Cadaveric Feasibility Study of Exoscope-Assisted Transcanal Transpromontorial Approach to the Internal Auditory Canal
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: VIDEO REPORT Source Type: research

Leiomyoma of the External Auditory Channel: Unusual Symptomatology
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: TEMPORAL BONE HISTOPATHOLOGY CASES OF THE MONTH Source Type: research

A Rare Case of Myopericytoma in the Mastoid
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: TEMPORAL BONE HISTOPATHOLOGY CASES OF THE MONTH Source Type: research

Postinfective Modiolus Erosion after Cochlear Implantation
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: IMAGING CASE OF THE MONTH Source Type: research

From Galen to Eustachio: Discovering the Anatomy of the Facial Nerve
Conclusion: The reviewed texts and the illustrations therein contained provided sufficient information to establish a sequence of discoveries that resulted in a near-modern knowledge of the anatomy of the facial nerve and the basis to comprehend its function. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: HISTORY OF OTOLOGY Source Type: research

A Cohort Study Comparing Importance of Clinical Factors in Determining Diagnosis and Treatment for Superior Semicircular Canal Dehiscence Syndrome
Conclusions: Low frequency CHL and increased oVEMP amplitude are the strongest predictive factors for making a diagnosis of SCDS and for choosing surgical repair. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: MEDICAL NEUROTOLOGY Source Type: research

Cannabinoid Receptor 2 Agonism is Capable of Preventing Lipopolysaccharide Induced Decreases of Cochlear Microcirculation – A Potential Approach for Inner Ear Pathologies
Conclusion: JWH-133 is capable of abrogating the effects of lipopolysaccharide on cochlear microcirculation. It may therefore be clinical interest in treating numerous inflammation associated cochlear pathologies. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: BASIC SCIENCE Source Type: research

Notch Signaling in Acquired Middle Ear Cholesteatoma
Hypothesis: We hypothesized that an anomalous change of Notch signaling might be involved in the pathophysiology of cholesteatoma. Background: The Notch signaling pathway regulates integrated growth and differentiation control of keratinocytes. Its involvement in cholesteatoma proliferation has not been elucidated. Methods: We obtained cholesteatoma and external auditory canal (EAC) skin samples from patients with middle ear cholesteatoma who underwent tympanomastoid surgery. We performed polymerase chain reaction using the RT2 Profiler™ PCR Array Human Notch Signaling Pathway (Qiagen) in the choles...
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: BASIC SCIENCE Source Type: research

A Web-Based Deep Learning Model for Automated Diagnosis of Otoscopic Images
Conclusions: Novel CNN algorithms were developed with high AUC-ROCs for differentiating between various TM pathologies. This was further deployed as a proof-of-concept publicly accessible website for real-time predictions. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: BASIC SCIENCE Source Type: research

The Correlation of Clinical Corticosteroid Responsiveness With Expression of IL-6 in Peripheral Blood Immune Cells (PBMC) in Patients With Autoimmune Inner Ear Disease (AIED)
Hypothesis: Autoimmune inner ear disease (AIED) patients will differentially express interleukin (IL)-6 based on corticosteroid responsiveness. Background: AIED is characterized by periods of acute sensorineural hearing loss (SNHL). In a majority of patients corticosteroid responsiveness is lost over time. The mechanisms that control corticosteroid responsiveness have not been fully elucidated. Methods: Thirty-five AIED patients and 13 age-matched control subjects were enrolled in this study. Steroid responsive (n = 15) and steroid nonresponsive AIED patients (n = 20) were characterized based on a...
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: BASIC SCIENCE Source Type: research

Intratympanic Insulin-like Growth Factor-1 Administration Via the Otic Bulla in a Severe Facial Paralysis Model
Conclusion: Intratympanic IGF-1 administration improved facial nerve regeneration. This novel method could provide prompt ambulatory regenerative treatment and reduce the incidence of poor recovery in patients with severe facial paralysis. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: FACIAL NERVE Source Type: research

