A Novel Surgical Technique for the Management of Cerebrospinal Fluid Gusher Encountered During Cochlear Implantation
We describe a novel and simple technique using a fascia ring placed around the cochlear implantation electrode (Cochlear Corporation, CI522) as a means to treat CSF gusher. The fascia is slid down the electrode after insertion, allowing circumferential coverage of the defect. The following video will provide an overview of patients at risk for CSF gusher and demonstrate the technique described above. SDC video link: http://links.lww.com/MAO/B52. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: VIDEO REPORT Source Type: research

Visualizing Affected Nerve Bundles of Cranial Nerves VII and VIII in Herpes Zoster Oticus
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: IMAGING CASE OF THE MONTH Source Type: research

Beethoven: His Hearing Loss and His Hearing Aids
To celebrate the 250th anniversary of the birth of the great classical composer, Ludwig van Beethoven (1770–1827), we point out how his hearing loss affected him and how the primitive hearing aids at that time helped mitigate his hearing loss. From the age of 26, Beethoven began to suffer from a fluctuating, progressive hearing loss (“my hearing grew worse and worse”), This started in his left ear (“in my left ear, with which this illness of my ears had started”), where he had difficulty hearing higher pitched tones (“I don’t hear the high notes of the instruments and voices”...
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: HISTORY OF OTOLOGY Source Type: research

Fluctuations in Subjective Tinnitus Ratings Over Time: Implications for Clinical Research
Conclusions: Tinnitus self-report is inherently variable but can converge on reliable values with extended testing. Repeated, self-directed tinnitus assessments may have implications for identifying malingerers. Further, these findings suggest that extending the baseline phase of tinnitus characterizations will increase the statistical power for future studies focused on tinnitus interventions. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: MEDICAL NEUROTOLOGY Source Type: research

Cochlear Implantation in Patients With Menière's Disease: Does Disease Activity Affect the Outcome?
Conclusions: CI provides greater gains in functional hearing for patients with MD compared with age-matched controls. Patients with active MD seem to perform better with respect to SRS following CI than patients with inactive status. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: MEDICAL NEUROTOLOGY Source Type: research

Consequences of Mastoidectomy on Bone Conducted Sound Based on Simulations in a Whole Human Head
Conclusion: A mastoidectomy surgery increases the vibration at both cochleae for BC stimulation and the increase generally improved with frequency. Obliteration of the surgical cavity does not influence BC sound transmission. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: BASIC SCIENCE Source Type: research

Immune Response of Macrophage Population to Cochlear Implantation: Cochlea Immune Cells
Conclusion: Multiple populations of macrophages exist within the cochlea which are present at baseline and in response to trauma from CI. These results further support evidence for a macrophage response to cochlear implantation. Further studies are indicated to evaluate whether these macrophages have a beneficial, detrimental, or a mixed effect in CI patients. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: BASIC SCIENCE Source Type: research

Validation and Precision of Mixed Reality Technology in Baha Attract Implant Surgery
Conclusions: Applying MR technology in the form of the HoloLens in Baha Attract implant surgery is feasible and could improve the accuracy of the surgery. The described MR system for Baha Attract implantation has the potential to improve the surgeon's confidence, as well as the surgical safety, efficiency, and precision. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: BASIC SCIENCE Source Type: research

Early Experience With Telemedicine in Patients Undergoing Otologic/Neurotologic Procedures
Conclusion: Our preliminary experience suggests telemedicine may be used safely in caring for patients after otologic/neurotologic surgery, though it may be associated with more patient phone calls. Further study and experience, including assessing patient satisfaction, will clarify the future role of telemedicine in otology and neurotology. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

Natural History of Growing Sporadic Vestibular Schwannomas: An Argument for Continued Observation Despite Documented Growth in Select Cases
Conclusions: In a cohort exclusively comprised of sporadic VS with documented growth, over 40% of tumors demonstrated no subsequent volumetric growth after 5 years of continued MRI surveillance. These data challenge the supposition that once growth occurs, all tumors will exhibit sustained growth. Continued observation after documented growth of sporadic VS is a reasonable consideration in appropriately selected cases. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

