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https://www.readbyqxmd.com/read/29342039/an-optimal-partial-ossicular-prosthesis-should-connect-both-to-the-tympanic-membrane-and-malleus-a-temporal-bone-study-using-laser-doppler-vibrometry
#1
Anders Niklasson, Kilian Gladiné, Anton Rönnblom, Magnus von Unge, Joris Dirckx, Krister Tano
OBJECTIVE: To compare stapes vibrations in different partial ossicular replacement prosthesis (PORP) applications. METHODS: Stapedial vibrations were measured on fresh frozen human temporal bones with laser Doppler vibrometry. Eight different types of common ossiculoplasty methods were compared regarding recovery of stapes vibrations in relation with the normal ossicular chain. The PORPs were divided into three groups: 1) PORPs with the lateral contact only with the tympanic membrane, 2) PORPs with lateral contact only to the malleus handle, and 3) PORPs with lateral contact with both the malleus handle and the tympanic membrane...
January 16, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29339029/degree-of-tinnitus-improvement-with-stapes-surgery-a-review
#2
Aliciane Mota G Cavalcante, Isabella Monteiro de Castro Silva, Bianca Jessica Neves, Carlos Augusto Oliveira, Fayez Bahmad
INTRODUCTION: Otospongiosis is temporal bone osteodystrophy, characterized by disordered bone resorption and neoformation in genetically predisposed individuals. Clinically, otospongiosis is characterized by progressive conductive and/or mixed hearing loss and by tinnitus. OBJECTIVE: A review of the last two decades of publications that report the degree of tinnitus improvement with stapes surgery. METHODS: 125 articles published in the last 20 years mentioning the relationship between otosclerosis and tinnitus...
January 5, 2018: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29326537/total-ossicular-replacement-prosthesis-a-new-fat-interposition-technique
#3
Issam Saliba, Valérie Sabbah, Jackie Bibeau Poirier
Objective: To compare audiometric results between the standard total ossicular replacement prosthesis (TORP-S) and a new fat interposition total ossicular replacement prosthesis (TORP-F) in pediatric and adult patients and to assess the complication and the undesirable outcome. Study design: This is a retrospective study. Methods: This study included 104 patients who had undergone titanium implants with TORP-F and 54 patients who had undergone the procedure with TORP-S between 2008 and 2013 in our tertiary care centers...
2018: Clinical Medicine Insights. Ear, Nose and Throat
https://www.readbyqxmd.com/read/29298506/a-new-reversal-steps-stapedotomy
#4
Giuseppe Malafronte
OBJECTIVE: To evaluate whether removal of the stapes head and not the entire stapes superstructure prevents footplate complications. STUDY DESIGN: Prospective study. PATIENTS: One hundred and forty-five patients with otosclerosis were included. Patients were divided into 2 groups as follows: Individuals in group 1 (n = 75) underwent removal of the entire stapes superstructure; individuals in group 2 (n = 70) underwent removal of the stapes head only...
January 1, 2018: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/29279251/development-of-ear-asymmetry-in-the-american-barn-owl-tyto-furcata-pratincola
#5
Markus Krings, Laura Rosskamp, Hermann Wagner
Owls are known for their nocturnal hunting capability. Many owl species are able to localize prey in complete darkness just by hearing. Sound localization of strictly nocturnal owls is improved by asymmetrically arranged outer ears. According to Norberg (1977), who worked with adult owls, asymmetrical ears evolved at least four times independently among owls. What is unknown so far is how the ear asymmetry develops in the embryo. Here we examine the embryonic development of ear asymmetry in the American barn owl (Tyto furcata pratincola) in the frame of the 42 stages suggested by Köppl et al...
December 2, 2017: Zoology: Analysis of Complex Systems, ZACS
https://www.readbyqxmd.com/read/29277248/communication-pathways-to-and-from-the-inner-ear-and-their-contributions-to-drug-delivery
#6
REVIEW
Alec N Salt, Keiko Hirose
The environment of the inner ear is highly regulated in a manner that some solutes are permitted to enter while others are excluded or transported out. Drug therapies targeting the sensory and supporting cells of the auditory and vestibular systems require the agent to gain entry to the fluid spaces of the inner ear, perilymph or endolymph, which surround the sensory organs. Access to the inner ear fluids from the vasculature is limited by the blood-labyrinth barriers, which include the blood-perilymph and blood-strial barriers...