Lifetime Cost and Quality-Adjusted Life-Years Across Management Options for Small- and Medium-Sized Sporadic Vestibular Schwannoma
Conclusions: When considering initial management of small- and medium-sized sporadic VSs, neither lifetime cost nor QALYs support upfront microsurgery or radiosurgery, even for younger patients. Initial observation with serial imaging, reserving radiosurgery or microsurgery for patients exhibiting tumor growth, confers the greatest potential for optimized lifetime healthcare cost and QALY outcomes. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

Risk Factors for Complications Following Lateral Skull Base Surgery and the Utility of ICU Monitoring
Conclusions: The necessity of intensive care following lateral skull base surgery is rare, with the primary ICU complication being hypertensive urgency. Preoperative hypertension and large tumor volume (>4500 mm3) were independently associated with increased risk for ICU complications. These findings may allow for risk stratification of patients appropriate for admission to stepdown units following resection of vestibular schwannomas. Further prospective, multi-center, randomized studies are necessary to validate these findings before systematic changes to current postoperative care practices. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

Surgical Outcomes After Conservative Resection of Vestibular Schwannoma in the Elderly
Conclusions: Conservative surgery for vestibular schwannoma in appropriately selected elderly patients is appropriate and safe, given adequate consideration to risk-benefit analysis and goals of care. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

A Rare Presentation of Primary Cutaneous Low-Grade Neuroendocrine Tumor of the External Auditory Canal
Conclusion: Primary cLGNETs of the external ear are exceedingly rare but should be considered if an adult patient presents with a mass in the EAC. Management should include early biopsy and surgical excision followed by histological and immunohistochemical confirmation. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

The Influence of Extent of Resection and Tumor Morphology on Facial Nerve Outcomes Following Vestibular Schwannoma Surgery
Conclusions: When accounting for tumor volume, STR is protective in immediate postoperative FN function compared to GTR. Ventral extension of the tumor is a clinical predictor of long-term FN outcomes. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

Diameter-Based Volumetric Models May Inadequately Calculate Jugular Paraganglioma Volume Following Sub-Total Resection
Conclusion: Cuboidal, ellipsoidal, and spherical models do not provide accurate assessments of postoperative JP tumor volume and may result in salvage therapies that are unnecessary or inappropriately withheld due to inaccurate assessment of residual tumor growth. While more time-consuming, slice-by-slice segmentation by an experienced neuroradiologist provides a substantially more accurate and precise measurement of tumor volume that may optimize clinical management. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

Simultaneous Cochlear Implantation After Translabyrinthine Vestibular Schwannoma Resection: A Report of 41 Cases
Objective: To study the auditory outcome of simultaneous translabyrinthine vestibular schwannoma (VS) resection and cochlear implantation (CI) after successful cochlear nerve preservation. Study Design: A retrospective case series and patient questionnaire. Setting: Quaternary referral center for skull base pathologies. Patients: Patients with small ( (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

Outcomes of Initial Observation Versus Upfront Microsurgical Resection for Small to Medium-sized Vestibular Schwannomas
Objective: To assess postoperative outcomes and predictive factors of patients observed prior to microsurgery and those undergoing upfront resection for small and medium-sized VS. Study design: Retrospective cohort. Setting: Tertiary referral center. Patients: VS patients who had microsurgery from 2003 to 2018 for tumors up to 2.5 cm. Main outcome measures: Postoperative outcomes including facial nerve function and interventions, complications, extent of resection, and salvage therapy. Results: Of 220 patients, 120 were initially observed, and 100 pursued upfront microsurgery. There...
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

Cochlear T2 Signal May Predict Hearing Outcomes After Resection of Acoustic Neuroma
Conclusions: Cochlear FIESTA/CISS signal intensity may be a predictor of postoperative hearing loss after MCF AN resection. In this cohort, degraded preoperative cochlear FIESTA/CISS signal strongly predicted postoperative hearing loss. Level of Evidence: IV. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

Matched Cohort Analysis of the Effect of the Facial Recess Approach on Cerebrospinal Fluid Leak After Translabyrinthine Surgery for Schwannoma
Conclusions: CSF rhinorrhea is infrequent after translabyrinthine surgery. The incidence of this complication is not affected by whether or not a facial recess approach is performed during surgery to pack the ET. Based on these data, use of this technique should be based on surgeon comfort and preference. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research

