How Do We Know That Our Patients Have Benefitted From Our ENT/Audiological Interventions? Presented at the Annual Meeting of ADANO 2016 in Berlin
This short review article gives an introduction to some of the fundamental concepts and challenges facing measurement in hearing healthcare practice and research. The impact of hearing loss almost always extends beyond the sensory impairment itself, even when the measured degree of audiometric loss is mild. Yet, going beyond audibility, into the realm of measuring impact, takes us into a much more complex and less well-defined space. How does one therefore best measure the therapeutic benefit for evaluating efficacy or for clinical practice audit? Three case studies illustrate approaches to overcome such challenges. Each e...
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: HIGHLIGHTS FROM THE 2016 ANNUAL MEETING OF THE GERMAN AUDIOLOGY & NEUROTOLOGY GROUP (ADANO) IN BERLIN Source Type: research

Association Between Stress and Tinnitus—New Aspects
This contribution focuses on the relationship between stress and tinnitus. While the causal and directional pathways between these constructs continue to remain unclear, this paper uses an allostasis-based framework to discuss associations between physiological stress responses, individuals’ idiosyncratic experiences of the tinnitus percept, and psychological treatment approaches. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: HIGHLIGHTS FROM THE 2016 ANNUAL MEETING OF THE GERMAN AUDIOLOGY & NEUROTOLOGY GROUP (ADANO) IN BERLIN Source Type: research

Cochlear Implantation in Patients With Single-sided Deafness After the Translabyrinthine Resection of the Vestibular Schwannoma—Presented at the Annual Meeting of ADANO 2016 in Berlin
Conclusions: Under certain conditions, CI was an effective solution to restore hearing in patients with SSD following translabyrinthine access to the skull base. Study with prospective design is required to provide more significant results. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: HIGHLIGHTS FROM THE 2016 ANNUAL MEETING OF THE GERMAN AUDIOLOGY & NEUROTOLOGY GROUP (ADANO) IN BERLIN Source Type: research

Pediatric Bilateral Cochlear Implantation: Simultaneous Versus Sequential Surgery
Conclusions: Simultaneous bilateral surgery is a safe option of pediatric cochlear implantation. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: HIGHLIGHTS FROM THE 2016 ANNUAL MEETING OF THE GERMAN AUDIOLOGY & NEUROTOLOGY GROUP (ADANO) IN BERLIN Source Type: research

Age-Dependent Psychological Factors Influencing the Outcome of Cochlear Implantation in Elderly Patients
Conclusion: In elderly patients, the outcome of CI depends on their psychological status. Differences found between the age groups imply a need for an age-group targeted psychological counselling, which might further improve outcome of CI. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: HIGHLIGHTS FROM THE 2016 ANNUAL MEETING OF THE GERMAN AUDIOLOGY & NEUROTOLOGY GROUP (ADANO) IN BERLIN Source Type: research

Long-term Benefit of Unilateral Cochlear Implantation on Quality of Life and Speech Perception in Bilaterally Deafened Patients
Conclusion: This is the first prospective study to show results in regard to speech perception and HRQoL and their correlation during a 2-year follow-up after unilateral CI in bilaterally deafened patients. Our results for speech perception and HRQoL showed a significant improvement during the 6-month follow-up that remained stable thereafter during a 24-month follow-up, even after finishing the hearing rehabilitation program. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: HIGHLIGHTS FROM THE 2016 ANNUAL MEETING OF THE GERMAN AUDIOLOGY & NEUROTOLOGY GROUP (ADANO) IN BERLIN Source Type: research

Changes of Electrocochleographic Responses During Cochlear Implantation Presented at the Annual Meeting of ADANO 2016 in Berlin
Conclusion: Pressure changes inside the cochlea can lead to an increase of ECoG signals after opening the cochlea. If detectable, then a decrease of ECoG signals occurs during the second half of the insertion of the CI electrode array and continues in the earliest phase after completed insertion. These findings suggest that cochlear trauma occurs toward the end of the insertion and that trauma-dependent postoperative mechanisms contribute to postoperative hearing loss. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: HIGHLIGHTS FROM THE 2016 ANNUAL MEETING OF THE GERMAN AUDIOLOGY & NEUROTOLOGY GROUP (ADANO) IN BERLIN Source Type: research