Effect of Vestibular Schwannoma Size and Nerve of Origin on Posterior External Auditory Canal Sensation: A Prospective Observational Study
Conclusion: Neurological exam findings may be overlooked in the workup of brain tumors. Posterior EAC hypesthesia is a predictor of tumor size and superior vestibular nerve origin. These findings may have implications for patient selection, particularly with the middle cranial fossa approach. Furthermore, given this relationship with tumor size, this clinical biomarker should be studied as a potential predictor of tumor growth. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

Inner Ear Enhancement With Delayed 3D-FLAIR MRI Imaging in Vestibular Schwannoma
Conclusion: Ears with VS exhibited increased enhancement on delayed 3D FLAIR imaging. These findings suggest that alterations in blood–labyrinth barrier permeability may explain progressive sensorineural hearing loss in a subset of patients with untreated VS. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

Simultaneous Vestibular Schwannoma Resection and Cochlear Implantation Using Electrically Evoked Auditory Brainstem Response Audiometry for Decision-making
Conclusions: Simultaneous translabyrinthine vestibular schwannoma resection and cochlear implantation with intraoperative electrically evoked auditory brainstem response measurements is a feasible and promising option for sporadic vestibular schwannoma patients. Preservation of electrically evoked auditory brainstem responses seems to predict good subsequent hearing outcomes. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

Laterality of Audiovestibular Symptoms Predicts Laterality of Endolymphatic Hydrops in Hydropic Ear Disease (Menière)
Conclusion: In summary, in this study population the degree of low-frequency hearing loss (250 Hz–1 kHz) in combination with auditory symptoms during attacks identified the ear with the greater extent of endolymphatic hydrops in all patients. In conclusion, intratympanic contrast application to the index ear seems to be sufficient to confirm the diagnosis of HED (Menière) on MR imaging. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: VESTIBULAR DISORDERS Source Type: research

Evidence of Large Vestibulo-Ocular Reflex Reduction in Patients With Menière Attacks
Objective: To examine the high frequency horizontal vestibular ocular-reflex (hVOR) during acute attacks of vertigo in Menière's disease (MD). Study Design: Retrospective case series and literature review. Setting: Tertiary academic medical center. Patients: Patients with clinical diagnosis of unilateral “definite MD.” Intervention: Review of medical records. Main Outcome Measures: Spontaneous nystagmus and the dynamic hVOR gain change at different stages of an acute episode of MD attack. Results: We studied 10 vertigo attacks during the unique stages of the episode. During the acme s...
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: VESTIBULAR DISORDERS Source Type: research

Clinical Balance Testing to Screen for Patients With Vestibular Disorders: A Retrospective Case-control Study
Objective: Identify clinical screening tests to proficiently screen for patients with vestibular disorders. Study design: Retrospective case-control study. Setting: Tertiary referral center. Patients: 318 healthy individuals and 331 subjects with vestibular disorders. Interventions: All subjects performed Romberg and Jendrassic maneuver with eyes closed (ROMJec), standing on foam with eyes open (SOFeo) and eyes closed (SOFec), Tandem Romberg with eyes open (TReo) and eyes closed (TRec), single leg stance with eyes open (SLSeo) and eyes closed (SLSec), Tandem gait (TG) and Timed Up and Go (TUG). Main outcome ...
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: VESTIBULAR DISORDERS Source Type: research

Multicenter Clinical Investigation of a New Active Osseointegrated Steady-State Implant System
Discussion: The results confirmed the clinical safety, performance, and benefit of this new treatment modality for subjects with CHL, MHL, and SSD. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: PROSTHETIC DEVICES Source Type: research

Malformations Associated With Pediatric Congenital Cholesteatomas
Objective: To describe malformations associated with pediatric congenital cholesteatomas of the middle ear. Study Design: Retrospective study. Setting: Tertiary referral center. Patients: One hundred and seventy-three cases of middle ear congenital cholesteatoma (CC) in 171 children operated between 2007 and 2017. Interventions: Demographic, clinical, and surgical data were collected from operative reports. Main Outcome Measures: We first described the type and rate of malformations associated with CC. Secondly, we compared cholesteatoma features in two subgroups: anterior superior (AS) versus posterior su...
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: PEDIATRIC OTOLOGY Source Type: research

