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https://www.readbyqxmd.com/read/28523516/pre-operative-screening-and-manual-drilling-strategies-to-reduce-the-risk-of-thermal-injury-during-minimally-invasive-cochlear-implantation-surgery
#1
Neal P Dillon, Loris Fichera, Kyle Kesler, M Geraldine Zuniga, Jason E Mitchell, Robert J Webster, Robert F Labadie
This article presents the development and experimental validation of a methodology to reduce the risk of thermal injury to the facial nerve during minimally invasive cochlear implantation surgery. The first step in this methodology is a pre-operative screening process, in which medical imaging is used to identify those patients that present a significant risk of developing high temperatures at the facial nerve during the drilling phase of the procedure. Such a risk is calculated based on the density of the bone along the drilling path and the thermal conductance between the drilling path and the nerve, and provides a criterion to exclude high-risk patients from receiving the minimally invasive procedure...
May 18, 2017: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/28516364/preserving-normal-facial-nerve-function-and-improving-hearing-outcome-in-large-vestibular-schwannomas-with-a-combined-approach-planned-subtotal-resection-followed-by-gamma-knife-radiosurgery
#2
Roy Thomas Daniel, Constantin Tuleasca, Mercy George, Etienne Pralong, Luis Schiappacasse, Michele Zeverino, Raphael Maire, Marc Levivier
OBJECTIVE: To perform planned subtotal resection followed by gamma knife surgery (GKRS) in a series of patients with large vestibular schwannoma (VS), aiming at an optimal functional outcome for facial and cochlear nerves. METHODS: Patient characteristics, surgical and dosimetric features, and outcome were collected prospectively at the time of treatment and during the follow-up. RESULTS: A consecutive series of 32 patients was treated between July 2010 and June 2016...
May 17, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28499298/-cochlear-implant-state-of-the-art
#3
Thomas Lenarz
Cochlear implants are the treatment of choice for the auditory rehabilitation of patients with sensory deafness. They restore the missing function of inner hair cells by transforming the acoustic signal into electrical stimuli for activation of auditory nerve fibers. Due to the very fast technology development cochlear implants provide open-set speech understanding in the majority of patients including the use of the telephone. Children can achieve a near to normal speech and language development provided their deafness is detected early after onset and implantation is performed quickly thereafter...
April 2017: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/28498269/real-time-intracochlear-electrocochleography-obtained-directly-through-a-cochlear-implant
#4
Michael S Harris, William Jason Riggs, Kanthaiah Koka, Leonid M Litvak, Prashant Malhotra, Aaron C Moberly, Brendan P O'Connell, Jourdan Holder, Federico Alberto Di Lella, Carlos Mario Boccio, George B Wanna, Robert F Labadie, Oliver F Adunka
HYPOTHESIS: Utilizing the cochlear implant to record electrophysiologic responses during device placement is a feasible and efficacious technique for monitoring near real-time cochlear physiology during and following electrode insertion. BACKGROUND: Minimizing intracochlear trauma during cochlear implantation has emerged as a highly researched area to help improve patient performance. Currently, conventional cochlear implant technology allows for the recording of electrically evoked compound action potentials (eCAPs)...
May 11, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28483257/protective-role-of-intratympanic-nigella-sativa-oil-against-gentamicin-induced-hearing-loss
#5
Deniz Tuna Edizer, Ozgur Yigit, Zehra Cinar, Mehmet Gul, Eyyup Kara, Birgul Yigitcan, Duygu Hayır, Ahmet Atas
OBJECTIVE: Aminoglycosides, used to combat with life-threatening infections, have a substantial risk of hearing loss. Nigella sativa is an annual herbaceous plant and used for treatment of many diseases for ages. We aimed to investigate the protective role of intratympanic nigella sativa oil against gentamicin induced hearing loss in an animal model. METHODS AND MATERIALS: Twenty eight guinea pigs were randomly divided into four groups: i-control, ii- Intratympanic nigella sativa oil (IT-NSO), iii- Intraperitoneal gentamicin (IP-G) and iv- Intraperitoneal gentamicin and intratympanic nigella sativa oil (IP-G + IT-NSO)...