The Obliteration of Noncritical Size Bone Defects With Bone Dust or Bone Replacement Material (Bioactive Glass S53P4)
Conclusion: BD and BA seemed to be suitable bone replacement materials for obliteration techniques because they completely filled the defects. Thus, BD harvested under standardized conditions provided a higher level of osteoreparation potential for the generation of woven bone and establishment of defect bridges. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: HIGHLIGHTS FROM THE 2016 ANNUAL MEETING OF THE GERMAN AUDIOLOGY & NEUROTOLOGY GROUP (ADANO) IN BERLIN Source Type: research

Superior Canal Dehiscence Syndrome: Relating Clinical Findings With Vestibular Neural Responses From a Guinea Pig Model
Conclusions: Stimulus-locked activation of irregular SC neurons by ACS and BCV is the neurophysiological basis for sound- and vibration-induced vertigo/nystagmus and increased VEMP amplitudes in SCD. The results of the present study help to improve vestibular diagnostics in patients with suspected SCD. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: HIGHLIGHTS FROM THE 2016 ANNUAL MEETING OF THE GERMAN AUDIOLOGY & NEUROTOLOGY GROUP (ADANO) IN BERLIN Source Type: research

Special Issue of Audiology and Neurotology: Annual Autumn Meeting of the German Audiology & Neurotology Group (ADANO), Berlin October 19th to 20th, 2016
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: HIGHLIGHTS FROM THE 2016 ANNUAL MEETING OF THE GERMAN AUDIOLOGY & NEUROTOLOGY GROUP (ADANO) IN BERLIN Source Type: research

American Neurotology Society Preliminary Program
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: ANNOUNCEMENTS Source Type: research

American Otological Society Preliminary Program
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: ANNOUNCEMENTS Source Type: research

Comments on “hearing restoration in cochlear nerve deficiency: the choice between cochlear implant or auditory brainstem implant, a meta-analysis”
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: LETTER TO THE EDITOR Source Type: research

Superior Canal Dehiscence Surgery Outcomes Following Failed Round Window Surgery
Conclusion: Middle fossa craniotomy and SCD occlusion is a safe and reasonable option for patients who fail RW surgery. Our cohort did not show increased risks of auditory or vestibular dysfunction. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: MEDICAL NEUROTOLOGY Source Type: research

Measuring Mental Stress During Otologic Surgery Using Heart Rate Variability Analysis
Conclusions: Decreased HRV and increased sympathetic tone were observed intraoperatively, indicating high levels of mental stress, particularly with FN dissection. Similar changes were not found during cadaveric dissections. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: BASIC SCIENCE Source Type: research

For Whom the Bell's Toll: Recurrent Facial Nerve Paralysis, A Retrospective Study and Systematic Review of the Literature
Conclusion: Recurrent facial nerve paralysis is uncommon and few studies have evaluated this unique population. Recurrent ipsilateral and contralateral episodes are most commonly attributed to idiopathic facial nerve paralysis (i.e., Bell's palsy); however, a subset harbor neoplastic causes or local manifestations of underlying systemic disease. A comprehensive diagnostic evaluation is warranted in patients presenting with recurrent facial nerve paralysis and therapeutic considerations including facial nerve decompression can be considered in select cases. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: FACIAL NERVE Source Type: research

Iatrogenic Inner Ear Dehiscence After Lateral Skull Base Surgery: Therapeutic Dilemma and Treatment Options
Conclusions: Iatrogenic inner ear dehiscence after skull base surgery is best dealt with and repaired intraoperatively. Should intraoperative repair not be possible, transcanal round window reinforcement is a minimally invasive option for medial otic capsule dehiscence, although long-term outcomes are unclear. For lateral otic capsule dehiscence, a transmastoid approach is recommended. Level of Evidence: IV (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

Video Head Impulse Test in Vestibular Schwannoma: Relevance of Size and Cystic Component on Vestibular Impairment
Objectives: Tumor factors that influence vestibular function in vestibular schwannoma (VS) have not been properly described. We evaluated whether cystic VSs have different vestibular function than solid VS. Tumor size on vestibular function was also evaluated. Study Design: Cross-sectional study. Setting: Tertiary referral center. Patients: Forty-one cases of sporadic, untreated VS. Intervention: Evaluation with video head impulse test and MRI. Main Outcome Measures: Tumors were classified as solid, heterogeneous, or cystic and by size using the Hannover classification. Vestibulo-ocular reflex (VOR) gain w...
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