Etiological Work-up in Referrals From Neonatal Hearing Screening: 20 Years of Experience
Conclusion: Implementation of targeted next-generation sequencing in the etiological work-up improves the diagnostic yield in congenital SNHL, leaving only about 20% of bilateral and 30% of unilateral cases unsolved. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: PEDIATRIC OTOLOGY Source Type: research

Correlation of Radiologic Versus Endoscopic Visualization of the Middle Ear: Implications for Endoscopic Ear Surgery
Objectives: To determine the limits of visualization during transcanal endoscopic ear surgery (EES) by correlating the relationship between radiologic and endoscopic anatomy using angled optics. Methods: Radiology and endoscopic visualization of tensor fold, protympanum, facial sinus (FS), sinus tympani (ST), subtympanic sinus (STS), hypotympanum, and aditus ad antrum were analyzed using a transcanal approach in 30 human temporal bones specimens with different angled endoscopes (0 degree, 45 degrees, 70 degrees) to check for the full visualization of these regions. High-resolution computed tomography (CT) was performe...
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: MIDDLE EAR AND MASTOID DISEASE Source Type: research

Demonstration and Mitigation of Aerosol and Particle Dispersion During Mastoidectomy Relevant to the COVID-19 Era
Conclusions: Mastoidectomy with a high-speed drill is an aerosol-generating procedure, a designation that connotes the potential high risk of viral transmission and need for higher levels of personal protective equipment. A simple barrier drape significantly reduced particulate dispersion in this study and could be an effective mitigation strategy in addition to appropriate personal protective equipment. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: MIDDLE EAR AND MASTOID DISEASE Source Type: research

Comparing Cochlear Duct Lengths Between CT and MR Images Using an Otological Surgical Planning Software
Conclusion: We demonstrate that a validated otological surgical planning software for estimating the CDL preoperatively had comparable performance using MRI scans versus the gold-standard CT scans. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Are There Real-world Benefits to Bimodal Listening?
Conclusions: Findings provide evidence that bimodal listeners demonstrate stronger environmental sound recognition compared with unilateral CI listeners, and support the idea that there are additional advantages to bimodal listening after implantation other than speech recognition measures, which are at risk of being lost if considering bilateral implantation. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Cochlear Implant Infections and Outcomes: Experience From a Single Large Center
Conclusions: There is a high rate of explantation when infection is detected. Currently there is no clear consensus on medical management, such as choice of antibiotics or length of antibiotic course. A registry of cochlear implants would facilitate standard reporting methods for severity and type of infection, to be able to pool data across centers and form a more robust management protocol for cochlear implant infections. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Ultrasound in Diagnosis of Magnet Dislocation of Cochlear Implants: A Retrospective Study in Patients With Surgical Magnet Repositioning and Preinterventional Ultrasound Examination
Conclusion: In CI-patients undergoing 1.5 Tesla MRI, partial magnet dislocation occurs much more frequently than complete magnet dislocation. The clinical suspicion of a dislocated cochlear implant magnet can be accurately confirmed by preoperative ultrasound. Thus, preoperative diagnostic ultrasound can be advocated as the diagnostic tool of first choice. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Effect of Electrode to Modiolus Distance on Electrophysiological and Psychophysical Parameters in CI Patients With Perimodiolar and Lateral Electrode Arrays
Conclusion: Novel tools can be used in the evaluation of high resolution cone beam computational tomography images to determine individual electrode–modiolus distances after cochlear implantation. The results of this study suggest that the correlations between electrode–modiolus distance and electrophysiological and psychophysical parameters are not sufficiently strong to adjust CI-fitting based on imaging data. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Intraoperative Observational Real-time Electrocochleography as a Predictor of Hearing Loss After Cochlear Implantation: 3 and 12 Month Outcomes
Conclusion: Patients exhibiting ECochG drops during implantation had significantly poorer hearing preservation 12 months later. These observational outcomes support the future development of surgical interventions responsive to real-time intracochlear ECochG. Early intervention to an ECochG drop could potentially lead to prolonged improvements in hearing preservation. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Cochlear Implant Therapy Improves the Quality of Life in Older Patients—A Prospective Evaluation Study
Conclusion: To achieve auditory rehabilitation, CI treatment in older patients can be strongly recommended, not only hearing rehabilitation, but also to improve quality of life. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