December 19, 2017: Hearing Research
https://www.readbyqxmd.com/read/29260778/-the-application-of-stapedoplasty-for-the-treatment-of-hearing-loss-in-the-patients-suffering-from-obliterative-otosclerosis
#7
A I Kryukov, E V Garov, E I Zelikovich, N G Sidorina, O V Fedorova, V N Zelenkova, A S Kaloshina, E E Zagorskaya, G V Kurilenkov, V E Kiselyus
This article presents the results of analysis of the data obtained during the examination and the surgical treatment of the patients presenting with the obliterative form of otosclerosis and suffering from hearing impairment with special reference to the intraoperative findings, technical aspects of stapedoplasty, and its effectiveness. A total of 14 patients (17 ears) were recruited for the participation in the present study including 10 women at the mean age of 38.8±6.2 years and 4 men (mean age 44.8±3...
2017: Vestnik Otorinolaringologii
https://www.readbyqxmd.com/read/29227983/bone-conducted-vestibular-evoked-myogenic-potentials-before-and-after-stapes-surgery
#8
Kazuyuki Akazawa, Shigeto Ohta, Kenzo Tsuzuki, Masafumi Sakagami
OBJECTIVE: To identify whether stapes surgery causes otolith dysfunction using bone-conducted vestibular-evoked myogenic potentials (VEMPs). STUDY DESIGN: Prospective study. SETTING: Hyogo College of Medicine Hospital. PATIENTS: Twenty primary ears (19 otosclerosis, 1 congenital stapes fixation) in 17 patients (2 men, 15 women; mean age 51 yr, range 20-68 yr) who had normal cervical VEMP (cVEMP) and ocular VEMP (oVEMP) results with bone-conducted stimulation were included...
January 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29214174/feasibility-of-round-window-stimulation-by-a-novel-electromagnetic-microactuator
#9
Wouter Johannes van Drunen, Mathias Mueller, Anatoly Glukhovskoy, Rolf Salcher, Marc Christopher Wurz, Thomas Lenarz, Hannes Maier
Introduction: Most implantable hearing aids currently available were developed to compensate the sensorineural hearing loss by driving middle ear structures (e.g., the ossicles). These devices are successfully used in round window (RW) stimulation clinically, although this was initially not the intended use. Here, a novel microactuator, specifically designed for RW stimulation, was tested in human temporal bones to determine actuator performance and applicability. Methods: Stapes footplate response to RW stimulation was determined experimentally in human temporal bones and the obtained sound pressure output level was estimated...
2017: BioMed Research International
https://www.readbyqxmd.com/read/29210944/stapes-release-in-tympanosclerosis
#10
Es-Hak Bedri, Nebiat Teferi, Miriam Redleaf
: Tympanosclerosis in the middle ear space is common in Ethiopia and often involves the ossicles and particularly the stapes. Ear operations in Ethiopia are relatively expensive in this country of limited medical resources and a low average living wage. In this setting, 2-stage operations using prostheses become prohibitively expensive. Therefore, the recommended 2-stage approach for tympanic membrane perforation with tympanosclerosis and stapes fixation is impractical for Ethiopia.We present a series of 67 patients who had a single stage tympanoplasty, removal of tympanosclerosis from the stapes suprastructure, and ossicular chain reconstruction using ossicular interposition...
November 28, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/29195482/the-effects-of-varying-tympanic-membrane-material-properties-on-human-middle-ear-sound-transmission-in-a-three-dimensional-finite-element-model
#11
Kevin N O'Connor, Hongxue Cai, Sunil Puria
An anatomically based three-dimensional finite-element human middle-ear (ME) model is used to test the sensitivity of ME sound transmission to tympanic-membrane (TM) material properties. The baseline properties produce responses comparable to published measurements of ear-canal input impedance and power reflectance, stapes velocity normalized by ear-canal pressure (PEC), and middle-ear pressure gain (MEG), i.e., cochlear-vestibule pressure (PV) normalized by PEC. The mass, Young's modulus (ETM), and shear modulus (GTM) of the TM are varied, independently and in combination, over a wide range of values, with soft and bony TM-annulus boundary conditions...