Higher Readmission Rates After Hip Fracture Among Patients With Vestibular Disorders
Objective: Falls in older adults are associated with high morbidity and mortality. Patients with vestibular disorders may have an increased risk. The purpose of this study was to examine the outcomes among patients with underlying vestibular disorders who have hip fractures and identify predictors of increased morbidity and mortality. Study design: Retrospective cohort study. Setting: Tertiary care academic medical center. Patients: Two hundred one adults diagnosed with a vestibular disorder and hip fracture due to a ground-level fall were compared to 327 age- and sex-matched controls with fracture...
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: VESTIBULAR DISORDERS Source Type: research

Vestibular Function in Pendred Syndrome: Intact High Frequency VOR and Saccular Hypersensitivity
The objective was to evaluate objective vestibular function in patients with PS using the video head impulse test (VHIT) and the cervical vestibular evoked myogenic potential (cVEMP) test, assessing the high frequency vestibulo-ocular reflex (VOR) and the saccular function, respectively. Methods: Twenty-six subjects (52 ears) with Pendred Syndrome and severe-to-profound hearing loss (cochlear implant candidacy) were studied retrospectively. Main outcome measures were VHIT VOR gain, refixation saccades, cVEMP stimulus thresholds and amplitudes. Results: In total, 4 of 52 ears (8%) had pathological VHIT outcome...
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: VESTIBULAR DISORDERS Source Type: research

Spectral Composition of Body Sway in Persistent Postural-Perceptual Dizziness
Conclusions: We conclude that PPPD patients exhibit a time domain sway pattern in different conditions which is grossly similar to that of controls. However, sensory feedback conditions with equal sway area show unique differences in their spectral content in PPPD patients. Moreover, perceived severity of dizziness is associated with greater body oscillations in the middle frequency band. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: VESTIBULAR DISORDERS Source Type: research

Morphological Effect of Vitamin D Deficiency on Globular Substances in Mice
Objective: Many authors, including us, elucidated that vitamin D deficiency was a risk factor for benign paroxysmal position vertigo. We speculated vitamin D deficiency was likely to intervene otoconia formation by globular substance (GS). Methods: Kunming mice were randomly divided into three groups: vitamin D sufficient group (12-wk standard control diet), vitamin D deficiency group (16-wk vitamin D deficiency diet), and vitamin D supplement group (16-wk vitamin D deficiency diet and followed 8-wk standard control diet). At 12, 16, and 24 weeks, blood was collected for measuring vitamin D and macula utriculi...
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: VESTIBULAR DISORDERS Source Type: research

Rupture-Like Shrinkage and Regrowth of Endolymphatic Hydrops in Ménière's Disease During Remission
Conclusion: The remission phase with hearing improvement could be as important as vertigo attacks in Ménière's disease. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: VESTIBULAR DISORDERS Source Type: research

Transcutaneous Osseo-integrated Auditory Devices: Analysis of Two Different Implants in Adults With Different Audiological Inclusion Criteria
Conclusion: Both implants represent a good choice for audiological rehabilitation in patients with transmissive hearing loss, mixed hearing loss, or unilateral sensorineural hearing loss with a high success and low complication rates. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: PROSTHETIC DEVICES Source Type: research

Hearing Outcomes with Percutaneous and Transcutaneous BAHA® Technology in Conductive and Mixed Hearing Loss
Conclusions: Accessibility to sound with the implant-attached processor is well predicted by the pre-implantation Softband® trial, both in the BAHA Connect® and in the BAHA Attract® ears. Hearing rehabilitation targets at 0.5, 1, and 2 kHz are met by most Connect® and Attract® ears, while at 4 kHz the outcome with Attract® is poorer. This information should be presented to the patient during consultation prior to a decision as to the type of BAHA® device to be implanted. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: PROSTHETIC DEVICES Source Type: research

Fatigue in Children With Unilateral and Bilateral Hearing Loss
Conclusion and Relevance: Children with UHL and BHL reported significantly more fatigue than children with NH, and children with BHL reported more fatigue than UHL. These findings underscore the need to increase auditory rehabilitation and educational resources for children with UHL and support the use of the PedsQL MFS questionnaire as a measure to follow disability experienced by children with HL as they undergo hearing rehabilitation. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: PEDIATRIC OTOLOGY Source Type: research