Influence of Selection Bias in Survey Studies Derived From a Patient-Focused Organization: A Comparison of Response Data From a Single Tertiary Care Center and the Acoustic Neuroma Association
Background: The Acoustic Neuroma Association (ANA) is a national, nonprofit organization, focused on the education and support of patients with vestibular schwannoma (VS). The aim of the present study is to characterize the profile of ANA survey respondents and compare them with non-ANA patients evaluated at a single tertiary academic referral center to investigate the potential influence of selection bias. Methods: A prospectively maintained VS quality-of-life (QOL) database, comprised of patients evaluated at the authors’ center and members of the ANA, was queried. Demographic variables, patient-reported sympt...
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

Direction-Changing Positional Nystagmus in Acute Otitis Media Complicated by Serous Labyrinthitis: New Insights into Positional Nystagmus
Conclusions: In AOM complicated by serous labyrinthitis, density of perilymph may increase due to direct penetration of cytokines and other inflammatory mediators from the middle ear into perilymph and breakdown of blood–labyrinth barrier that causes vascular leakage of serum albumin into perilymph. The density difference between perilymph and endolymph makes the semicircular canal gravity sensitive. A buoyant force is also generated by gravity, causing indentation of endolymphatic membrane in the ampulla and cupula displacement. Thus, at the early stage of serous labyrinthitis, a head-roll test may elicit persiste...
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: VESTIBULAR DISORDERS Source Type: research

Sitting Up Vertigo. Proposed Variant of Posterior Canal Benign Paroxysmal Positional Vertigo
Conclusion: We propose a P-SCC canalolithiasis limited to the periampullar portion by means of an anatomical restriction of distal movement of the otoconial debris. This syndrome seems to be more frequent early after CRM of classical P-SCC canalolithiasis. Close attention to ocular movement on sitting up after DH on patients is warranted. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: VESTIBULAR DISORDERS Source Type: research

Long-Term Follow-Up of Intratympanic Methylprednisolone Versus Gentamicin in Patients With Unilateral Menière's Disease
Objectives: To determine whether long term (>48 months) symptomatic vertigo control is sustained in patients with Menière's disease from a previous comparative trial of intratympanic methylprednisolone versus gentamicin, and if the two treatments remain nonsignificantly different at long-term follow-up. Study Design: Mail survey recording vertigo frequency in the previous one and six months, further intratympanic treatment received, and validated symptom questionnaires. Setting: Outpatient hospital clinic setting. Patients: Adult patients with definite unilateral refractory Menière's disease, wh...
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: VESTIBULAR DISORDERS Source Type: research

Width of Patulous Eustachian Tube: Comparison of Assessment by Sonotubometry and Tubo-tympano-aerography
Objective: To assess the accuracy of tubo-tympano-aerodynamic-graphy (TTAG) in the estimation of morphological severity of patulous Eustachian tube (PET), and to compare the results with that of sonotubometry in clinical cases and in model experiments. Study Design: Retrospective chart review and model experiment. Setting: Tertiary referral center. Subjects: A retrospective survey of medical records in Sen-En Rifu Hospital identified 26 patients (12 men and 14 women subjects aged 14–78 yr, average 49.4 ± 20.9 yr), comprising of 35 ears with PET. A definite diagnosis of PET was made for all patie...
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: MIDDLE EAR AND MASTOID DISEASE Source Type: research

The Prevalence of Superior Semicircular Canal Dehiscence in Patients With Mastoid Encephalocele or Cerebrospinal Fluid Otorrhea
Objective: To evaluate the association between mastoid encephalocele or cerebrospinal fluid (CSF) otorrhea and concurrent superior semicircular canal dehiscence (SSCD). Study Design: Retrospective case-control study with chart and imaging review. Setting: University-affiliated tertiary referral center. Patients: A chart review was conducted of all patients greater than 18 years of age who had primary surgery for CSF otorrhea or encephalocele at our university-affiliated tertiary center from 2000 to 2016. Eighty-three patients matched inclusion criteria for case subjects, and 100 patients without CSF otorrhea or ...
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: MIDDLE EAR AND MASTOID DISEASE Source Type: research