November 2017: Journal of the Acoustical Society of America
https://www.readbyqxmd.com/read/29190487/minimally-invasive-laser-vibrometry-mivib-with-a-floating-mass-transducer-a-new-method-for-objective-evaluation-of-the-middle-ear-demonstrated-on-stapes-fixation
#12
Jeremy Wales, Kilian Gladiné, Paul Van de Heyning, Vedat Topsakal, Magnus von Unge, Joris Dirckx
Ossicular fixation through otosclerosis, chronic otitis media and other pathologies, especially tympanosclerosis, are treated by surgery if hearing aids fail as an alternative. However, the best hearing outcome is often based on knowledge of the degree and location of the fixation. Objective methods to quantify the degree and position of the fixation are largely lacking. Laser vibrometry is a known method to detect ossicular fixation but clinical applicability remains limited. A new method, minimally invasive laser vibrometry (MIVIB), is presented to quantify ossicle mobility using laser vibrometry measurement through the ear canal after elevating the tympanic membrane, thus making the method feasible in minimally invasive explorative surgery...
November 20, 2017: Hearing Research
https://www.readbyqxmd.com/read/29188758/utility-of-intraoperative-computed-tomography-for-cochlear-implantation-in-patients-with-difficult-anatomy
#13
Christine S Kim, Alice Z Maxfield, David Foyt, Robert J Rapoport
OBJECTIVE AND IMPORTANCE: To describe cases that illustrate the utility of intraoperative computed tomography (CT) in cochlear implantation of patients with difficult temporal bone anatomy. CLINICAL PRESENTATION: A 2-year-old male with congenital X-linked stapes gusher syndrome and a 2-year-old female with enlarged vestibular aqueduct underwent successful cochlear implantation with the help of intraoperative CT. In the latter case, the initial intraoperative C-arm fluoroscopy suggested malposition of the electrode, however, was not able to provide details for adjustments...
November 30, 2017: Cochlear Implants International
https://www.readbyqxmd.com/read/29171673/does-the-diameter-of-the-stapes-prosthesis-really-matter-a-prospective-clinical-study
#14
Daniele Bernardeschi, Daniele De Seta, Giuseppina Canu, Francesca Yoshie Russo, Evelyne Ferrary, Ghizlene Lahlou, Olivier Sterkers
OBJECTIVES/HYPOTHESIS: To evaluate the influence of the diameter of stapes prosthesis on functional outcomes in stapes surgery. STUDY DESIGN: Prospective cohort study. METHODS: Fifty consecutive small fenestra stapedotomies performed using a 0.4-mm-diameter prosthesis were compared with 50 consecutive small fenestra stapedotomies carried out using a 0.6-mm-diameter piston. Audiological assessment following the recommendations of the Committee on Hearing and Equilibrium was performed 1 month after surgery...
November 24, 2017: Laryngoscope
https://www.readbyqxmd.com/read/29158536/validation-of-methods-for-prediction-of-clinical-output-levels-of-active-middle-ear-implants-from-measurements-in-human-cadaveric-ears
#15
Martin Grossöhmichen, Bernd Waldmann, Rolf Salcher, Nils Prenzler, Thomas Lenarz, Hannes Maier
Today, the standard method to predict output levels of active middle ear implants (AMEIs) before clinical data are available is stapes vibration measurement in human cadaveric ears, according to ASTM standard F2504-05. Although this procedure is well established, the validity of the predicted output levels has never been demonstrated clinically. Furthermore, this procedure requires a mobile and visually accessible stapes and an AMEI stimulating the ossicular chain. Thus, an alternative method is needed to quantify the output level of AMEIs in all other stimulation modes, e...