June 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28483247/does-cerebellar-flocculus-size-affect-subjective-outcomes-in-pediatric-auditory-brainstem-implantation
#6
Sunil Goyal, Shyam Sundar Krishnan, Mohan Kameswaran, M C Vasudevan, Ranjith, Kiran Natarajan
OBJECTIVES: The objectives of study was to 1) Describe relevant surgical anatomy in defining and accessing the lateral recess for placement of electrode, 2) Propose a working classification for grades of Flocculus; 3) To determine if different grades of cerebellar flocculus effects placement of ABI electrode and subjective outcomes in implantees. METHODS: Our study was a prospective study, and comprised of cohort of 12 patients who underwent ABI surgery via retrosigmoid approach between 1 Jan 2012 to 31 Dec 2014...
June 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28483233/high-prevalence-of-abnormalities-on-ct-and-mr-imaging-in-children-with-unilateral-sensorineural-hearing-loss-irrespective-of-age-or-degree-of-hearing-loss
#7
E A van Beeck Calkoen, E Sanchez Aliaga, P Merkus, C F Smit, J M van de Kamp, M F Mulder, S T Goverts, E F Hensen
OBJECTIVE: Evaluation of causal abnormalities identified on CT and MR imaging in children with unilateral sensorineural hearing loss (USNHL), and the association with age and severity of hearing loss. STUDY DESIGN: Retrospective cohort study. SETTING: Tertiary referral otology/audiology center. PATIENTS AND DIAGNOSTIC INTERVENTIONS: 102 children diagnosed with USNHL between 2006 and 2016 were included. They underwent CT and/or MR imaging for the evaluation of the etiology of their hearing loss...
June 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28475547/prediction-of-intraoperative-csf-gusher-and-postoperative-facial-nerve-stimulation-in-patients-with-cochleovestibular-malformations-undergoing-cochlear-implantation-surgery
#8
Teru Kamogashira, Shinichi Iwasaki, Akinori Kashio, Akinobu Kakigi, Shotaro Karino, Yu Matsumoto, Tatsuya Yamasoba
OBJECTIVE: To determine parameters in computed tomography (CT) of the temporal bone that would be useful for prediction of cerebrospinal fluid (CSF) gusher during cochlear implantation (CI) surgery and postoperative facial nerve stimulation (FNS) in patients with inner ear malformations. STUDY DESIGN: Retrospective study. SETTING: Tertiary referral center. PATIENTS: Three hundred seventy-five cases who had undergone CI surgery including 54 inner ear malformation cases were analyzed...
May 4, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28469553/intracochlear-recordings-of-acoustically-and-electrically-evoked-potentials-in-nucleus-hybrid-l24-cochlear-implant-users-and-their-relationship-to-speech-perception
#9
Jae-Ryong Kim, Viral D Tejani, Paul J Abbas, Carolyn J Brown
The Hybrid cochlear implant (CI) has been developed for individuals with high frequency hearing loss who retain good low frequency hearing. Outcomes have been encouraging but individual variability is high; the health of the cochlea and the auditory nerve may be important factors driving outcomes. Electrically evoked compound action potentials (ECAPs) reflect the response of the auditory nerve to electrical stimulation while electrocochleography (ECochG) reflects the response of the cochlear hair cells and auditory nerve to acoustic stimulation...
2017: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/28464840/sparing-of-normal-tissues-with-volumetric-arc-radiation-therapy-for-glioblastoma-single-institution-clinical-experience
#10
Tina Marie Briere, Mary Frances McAleer, Lawrence B Levy, James N Yang
BACKGROUND: Patients with glioblastoma multiforme (GBM) require radiotherapy as part of definitive management. Our institution has adopted the use of volumetric arc therapy (VMAT) due to superior sparing of the adjacent organs at risk (OARs) compared to intensity modulated radiation therapy (IMRT). Here we report our clinical experience by analyzing target coverage and sparing of OARs for 90 clinical treatment plans. METHODS: VMAT and IMRT patient cohorts comprising 45 patients each were included in this study...