Association of Tympanostomy Tubes With Future Risk of Advanced Ear Surgery—A Population Study
Objective: To investigate future surgery for chronic ear disease in children who underwent tympanostomy tube (TT) placement, compared with non-surgically treated patients and healthy controls. Study Design: Retrospective population-based cohort study. Setting: All hospitals in the Canadian province of Ontario. Patients/Intervention: Of children aged 18 years and younger, three cohorts were constructed: 1) TT: patients who had undergone at least one TT procedure (n = 193,880), 2) No-TT: patients with recurrent physician visits for middle ear concerns who did not undergo TT (n = 203,283), and 3) Control: a...
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: MIDDLE EAR AND MASTOID DISEASE Source Type: research

Risk Factors Associated With Mortality in Patients With Otogenic Brain Abscess
Conclusion: Older age and Black race were associated with increased odds of inpatient mortality and there were no significant differences in mortality between mastoidectomy cohorts. This research serves to generate further hypotheses for larger observational studies to investigate the association between sociodemographic factors and surgical variables with outcomes among this surgical population. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: MIDDLE EAR AND MASTOID DISEASE Source Type: research

Cochlear Implantation in Patients With Neurofibromatosis Type 2
Conclusions: CI is an effective option for rehabilitating hearing loss in patients with NF2; however, patients with normal contralateral hearing or poor follow-up do not perform as well. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Preservation of Residual Hearing After Cochlear Implant Surgery With Deep Insertion Electrode Arrays
Conclusion: If the appropriate technique is used, preservation of RH is feasible after cochlear implant surgery with deep insertion electrode arrays. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

First Implant-Induced Changes in Rostral Brainstem Impair Second Implant Outcomes in Sequential Bilateral Cochlear Implant Children With Long Inter-Implant Delay
Conclusions: In this population, long-term unilateral CI use induced re-organization of the rostral brainstem innervating the second ear, which affected hearing outcomes using the CI2. Evaluation of eIII-eV slopes at the second implantation may be useful to predict hearing outcomes with CI2. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Assessment of Cochlear Implant Revision Surgeries in a Cohort of 802 Patients
Conclusion: Device failure seems the most common cause of revision. The revision surgeries are usually safe and help to resolve the problem although flap problems are the most difficult to treat and may necessitate multiple revision surgeries. The device failure rate may reach to a plateau after 6 years. Overall CI survival rate exceeds 90% in 10 years period, and then remains stable. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Safety and Effectiveness of Cochlear Implantation of Young Children, Including Those With Complicating Conditions
Conclusions: Implantation of children under 37 months of age can be done safely, including those below age 12 mos. Implantation below 12 mos is positively associated with earlier open-set ability and oral-only communication. Children implanted after age 24 months were much less likely to use oral communication exclusively, especially those with complex medical history or additional conditions associated with language delay. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Surgical Outcomes on Hearing and Vestibular Symptoms in Barotraumatic Perilymphatic Fistula
Conclusions: Surgical sealing of both windows in suspected barotraumatic PLF is an effective treatment to improve hearing and subjective dizziness. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: SENSORINEURAL HEARING LOSS AND TINNITUS Source Type: research

Sudden Sensorineural Hearing Loss in Children: Clinical Characteristics, Etiology, Treatment Outcomes, and Prognostic Factors
Objective: To investigate the clinical characteristics, etiology, treatment outcomes, and prognostic factors of sudden sensorineural hearing loss (SSNHL) in children to guide the clinical diagnosis and treatment of SSNHL in the pediatric population. Study Design: Retrospective case review. Setting: Tertiary referral center. Patients: Patients diagnosed with SSNHL from November 2011 to December 2017 with relatively complete clinical data. Intervention: Diagnosis and systemic treatment of SSNHL. Main Outcome Measures: Patients’ clinical characteristics, etiology, laboratory tests, imaging, pure-tone au...
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: SENSORINEURAL HEARING LOSS AND TINNITUS Source Type: research

Optical Coherence Tomography Doppler Vibrometry Measurement of Stapes Vibration in Patients With Stapes Fixation and Normal Controls
Conclusions: OCT-DV is a promising tool for preoperatively assessing ossicular mobility non-invasively in the clinic. Our results suggest OCT-DV may also be useful in discriminating other ossicular pathologies that result in conductive hearing loss. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: OTOSCLEROSIS Source Type: research

Clinical Features of Ears With Otosclerosis and Endolymphatic Hydrops
Conclusion: EH was frequently present in ears with otosclerosis, especially those with severe hearing loss or advanced disease on CT. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: OTOSCLEROSIS Source Type: research