November 20, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29149722/effects-of-middle-ear-quasi-static-stiffness-on-sound-transmission-quantified-by-a-novel-3-axis-optical-force-sensor
#16
Ivo Dobrev, Jae Hoon Sim, Baktash Aqtashi, Alexander M Huber, Thomas Linder, Christof Röösli
BACKGROUND: Intra-operative quantification of the ossicle mobility could provide valuable feedback for the current status of the patient's conductive hearing. However, current methods for evaluation of middle ear mobility are mostly limited to the surgeon's subjective impression through manual palpation of the ossicles. This study investigates how middle ear transfer function is affected by stapes quasi-static stiffness of the ossicular chain. The stiffness of the middle ear is induced by a) using a novel fiber-optic 3-axis force sensor to quantify the quasi-static stiffness of the middle ear, and b) by artificial reduction of stapes mobility due to drying of the middle ear...
November 10, 2017: Hearing Research
https://www.readbyqxmd.com/read/29135864/patterns-of-extended-high-frequency-hearing-loss-following-stapes-surgery
#17
Melissa J Babbage, Greg A O'Beirne, Michael J Bergin, Philip A Bird
OBJECTIVE: Thresholds in the extended high-frequency (EHF) range (> 8 kHz) often worsen after otherwise successful stapedectomy. The aims of this study were to document the prevalence of hearing loss from 0.25 to 16 kHz after stapedectomy and the relative rates of transient and permanent EHF hearing loss. STUDY DESIGN: Prospective, observational, longitudinal. SETTING: Tertiary referral center. PATIENTS: Thirty-nine patients who underwent 44 primary or revision stapes surgeries...
December 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/29132143/a-jurassic-gliding-euharamiyidan-mammal-with-an-ear-of-five-auditory-bones
#18
Gang Han, Fangyuan Mao, Shundong Bi, Yuanqing Wang, Jin Meng
Gliding is a distinctive locomotion type that has been identified in only three mammal species from the Mesozoic era. Here we describe another Jurassic glider that belongs to the euharamiyidan mammals and shows hair details on its gliding membrane that are highly similar to those of extant gliding mammals. This species possesses a five-boned auditory apparatus consisting of the stapes, incus, malleus, ectotympanic and surangular, representing, to our knowledge, the earliest known definitive mammalian middle ear...
November 23, 2017: Nature
https://www.readbyqxmd.com/read/29130651/further-delineation-of-the-gdf6-related-multiple-synostoses-syndrome
#19
Paulien A Terhal, Nienke E Verbeek, Nine Knoers, Rutger J A J Nievelstein, Ans van den Ouweland, Ralph J Sakkers, Lucienne Speleman, Gijs van Haaften
A mutation in GDF6 was recently found to underlie a multiple synostoses syndrome. In this report, we describe the second family with GDF6-related multiple synostoses syndrome (SYNS4), caused by a novel c.1287C>A/p.Ser429Arg mutation in GDF6. In addition to synostoses of carpal and/or tarsal bones, at least 6 of 10 affected patients in this family have been diagnosed with mild to moderate hearing loss. In four of them otosclerosis was said to be present, one patient had hearing loss due to severe stapes fixation at the age of 6 years, providing evidence that hearing loss in the GDF6-related multiple synostoses syndrome can be present in childhood...
January 2018: American Journal of Medical Genetics. Part A
https://www.readbyqxmd.com/read/29116963/an-objective-method-to-determine-the-electrically-evoked-stapedius-reflex-threshold-during-cochlea-implantation
#20
Bernhard G Weiss, Friederike Söchting, Mattis Bertlich, Martin Busch, Jenny Blum, Friedrich Ihler, Martin Canis
OBJECTIVE: In cochlea implantation, assessment of the electrically evoked stapedius reflex threshold (eSRT) provides information for postoperative adjustment of the speech processor. This is used to prevent undesired overstimulation. To this day, the reflex is visually identified by the surgeon. However, this method may be prone to error due to ventilation-associated situs excursions, blinking, or other distractions. Therefore, the aim of this study was to establish an objective and automatized method to determine the eSRT...
November 7, 2017: Otology & Neurotology
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