May 2, 2017: Radiation Oncology
https://www.readbyqxmd.com/read/28459680/highly-accurate-facial-nerve-segmentation-refinement-from-cbct-ct-imaging-using-a-super-resolution-classification-approach
#11
Ping Lu, Livia Barazzetti, Vimal Chandran, Kate Gavaghan, Stefan Weber, Nicolas Gerber, Mauricio Reyes
Facial nerve segmentation is of considerable importance for pre-operative planning of cochlear implantation. However, it is strongly influenced by the relatively low resolution of the cone-beam computed tomography (CBCT) images used in clinical practice. In this paper, we propose a super-resolution classification method, which refines a given initial segmentation of the facial nerve to a sub-voxel classification level from CBCT/CT images. The super-resolution classification method learns the mapping from low-resolution CBCT/CT images to high-resolution facial nerve label images, obtained from manual segmentation on micro-CT images...
April 25, 2017: IEEE Transactions on Bio-medical Engineering
https://www.readbyqxmd.com/read/28446678/differential-involvement-during-latent-hsv-1-infection-of-the-superior-and-inferior-divisions-of-the-vestibular-ganglia-implications-for-vestibular-neuritis
#12
Susanne Himmelein, Anja Lindemann, Inga Sinicina, Anja K E Horn, Thomas Brandt, Michael Strupp, Katharina Hüfner
Controversy still surrounds both the etiology and pathophysiology of vestibular neuritis (VN). Especially uncertain is why the superior vestibular nerve (SVN) is more frequently affected than the inferior part (IVN), which is partially or totally spared. To address this question we developed an improved method for preparing human vestibular ganglia (VG) and nerve. Subsequently macro- and micro-anatomical as well as PCR studies were performed on 38 human ganglia from 38 individuals. The SVN was 2.4 mm longer than the IVN, and in 65% of the cases the IVN ran in two separate bony canals, which was not the case for the SVN...
April 26, 2017: Journal of Virology
https://www.readbyqxmd.com/read/28443600/retroauricular-approach-for-targeted-cochlear-therapy-experiments-in-wistar-albino-rats
#13
Selçuk Mülazimoğlu, Emre Ocak, Gülşah Kaygusuz, Mustafa Kürşat Gökcan
BACKGROUND: As the idea of stem cell technology in the treatment of sensorial hearing loss has emerged over the past decades, the need for in vivo models for related experiments becomes explicit. One of the most common experimental models for inner ear stem cell delivery experiments is the Wistar albino rat (WAR). AIMS: To investigate the surgical anatomy of the temporal bone of the WAR with respect to the dissection steps, operative techniques, and potential pitfalls from surgery...
April 6, 2017: Balkan Medical Journal
https://www.readbyqxmd.com/read/28429126/assessing-the-role-of-place-and-timing-cues-in-coding-frequency-and-amplitude-modulation-as-a-function-of-age
#14
Kelly L Whiteford, Heather A Kreft, Andrew J Oxenham
Natural sounds can be characterized by their fluctuations in amplitude and frequency. Ageing may affect sensitivity to some forms of fluctuations more than others. The present study used individual differences across a wide age range (20-79 years) to test the hypothesis that slow-rate, low-carrier frequency modulation (FM) is coded by phase-locked auditory-nerve responses to temporal fine structure (TFS), whereas fast-rate FM is coded via rate-place (tonotopic) cues, based on amplitude modulation (AM) of the temporal envelope after cochlear filtering...
April 20, 2017: Journal of the Association for Research in Otolaryngology: JARO
https://www.readbyqxmd.com/read/28420960/contralateral-inhibition-of-click-and-chirp-evoked-human-compound-action-potentials
#15
Spencer B Smith, Jeffery T Lichtenhan, Barbara K Cone
Cochlear outer hair cells (OHC) receive direct efferent feedback from the caudal auditory brainstem via the medial olivocochlear (MOC) bundle. This circuit provides the neural substrate for the MOC reflex, which inhibits cochlear amplifier gain and is believed to play a role in listening in noise and protection from acoustic overexposure. The human MOC reflex has been studied extensively using otoacoustic emissions (OAE) paradigms; however, these measurements are insensitive to subsequent "downstream" efferent effects on the neural ensembles that mediate hearing...