Risk Factors for Tinnitus in 37,692 Patients Followed in General Practices in Germany
Conclusions: Tinnitus was associated with a wide range of conditions, in particular disorders of the ear. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: AUDIOLOGY Source Type: research

Efficacy of Auditory Implants for Patients With Conductive and Mixed Hearing Loss Depends on Implant Center
Conclusion: Large variations in reported results were found, which primarily depended on implant center. Based on the analyses, a pragmatic fitting procedure is proposed which should minimize the differences between implant centres. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: AUDIOLOGY Source Type: research

Determining the Sample Size for Future Trials of Hearing Instruments for Unilaterally Deaf Adults: An Application of Network Meta-analysis
Conclusions: The incorporation of indirect evidence had substantial impacts on some effect sizes but negligible impacts on other effects. The most notable impacts were on self-reported listening ability and measures of speech perception in noise. Changes in effect size estimates and required sample sizes resulting from the incorporation of indirect evidence highlight areas of uncertainty where trials may be feasible to conduct. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: RESEARCH METHODOLOGY Source Type: research

The Clinical Outcomes After Intratympanic Gentamicin Injection to Treat Menière's Disease: A Meta-analysis
Conclusion: Overall, our results seem to provide the limited evidence about efficacy and toxicity effects of ITG. However, clinical outcomes require further confirmation; many included studies were poorly designed, less than 2 years for reporting results in MD are in the majority of patients. More long-term prospective follow-up, high-quality, large-scale, randomized controlled trials are needed to confirm that ITG is safe and effective when used to treat intractable MD. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 19, 2019 Category: ENT & OMF Tags: REVIEW ARTICLE Source Type: research

Modified-Power-Piston: Short-Incudial-Process-Vibroplasty and Simultaneous Stapedotomy in Otosclerosis
Conclusion: In otosclerosis with MHL and limited satisfaction with HA, mPP appeared as safe and effective as SDT and may be considered a treatment alternative in these patients. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 1, 2019 Category: ENT & OMF Tags: AUDIOLOGY Source Type: research

Longitudinal Analysis of “Window Shade” Tympanoplasty Outcomes for Anterior Marginal Tympanic Membrane Perforations
Conclusions: The results of this study further reinforce the success of the window shade technique in repairing anterior marginal tympanic membrane perforations. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 1, 2019 Category: ENT & OMF Tags: RESEARCH METHODOLOGY Source Type: research

Phosphodiesterase-5 (PDE-5) Inhibitors and Ototoxicity: A Systematic Review
Conclusions: Currently, the literature is inconclusive regarding the interaction between PDE-5 inhibitor use and ototoxicity. Future study such as a double-blinded placebo controlled randomized trial with audiometric assessment would provide more sound evidence. Similarly, a unified molecular model is necessary. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 1, 2019 Category: ENT & OMF Tags: REVIEW ARTICLE Source Type: research

Impact of Medicaid on Cochlear Implant Access
Conclusions: The intent of the 1989 legislative changes in Medicaid was to ensure that children received appropriate healthcare services wherever they lived in the country. What has transpired over the years, vis-à-vis CI, is a Medicaid system that varies depending upon the state's individual rules. (Source: Otology and Neurotology)
Source: Otology and Neurotology - February 13, 2019 Category: ENT & OMF Tags: HIGHLIGHTS FROM THE ACIA 15TH SYMPOSIUM ON COCHLEAR IMPLANTS IN CHILDREN IN SAN FRANCISCO Source Type: research

Individual Hearing Preservation Cochlear Implantation Using the Concept of Partial Insertion
Conclusion: First results of patients treated with partially inserted atraumatic lateral wall electrodes show good hearing preservation rates and very good speech perception results in EAS. Partial insertion appears to be a method for an individualized cochlea implantation. In case of postoperative hearing loss the electrode can be further inserted, so the patients can benefit from deeper insertion using electric stimulation only equivalent to larger electrodes. (Source: Otology and Neurotology)
Source: Otology and Neurotology - February 13, 2019 Category: ENT & OMF Tags: HIGHLIGHTS FROM THE ACIA 15TH SYMPOSIUM ON COCHLEAR IMPLANTS IN CHILDREN IN SAN FRANCISCO Source Type: research