Congenital Unilateral Hearing Loss: Characteristics and Etiological Analysis in 121 Patients
Conclusions: Congenital conductive unilateral hearing loss is mainly caused by aural atresia, which proportion in congenital unilateral hearing loss proved higher than previously reported. Cochlear nerve deficiency and cCMV are the predominant etiologies of congenital unilateral sensorineural hearing loss. Etiological work-up in affected patients is mandatory as it might impact the approach, and syndromic features should be actively searched for. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: PEDIATRIC OTOLOGY Source Type: research

Trends and Healthcare Use Following Different Cholesteatoma Surgery Types in a National Cohort, 2003–2019
Conclusions: Incidence of initial CWD surgery decreased and social disparities in cholesteatoma management were observed. Postoperative imaging or second-look surgery were performed in less than 60% of patients with initial CWU surgery and over 40% of patients with initial CWD. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: MIDDLE EAR AND MASTOID DISEASE Source Type: research

Machine Learning Technique Reveals Prognostic Factors of Vibrant Soundbridge for Conductive or Mixed Hearing Loss Patients
Conclusions: VSB is an effective treatment for conductive or mixed hearing loss. Machine learning demonstrated more precise predictions, and speech discrimination scores in a silent context in patients with hearing aids were the most important factor in predicting clinical outcomes. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: MIDDLE EAR AND MASTOID DISEASE Source Type: research

The Role of Biofilms in Chronic Otitis Media-Active Squamosal Disease: An Evaluative Study
Conclusions: Biofilms are an integral part of cholesteatoma ear disease and sometimes harbors fungal isolates. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: MIDDLE EAR AND MASTOID DISEASE Source Type: research

Transtympanic Tripod-shaped Angiocatheter Insertion for Patients With Intractable Patulous Eustachian Tube
In this study, we introduce our surgical technique of “transtympanic tripod-shaped angiocatheter” (TTA) insertion and evaluate the safety and efficacy of the procedure in patients with intractable PET. Study design: Retrospective chart review. Setting: Tertiary referral center. Patients: Thirty-two cases (26 patients) diagnosed with intractable PET between the years 2011 and 2019 were included in this study. Intervention: All cases were surgically treated with TTA insertion. Main outcome measures: The clinical characteristics, surgical results, complication rates, and the leve...
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: MIDDLE EAR AND MASTOID DISEASE Source Type: research

Topical Therapy Failure in Chronic Suppurative Otitis Media is Due to Persister Cells in Biofilms
Conclusions: Higher percentages of persister cells in clinical CSOM isolates are associated with resistance to ototopicals. Current ototopicals, except povo-iodine, have limited clinical effectiveness; however, it is unknown what the maximum achievable concentration is and there are ototoxicity concerns. Fluoroquinolones, while successful in producing inactive disease in the short term, have the potential to encourage antimicrobial resistance and disease recalcitrance and do not achieve a permanent remission. Given these limitations, clinicians should consider surgery earlier or use of clinically safe concentrations of...
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: MIDDLE EAR AND MASTOID DISEASE Source Type: research

Treatment Outcome of the Bony Obliteration Tympanoplasty Versus Nonobliterative Techniques in Cholesteatoma Surgery: A Retrospective Analysis
Conclusions: We show that cholesteatoma recurrence rates after the BOT technique in our clinic are significantly lower compared to CWU surgery. There were no differences in infection rate and no clinically relevant differences in postoperative hearing between the BOT, CWU, and CWD technique. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: MIDDLE EAR AND MASTOID DISEASE Source Type: research

Opioids Are Infrequently Required following Ambulatory Otologic Surgery
Conclusions: Pain following ambulatory otologic surgery may be adequately managed with over-the-counter pain medications in the majority of cases. Opioids may be necessary in adults with preexisting pain conditions. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: MIDDLE EAR AND MASTOID DISEASE Source Type: research

