopharyngoscopy, tympanometry, pure tone audiometry, and Valsalva's test, even though this clinical assessment is often not sufficient to clearly diagnose the subtype. In the study, we have evaluated the possibility of the determination of different subtypes of ETD by pressure chamber measurements. METHODS: In a single-person pressure chamber, we exposed 17 patients to pressure increases and decreases...
May 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29499380/teaching-pediatric-otoscopy-skills-to-pediatric-and-emergency-medicine-residents-a-cross-institutional-study
#8
Caroline R Paul, Meg G Keeley, Gregory S Rebella, John G Frohna
OBJECTIVE: To evaluate a pediatric otoscopy curriculum with the use of outcome measures that included assessment of skills with real patients. METHODS: Thirty-three residents in an intervention group from 2 institutions received the curriculum. In the previous year, 21 residents in a nonintervention group did not receive the curriculum. Both groups were evaluated at the beginning and end of their internship years with the use of the same outcome assessments: 1) a written test, 2) an objective standardized clinical examination (OSCE), and 3) direct observation of skills in real patients with the use of a checklist with established validity...
February 27, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29488494/-the-specific-microbiological-and-clinical-features-of-acute-otitis-media
#9
A V Gurov, Yu V Levina, A L Guseva, Z G Elchueva, S P Efimova, M V Gordienko
The objective of the present study was to elucidate the specific features of the clinical course of acute otitis media as well as the peculiarities of the vestibular function and the microbial paysage associated with this pathological condition under the present-day conditions. The study included 135 patients presenting with acute otitis media (AOM) at different stages of the disease. The discharge obtained from the tympanic cavity of all the patients was examined with the use of polymerase chain reaction in real time, audiological and vestibulogical methods...
2018: Vestnik Otorinolaringologii
https://www.readbyqxmd.com/read/29447893/iphone-otoscopes-currently-available-but-reliable-for-tele-otoscopy-in-the-hands-of-parents
#10
Manan Udayan Shah, Maheep Sohal, Tulio A Valdez, Christopher R Grindle
OBJECTIVES: Tele-otoscopy has been validated for tympanostomy surveillance and remote diagnosis when images are recorded by trained professionals. The CellScope iPhone Otoscope is a device that may be used for tele-otoscopy and it enables parents to record their children's ear examinations and send the films for remote physician diagnosis. This study aims to determine the ability to diagnose, and the reliability of the diagnosis when utilizing video exams obtained by a parent versus video exams obtained by an otolaryngologist...
March 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29447806/pediatric-meniere-s-disease
#11
Chi Wang, Chien-Hao Wu, Po-Wen Cheng, Yi-Ho Young
OBJECTIVE: This study adopted an inner ear test battery comprising audiometry, and ocular vestibular evoked myogenic potential (oVEMP), cervical VEMP (cVEMP), and caloric tests to investigate the sequence of inner ear deficits in pediatric Meniere's disease (MD). METHODS: From 2005 to 2016, a total of 24 MD children aged <15 years old underwent otoscopy, CT scan, blood test, and an inner ear test battery. Nine subjects were males and 15 were females, with mean age of 12 years...
February 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29429175/-middle-ear-teratoma-in-infant-report-of-three-cases-and-review-of-the-literatures
#12
REVIEW
Z Peng, Z X Wang, J Xie, L E Wang, Y Liu, S S Gong
Objective: To summarize the clinical characteristics and therapeutic experiences of the middle ear teratoma in infants. Methods: Three cases of middle ear teratoma, from 2012-2015 in Beijing Friendship Hospital were analyzed. Results: The three cases all developed slowly and presented unilateral otorrhea and hearing loss. Otoscopy showed the granulation tissue in the external ear canal. Audiological changes varied according to the degree of severity. Imaging features showed the pocket-like occupancy lesions in the Eustachian tube area...
February 7, 2018: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/29395113/clinical-evaluation-of-the-patient-with-otosclerosis
#13
REVIEW
Michael F Foster, Douglas D Backous
Otosclerosis is a disorder presenting most commonly with unilateral conductive hearing loss. It can present as a mixed hearing loss also. Evaluation for otosclerosis relies on a specific history and physical examination, including tuning fork assessment and audiometric testing. Otosclerosis differs from other etiologies in that symptoms of imbalance are rare, and the ear most commonly appears normal on otoscopy.
April 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29371080/ear-disease-knowledge-and-otoscopy-skills-transfer-to-real-patients-a-randomized-controlled-trial
#14
Vincent Wu, Joobin Sattar, Stephanie Cheon, Jason A Beyea
OBJECTIVE: To determine which teaching method-otoscopy simulation (OS), web-based module (WM), or standard classroom instruction (SI)-produced greater translation of knowledge and otoscopy examination skills to real patients. DESIGN: In a prospective randomized controlled nonclinical trial, medical students were randomized to 1 of 3 interventional arms: (1) OS, (2) WM, or (3) SI. Students were assessed at baseline for diagnostic accuracy and otoscopy skills on 5 volunteer patients (total of 10 ears), followed by the intervention...