A Case of Incus Necrosis Following Oral and Intratympanic Steroid Administration for Sensorineural Hearing Loss
Conclusion: We report the first case of possible steroid-induced necrosis of the long process of the incus. Owing to its tenuous blood supply, the incus may be predisposed to steroid-induced osteonecrosis similar to that of the femoral head. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: SENSORINEURAL HEARING LOSS AND TINNITUS Source Type: research

Association of Speech Recognition Thresholds With Brain Volumes and White Matter Microstructure: The Rotterdam Study
Conclusions: Central auditory speech processing in the presence of both vascular burden and pure-tone average may not be related to brain volumes and white matter microstructure. Longitudinal follow-up is needed to explore these relationships thoroughly. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: SENSORINEURAL HEARING LOSS AND TINNITUS Source Type: research

The Rise and Fall of Otosclerosis: A Population-based Study of Disease Incidence Spanning 70 Years
Objective: Although it is commonly held that otosclerosis has become increasingly uncommon over recent decades, no population-based data exist to characterize this trend. Moreover, because most large epidemiologic databases within the United States primarily include cancer data, even the modern incidence of otosclerosis is unknown. The chief objective of the current work was to characterize the trend in the incidence of otosclerosis over 70 years using the unique resources of the Rochester Epidemiology Project. Study Design: Population-based study. Patients: Residents of Olmsted County, Minnesota diagnosed with oto...
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: OTOSCLEROSIS Source Type: research

Endoscopic Stapedectomy: Collective Experience From a Large Australian Center
Conclusions: Endoscopically assisted stapes surgery represents a safe alternative to traditional microscopic techniques, with similar morbidity and audiological outcomes. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: OTOSCLEROSIS Source Type: research

Tinnitus Affects Speech in Noise Comprehension in Individuals With Hearing Loss
Conclusion: We have shown that tinnitus is associated with speech intelligibility in noise, but it is a small effect, only found in people with co-occurring hearing loss. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: AUDIOLOGY Source Type: research

Cochlear Implant Outcomes Following Vestibular Schwannoma Resection: Systematic Review
Conclusions: Audibility with CI after VS resection is feasible. Timing of CI placement (simultaneous versus delayed) did not significantly affect performance. Overall, 83.9% used their CI on a daily basis and 54.8% achieved open-set speech. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: REVIEW ARTICLES Source Type: research

The Risks of Being Otologist, an Ergonomic and Occupational Hazard Review
Conclusions: Otologists and Neurotologists are exposed to MSDs directly related to their work demands. Incorporating healthy ergonomics into surgical training as well adopting correct posture and the use equipment designed for back support may help mitigate the long-terms risks of MSD. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: REVIEW ARTICLES Source Type: research

Covid-19 and Otologic/Neurotologic Practices: Suggestions to Improve the Safety of Surgery and Consultations
Since the beginning of 2020, the world has been confronted by the Covid-19 pandemic. The lock-down aims to limit the circulation of the virus and thus avoid overwhelming healthcare systems. Healthcare workers have had to adapt by postponing consultation and surgical activities. Otolaryngologists are particularly exposed to infection from the upper airway where the virus is highly concentrated. Literature has previously reported other human coronaviruses in the middle ear and mastoid, suggesting a risk of infection to staff during ear surgery where aerosolizing procedures are usually used. The aim of this article is to prop...
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: REVIEW ARTICLES Source Type: research

American Neurotology Society, American Otological Society, and American Academy of Otolaryngology – Head and Neck Foundation Guide to Enhance Otologic and Neurotologic Care During the COVID-19 Pandemic
This combined American Neurotology Society, American Otological Society, and American Academy of Otolaryngology – Head and Neck Surgery Foundation document aims to provide guidance during the coronavirus disease of 2019 (COVID-19) on 1) “priority” of care for otologic and neurotologic patients in the office and operating room, and 2) optimal utilization of personal protective equipment. Given the paucity of evidence to inform otologic and neurotologic best practices during COVID-19, the recommendations herein are based on relevant peer-reviewed articles, the Centers for Disease Control and Prevention COVI...
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: SPECIAL FEATURES Source Type: research

Book Review
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: BOOK REVIEW Source Type: research

Tribute: David Andrew Moffat, 1947–2020
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: OBITUARY Source Type: research