Training of Speech Perception in Noise in Pre-Lingual Hearing Impaired Adults With Cochlear Implants Compared With Normal Hearing Adults
Conclusions: The present study is the first to demonstrate the course of learning and improvements in SRTn following training speech perception in noise in CI users with prelingual hearing loss. (Source: Otology and Neurotology)
Source: Otology and Neurotology - February 13, 2019 Category: ENT & OMF Tags: HIGHLIGHTS FROM THE ACIA 15TH SYMPOSIUM ON COCHLEAR IMPLANTS IN CHILDREN IN SAN FRANCISCO Source Type: research

Temporal Modulation Detection in Children and Adults With Cochlear Implants: Initial Results
Conclusions: Early implanted children whose auditory systems develop in response to electric stimulation demonstrate better temporal resolving abilities than postlingually deafened adult CI users. This finding provides evidence to suggest that early implanted children might benefit from sound coding strategies emphasizing temporal information. (Source: Otology and Neurotology)
Source: Otology and Neurotology - February 13, 2019 Category: ENT & OMF Tags: HIGHLIGHTS FROM THE ACIA 15TH SYMPOSIUM ON COCHLEAR IMPLANTS IN CHILDREN IN SAN FRANCISCO Source Type: research

Surgical Experience and Early Outcomes With a Slim Perimodiolar Electrode
Conclusions: Speech perception outcomes with the CI532 slim periomodiolar array are similar to other full length arrays with the added potential for at least short term preservation of residual acoustic hearing. There is a learning curve to its use and intraoperative x-rays are valuable to ensure optimal placement. (Source: Otology and Neurotology)
Source: Otology and Neurotology - February 13, 2019 Category: ENT & OMF Tags: HIGHLIGHTS FROM THE ACIA 15TH SYMPOSIUM ON COCHLEAR IMPLANTS IN CHILDREN IN SAN FRANCISCO Source Type: research

Comparison of Skull Radiograph and Computed Tomography Measurements of Cochlear Implant Insertion Angles
Conclusion: Based on this cadaveric temporal bone model, both radiographs and CTs can provide reasonably accurate aDOI measurements. In this small sample, and as expected, the CT-based estimates were more accurate than the radiograph-based measurements. However, the difference was small and not statistically significant. Thus, the use of plain radiographs to calculate aDOI seems judicious whenever it is desired to prevent unnecessary radiation exposure and expense. (Source: Otology and Neurotology)
Source: Otology and Neurotology - February 13, 2019 Category: ENT & OMF Tags: HIGHLIGHTS FROM THE ACIA 15TH SYMPOSIUM ON COCHLEAR IMPLANTS IN CHILDREN IN SAN FRANCISCO Source Type: research

Beyond Technology: The Interaction of Perceptual Accuracy and Experiential Factors in Pediatric Music Engagement
Conclusion: Better pitch perception was associated with sustained involvement in music lessons as well as better speech perception. However, familial involvement in music was of greater impact for sustained music engagement. Judicious choice of musical instrument also influenced persistence. The positive impact of familial involvement indicates that perceptual limitations associated with CI processing do not present insurmountable barriers to music engagement. Because music engagement provides normalizing social involvement and challenging auditory practice, the impact of parental involvement has implications for counsel...
Source: Otology and Neurotology - February 13, 2019 Category: ENT & OMF Tags: HIGHLIGHTS FROM THE ACIA 15TH SYMPOSIUM ON COCHLEAR IMPLANTS IN CHILDREN IN SAN FRANCISCO Source Type: research

Hybrid Music Perception Outcomes: Implications for Melody and Timbre Recognition in Cochlear Implant Recipients
Conclusion: Recipients of hybrid cochlear implants demonstrate music perception abilities superior to those observed in traditional cochlear implant recipients. Results from the present study support the notion that electric–acoustic stimulation confers advantages related to the availability of low-frequency acoustic hearing, most particularly for melody recognition. However, timbre recognition remains more limited for both hybrid and traditional cochlear implant users. Opportunities remain for new coding strategies to improve timbre perception. (Source: Otology and Neurotology)
Source: Otology and Neurotology - February 13, 2019 Category: ENT & OMF Tags: HIGHLIGHTS FROM THE ACIA 15TH SYMPOSIUM ON COCHLEAR IMPLANTS IN CHILDREN IN SAN FRANCISCO Source Type: research