January 19, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29336127/popularity-and-harms-of-aural-foreign-bodies-a-descriptive-study-of-patients-in-baqiyatallah-university-hospital-tehran-iran
#15
Abolfazl Taheri, Sina Navaei Mehmandari, Mojtaba Shahidi, Hamidreza Mehdizadeh, Seyyed Mohammad Javad Mirlohi, Nasrin Mohammadi Aref, Mahsa Alborzi Avanaki, Mohammad Hossein Khosravi
OBJECTIVE: To evaluate the prevalence of external ear complications among Iranian aural foreign body users attending to otolaryngology clinic of our hospital. METHODS: In this cross-sectional study patients attending to Otolaryngology clinics of Baqiyatallah hospital were enrolled regardless of their age, gender and reason of attending. Patients between 15 and 60 years of age were included in the present study. Those with positive history of chronic ear diseases, ear surgery, congenital ear disorders, trauma to ear or head and neck region or shock wave trauma were excluded from the study...
December 1, 2017: International Tinnitus Journal
https://www.readbyqxmd.com/read/29330988/microbiological-profile-from-middle-ear-and-nasopharynx-in-patients-suffering-from-chronic-active-mucosal-otitis-media
#16
Shahid Farooq Khattak, Nadeem Ahmed Sheikh, Adil Aleem, Muhammad Farooq, Kanwal Nadeem
BACKGROUND: Chronic otitis media is described as a tympanic membrane perforation and ear discharge for more than six weeks duration. Ascending infection from the nasopharynx into the middle ear cleft has been attributed to prevent resolution of chronic otitis media. This research aims to determine the association between the microbiological flora of the nasopharynx with that of the middle ear in patients suffering from chronic (active) mucosal otitis media.. METHODS: Our study is a hospital-based cross-sectional survey...
October 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/29282128/improving-learning-and-confidence-through-small-group-structured-otoscopy-teaching-a-prospective-interventional-study
#17
Peng You, Saad Chahine, Murad Husein
BACKGROUND: Otologic diseases are common and associated with significant health care costs. While accurate diagnosis relies on physical exam, existing studies have highlighted a lack of comfort among trainees with regards to otoscopy. As such, dedicated otoscopy teaching time was incorporated into the undergraduate medical curriculum in the form of a small group teaching session. In this study, we aimed to examine the effect of a small-group, structured teaching session on medical students' confidence with and learning of otoscopic examination...
December 28, 2017: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/29241231/influence-of-repetitive-diving-in-freshwater-on-pressure-equalization-and-eustachian-tube-function-in-recreational-scuba-divers
#18
Stefanie Jansen, Manuela Boor, Moritz F Meyer, Eberhard D Pracht, Ruth Volland, Heinz D Klünter, Karl-Bernd Hüttenbrink, Dirk Beutner, Maria Grosheva
INTRODUCTION: We investigated the effect of repetitive pressure exposure during freshwater dives on Eustachian tube function and the middle ear, assessed by the Eustachian tube function test (ETFT). METHODS: This prospective observational cohort study included 23 divers over three consecutive days of diving in freshwater lakes in Nordhausen, Germany. Participants underwent otoscopy and ETFT before the first dive, between each dive and after the last dive. ETFT included regular tympanometry (R-tymp), tympanometry after Valsalva (V-tymp) and after swallowing (S-tymp)...
December 2017: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/29241230/influence-of-repetitive-diving-in-saltwater-on-pressure-equalization-and-eustachian-tube-function-in-recreational-scuba-divers
#19
Moritz F Meyer, Manuela Boor, Stefanie Jansen, Eberhard D Pracht, Moritz Felsch, Heinz D Klünter, Karl-Bernd Hüttenbrink, Dirk Beutner, Maria Grosheva
INTRODUCTION: We investigated in a prospective, observational trial the feasibility of using the Eustachian tube function test (ETFT) to measure the effect of repetitive pressure exposure during open seawater dives on Eustachian tube function. METHODS: The study included 28 adult divers during six consecutive days of diving in the Red Sea. Participants underwent otoscopy and ETFT before the first dive, between each dive and after the last dive. ETFT included regular tympanometry (R-tymp), tympanometry after Valsalva (V-tymp) and after swallowing (S-tymp)...
December 2017: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/29224754/prevalence-of-chronic-ear-disease-among-hiv-children-in-sub-saharan-africa
#20
David C Ianacone, Alden F Smith, Margaretha L Casselbrant, Robbert J H Ensink, Farrel Buchinsky, Abebe Melaku, Glenn Isaacson
OBJECTIVES: To determine the prevalence of chronic ear disease in HIV+, highly active anti-retroviral therapy (HAART)-treated children and compare this to the prevalence in healthy children of similar age living in a similar setting. INTRODUCTION: From previous clinical work in Ethiopia, we suspected that chronic middle ear disease was common both in the general pediatric population and especially among children with HIV/AIDS. Few studies have examined the prevalence of chronic ear disease in HIV + children, particularly in those treated with HAART...
December 2017: International Journal of Pediatric Otorhinolaryngology
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