Otology and Neurotology in a Post-COVID-19 World
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: EDITORIAL Source Type: research

Augmented Visualization Surgical Microscope Assisted Microvascular Decompression for Hemifacial Spasm
We report the first description of this novel approach to microvascular decompression for Hemifacial Spasm. SDC video link: http://links.lww.com/MAO/A998. Supplemental Digital Content is available in the text © 2020, Otology & Neurotology, Inc. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 14, 2020 Category: ENT & OMF Tags: VIDEO REPORTS Source Type: research

Diagnosis of Stapedial Myoclonus Using Endoscopic Visualization
Conclusion: Stapedial myoclonus was diagnosed by transtympanic otoendoscopy in an awake patient. This approach may be readily applied in awake patients suspected of having stapedial myoclonus. Transection of the stapedial tendon in these patients resolves tinnitus. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 14, 2020 Category: ENT & OMF Tags: VIDEO REPORTS Source Type: research

The Utility of Diffusion-weighted Imaging Sequences to Differentiate Aggressive From Benign Intracranial Neoplasms
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 14, 2020 Category: ENT & OMF Tags: IMAGING CASE OF THE MONTH Source Type: research

Response to Letter to the Editor: “Effectiveness of Intratympanic Administration of Gentamicin in Unilateral meniÈre's Disease”
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 14, 2020 Category: ENT & OMF Tags: LETTERS TO THE EDITOR Source Type: research

Effectiveness of Intratympanic Administration of Gentamicin in Unilateral MeniÈre's Disease
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 14, 2020 Category: ENT & OMF Tags: LETTERS TO THE EDITOR Source Type: research

Potential Ototopical Antiseptics for the Treatment of Active Chronic Otitis Media: An In Vitro Evaluation
Conclusion: Boric acid powder and 5% povidone iodine solution show promise for clinical use. Boric acid powder has proven clinical effectiveness. 5% povidone iodine requires further clinical research. Although very effective in vitro, iodine powder is toxic to tissues and cannot be recommended for clinical use. The pH of solutions does not seem to play a significant role in their antimicrobial activity in vitro. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 14, 2020 Category: ENT & OMF Tags: BASIC SCIENCE Source Type: research

A Structural Analysis of Tympanic Compartments of the Middle Ear in Patients With Down's Syndrome: A Temporal Bone Study
Conclusion: In the presence of the small middle ear, poorly developed eustachian tube, and tensor muscle, a vicious circle occurs, making otitis media with effusion difficult to resolve. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 14, 2020 Category: ENT & OMF Tags: BASIC SCIENCE Source Type: research

Automatic Facial Recognition System Assisted-facial Asymmetry Scale Using Facial Landmarks
Conclusions: Our objective method shows good correlation with both Sunnybrook and HB grading systems. Furthermore, this system could be developed into an application for use with a variety of electronic devices, including smartphones and tablets. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 14, 2020 Category: ENT & OMF Tags: FACIAL NERVE Source Type: research

MRI Monitoring of Residual Vestibular Schwannomas: Modeling and Predictors of Growth
Objectives: The aim was to model residual Vestibular Schwannoma (VS) over time to identify prognostic factors of postsurgical growth. Study Design: Multicenter retrospective study. Setting: Tertiary referral centers. Patients: A group of 135 patients who underwent incomplete resection for VS between January 2010 and December 2018. On magnetic resonance imaging (MRI) examinations at baseline (1 year after surgery), patients included were divided into two groups: near-total resection (NTR, 0.05 cm3). The extent of resection is a predictor of tumor growth (odds ratio [OR] = 4.85; for STR over NTR; p = 0.0...
Source: Otology and Neurotology - August 14, 2020 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

What Clinicians Should Consider to Determine a More Beneficial Treatment Strategy for Small to Medium Sized Vestibular Schwannoma With Serviceable Hearing: A Single Surgeon's Long-term Outcome of Microsurgery and Gamma Knife Radiosurgery
Conclusion: MS was more suitable for patients who are younger, have good physical status, good preoperative hearing status including AAO-HNS class B, and medial type VS. GKS was more suitable for patients who are elderly, have poor physical status, preoperative AAO-HNS class A hearing. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 14, 2020 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research