2017: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/28413822/distinct-neural-properties-in-the-low-frequency-region-of-the-chicken-cochlear-nucleus-magnocellularis
#16
Xiaoyu Wang, Hui Hong, David H Brown, Jason Tait Sanchez, Yuan Wang
Topography in the avian cochlear nucleus magnocellularis (NM) is represented as gradually increasing characteristic frequency (CF) along the caudolateral-to-rostromedial axis. In this study, we characterized the organization and cell biophysics of the caudolateral NM (NMc) in chickens (Gallus gallus). Examination of cellular and dendritic architecture first revealed that NMc contains small neurons and extensive dendritic processes, in contrast to adendritic, large neurons located more rostromedially. Individual dye-filling study further demonstrated that NMc is divided into two subregions, with NMc2 neurons having larger and more complex dendritic fields than NMc1...
March 2017: ENeuro
https://www.readbyqxmd.com/read/28397107/the-number-and-distribution-of-ampa-receptor-channels-containing-fast-kinetic-glua3-and-glua4-subunits-at-auditory-nerve-synapses-depend-on-the-target-cells
#17
María E Rubio, Ko Matsui, Yugo Fukazawa, Naomi Kamasawa, Harumi Harada, Makoto Itakura, Elek Molnár, Manabu Abe, Kenji Sakimura, Ryuichi Shigemoto
The neurotransmitter receptor subtype, number, density, and distribution relative to the location of transmitter release sites are key determinants of signal transmission. AMPA-type ionotropic glutamate receptors (AMPARs) containing GluA3 and GluA4 subunits are prominently expressed in subsets of neurons capable of firing action potentials at high frequencies, such as auditory relay neurons. The auditory nerve (AN) forms glutamatergic synapses on two types of relay neurons, bushy cells (BCs) and fusiform cells (FCs) of the cochlear nucleus...
April 10, 2017: Brain Structure & Function
https://www.readbyqxmd.com/read/28395319/speech-rate-normalization-and-phonemic-boundary-perception-in-cochlear-implant-users
#18
Brittany N Jaekel, Rochelle S Newman, Matthew J Goupell
Purpose: Normal-hearing (NH) listeners rate normalize, temporarily remapping phonemic category boundaries to account for a talker's speech rate. It is unknown if adults who use auditory prostheses called cochlear implants (CI) can rate normalize, as CIs transmit degraded speech signals to the auditory nerve. Ineffective adjustment to rate information could explain some of the variability in this population's speech perception outcomes. Method: Phonemes with manipulated voice-onset-time (VOT) durations were embedded in sentences with different speech rates...
April 10, 2017: Journal of Speech, Language, and Hearing Research: JSLHR
https://www.readbyqxmd.com/read/28388854/auditory-adaptation-testing-as-a-tool-for-investigating-tinnitus-origin-two-patients-with-vestibular-schwannoma
#19
Carol A Silverman, Shlomo Silman, Michele B Emmer
OBJECTIVE: To enhance the understanding of tinnitus origin by disseminating two case studies of vestibular schwannoma (VS) involving behavioural auditory adaptation testing (AAT). DESIGN: Retrospective case study. STUDY SAMPLE: Two adults who presented with unilateral, non-pulsatile subjective tinnitus and bilateral normal-hearing sensitivity. At the initial evaluation, the otolaryngologic and audiologic findings were unremarkable, bilaterally...
April 7, 2017: International Journal of Audiology
https://www.readbyqxmd.com/read/28386212/characterizing-electrocochleography-in-cochlear-implant-recipients-with-residual-low-frequency-hearing
#20
Christofer W Bester, Luke Campbell, Adrian Dragovic, Aaron Collins, Stephen J O'Leary
Objective: Lay the groundwork for using electrocochleography (ECochG) as a measure of cochlear health, by characterizing typical patterns of the ECochG response observed across the electrode array in cochlear implant recipients with residual hearing. Methods: ECochG was measured immediately after electrode insertion in 45 cochlear implant recipients with residual hearing. The Cochlear Response Telemetry system was used to record ECochG across the electrode array, in response to 100- or 110-dB SPL pure tones at 0...
2017: Frontiers in Neuroscience
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