Extensive Cervicofacial Emphysema After Eustachian Tube Balloon Tuboplasty
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: IMAGING CASE OF THE MONTH Source Type: research

β2-Microglobulin Participates in the Development of Vestibular Schwannoma by Regulating Nuclear Factor-κB
Conclusion β2-M may participate in VS growth by regulating NF-κB and act as a key regulatory molecule in VS tumor growth. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: MEDICAL NEUROTOLOGY Source Type: research

Benign Paroxysmal Vertigo of Childhood. Video Recordings of Episodes
Conclusion The clinical presentation was more consistent with a peripheral vestibular deficit than with a central disorder. We encourage video recording of their child by the parents because it will help both to define the ictal nystagmus and to understand the underlying pathophysiology. The latter is discussed and is probably more complex than initially thought in BPV. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: MEDICAL NEUROTOLOGY Source Type: research

Hearing Loss Is Associated With Worse Socialization in the U.S. Hispanic Adult Population
Objective The association between hearing loss and socialization has been characterized in limited detail and primarily among non-Hispanic Caucasians. We aimed to study this relationship using more detailed socialization measures than previously used and focusing on Hispanics. Study Design Cross-sectional epidemiologic study (Hispanic Community Health Study). Setting Multicentered, four U.S. communities. Participants U.S. Hispanics ages 18 to 76 years. Main Measures Multivariable linear regression controlling for confounders (age, sex, education) was conducted to analyze the association betw...
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: MEDICAL NEUROTOLOGY Source Type: research

Unidirectional Vertical Vestibuloocular Reflex Adaptation in Humans Using 1D and 2D Scenes
Conclusion This preliminary study is the first to show that physiologically relevant (high frequency) unidirectional increases in vertical VOR gain are possible with just 15 minutes of training. This study sets the basis for future clinical trials examining vertical IVA training in patients, which may provide the first practical rehabilitation treatment to functionally improve the vertical VOR. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: BASIC SCIENCE Source Type: research

Spontaneous Volumetric Tumor Regression During Wait-and-Scan Management of 952 Sporadic Vestibular Schwannomas
Conclusion Spontaneous volumetric tumor shrinkage during wait-and-scan management occurs more frequently than suggested by previous studies using linear tumor measurements and can even occur after previous episodes of documented tumor growth. These data further highlight the dynamic nature of vestibular schwannoma growth. To this end, the application of natural history data to patient management requires a nuanced approach that parallels the complex tumor behavior of vestibular schwannoma. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

Impact of Demographics and Clinical Features on Initial Treatment Pathway for Vestibular Schwannoma
Objective To identify demographic and clinical features impacting initial treatment pathway for vestibular schwannoma. Study Design Retrospective chart review. Setting Tertiary care academic medical center. Patients Patients diagnosed with vestibular schwannoma between 2009 and 2019. Interventions Observation, stereotactic radiosurgery, or microsurgical resection. Main Outcome Measures χ2 Test, one-way analysis of variance, and multivariate logistic regression were used to correlate demographic and clinical factors with initial treatment pathway for 197 newly diagnosed vestibular sch...
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

Machine Learning to Predict Hearing Preservation After Middle Cranial Fossa Approach for Sporadic Vestibular Schwannomas
Conclusion Machine learning algorithms have the potential for accurate prediction of hearing preservation rates after middle fossa approach for vestibular schwannomas at a single institution. These models have the capacity for continued refinement with ongoing addition of data. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

A Prospective Study on the Vestibular Toxicity of Gentamicin in a Clinical Setting
Conclusion There was no significant effect observed on mean VOR gain decrement after a single dose of gentamicin. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: VESTIBULAR DISORDERS Source Type: research

Prevalence and Risk Factors of Sarcopenia in Patients with Dizziness
This study aimed to investigate the prevalence of sarcopenia and factors associated with sarcopenia in patients with dizziness. Study Design This is a cross-sectional study. Patients A total of 162 patients 65 years or older with the chief complaint of dizziness or vertigo (dizziness group) and 132 community-dwelling elderly (control group) were recruited during their visit to the otolaryngology clinic between May 2020 and October 2021. Results Of the 162 patients with dizziness (dizziness group), 53 (32.7%) were classified as sarcopenia according to the 2019 criteria of the Asian Working Group for Sar...
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: VESTIBULAR DISORDERS Source Type: research

Group Vestibular Rehabilitation Program: A Cost-Effective Outpatient Management Option for Dizzy Patients
This study was performed to evaluate the effectiveness of our novel group vestibular rehabilitation therapy (G-VRT) and to analyze the factors affecting outcomes. Study Design Retrospective case series. Setting Tertiary referral center. Patients Patients with chronic dizziness who received G-VRT between December 2019 and July 2020. Intervention The G-VRT program consisted of a 1-hour physical therapy session by an otologist in a small group setting. Main Outcome Measures Dizziness Handicap Inventory, visual analog scale, functional level scales, and video head impulse test, as well as the...
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: VESTIBULAR DISORDERS Source Type: research

Long-Term Hearing Results of Endoskeletal Ossicular Reconstruction in Chronic Ears Using Titanium Prostheses Having a Helical Coil: Part 1—Kraus K-Helix Crown, Incus to Stapes
Conclusion eOCR using the K-Helix Crown prosthesis, incus to stapes, and GIC can significantly improve hearing at 1 year and maintain stable hearing over 9 years. Both prosthesis and cement are safe. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: PROSTHETIC DEVICES Source Type: research

Postmastoidectomy Hyperacusis Syndrome: Clinical Features and Treatment
Conclusions PMHS can occur in patients after cortical mastoidectomy when there is no history of ossicular chain or history of chronic middle ear disease or middle ear abnormalities. PMHS can cause significant distress to patients and remain underrecognized unless synchronous tympanic membrane movement is specifically examined for. Treatment via mastoid cortex surfacing with hydroxyapatite bone cement is safe and effective. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: MIDDLE EAR AND MASTOID DISEASE Source Type: research

Quality-of-Life Outcomes After Modified Subtotal Petrosectomy With Ear Canal Closure for Chronic Otitis Media
Objective To assess quality-of-life (QoL) outcomes after modified subtotal petrosectomy with ear canal closure (mSTP) for chronic otitis media. Study Design Survey study. Setting Tertiary referral center. Patients Patients with chronic otitis media. Interventions mSTP. Main Outcome Measures Survey results from enrolled patients on the validated disease-specific Chronic Ear Survey (CES) and Chronic Otitis Media Outcome Test-15 (COMOT-15) regarding their current state of health and, if surgery was performed within 3 years of enrollment, their state of health before mSTP. Results ...
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: MIDDLE EAR AND MASTOID DISEASE Source Type: research

Combined Arterial and Venous Phase Computed Tomographic Imaging of the Skull Base in Pulsatile Tinnitus
Conclusion In a large consecutive series of patients with PT referred for CT venography/arteriography, transverse sinus stenosis was the most common finding at 59%. Venous etiologies for PT should be suspected when patients are referred to neurotologists for evaluation. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: MIDDLE EAR AND MASTOID DISEASE Source Type: research