Cochlear Implant Outcomes in Elderly Recipients During the COVID-19 Pandemic
Conclusions: While social distancing and quarantine measures are crucial to limiting spread of COVID-19, these precautions may have negatively impacted early speech performance for elderly cochlear implant recipients. Missed CI programming appointments, decreased sound processor wear time, and reduced exposure to complex listening environments such as speech in the presence of background noise were more common in the Pandemic Group than in the Control Group operated the year prior. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Is There a Role for Intraoperative Navigation During Cochlear Implantation in Patients With Aural Atresia?
Conclusions: Children with CAA and profound sensorineural hearing loss may be candidates for cochlear implantation, with successful outcomes in the setting of complex anatomy. Surgical navigation may play a role corroborating intraoperative landmarks. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

On the Accuracy of Clinical Insertion Angle Predictions With a Surgical Planning Platform for Cochlear Implantation
Conclusions: The new platform version with its updated prediction module allows to reliably predict insertion angles even for cochlear anatomies with slightly unusual features and shapes. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Influence of Cochlear Implant Use on Perceived Listening Effort in Adult and Pediatric Cases of Unilateral and Asymmetric Hearing Loss
Objective: Assess the influence of cochlear implant (CI) use on the perceived listening effort of adult and pediatric subjects with unilateral hearing loss (UHL) or asymmetric hearing loss (AHL). Study design: Prospective cohort. Setting: Tertiary referral center. Patients: Adults and children with UHL or AHL. Intervention: Cochlear implantation. Subjects received their CI as part of a clinical trial assessing the effectiveness of cochlear implantation in cases of UHL and AHL. Main outcome measures: Responses to the Listening Effort pragmatic subscale on the Speech, Spatial, and Quali...
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Cortical Auditory Plasticity Following Cochlear Implantation in Children With Auditory Neuropathy Spectrum Disorder: A Prospective Study
Conclusion: The CAEP can be used as an objective indicator of auditory cortical maturation and a predictor of speech perception performance in implanted children with ANSD. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Estimating the Pose of a Guinea-pig Cochlea Without Medical Imaging
Conclusions: This work enables researchers conducting robot-assisted surgical insertions of cochlear-implant electrode arrays using a guinea-pig animal model to estimate the pose of a guinea-pig cochlea by locating six externally observable features on the guinea pig, without the need for CT scans. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Iatrogenic Third Window After Retrosigmoid Approach to a Vestibular Schwannoma Managed with Cochlear Implantation
Conclusions: Iatrogenic third window symptoms can occur after hearing-preservation vestibular schwannoma microsurgery. Patients with sufficient hearing preservation who are disabled by third window symptoms yet lack sound clarity and useful hearing may be considered for labyrinthectomy and concurrent cochlear implantation. This intervention effectively extinguishes third window symptoms by destroying residual auditory function and simultaneously provides an opportunity to restore useful hearing and suppress tinnitus, thereby enhancing overall quality of life. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Novel Web-Based Music Re-Engineering Software for Enhancement of Music Enjoyment Among Cochlear Implantees
Objectives: Cochlear implant (CI) listeners experience diminished music perception and enjoyment from a variety of patient-related and implant-related factors. We investigate the hypothesis that patient-directed music re-engineering may enhance music enjoyment with CI. Study Design: Prospective cohort study. Setting: Academic cochlear implant center. Subjects and Methods: A multidisciplinary team of neurotologists, audiologists, and a sound/audio engineer collaborated with a web developer to create a music re-engineering application. Experienced adult CI listeners rated original excerpts from five ...
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Digital Live Imaging of Intraoperative Electrocochleography – First Description of Feasibility and Hearing Preservation During Cochlear Implantation
This study is the first to describe digital visualization of intraoperative electrocochleography as a new method enabling the surgeon to directly react to changes in amplitude of the cochlea microphonics. Our results show that augmentation of the intraoperative live imaging with electrical potentials could add to hearing preservation during cochlear implantation. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Magnetic Resonance Imaging in Patients With Hearing Implants – Follow-up on Prevalence and Complications
Conclusions: Our data indicate that patients undergoing hearing implant surgery need better information about the limitations and requirements of MRI. The occurrence of side effects is likely as only half of the patients in our study group were completely free of symptoms. Dislocation of the implant magnet was observed in several cases, hence patients and physicians need to be educated about this potential complication. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Otologic Manifestations After COVID-19 Vaccination: The House Ear Clinic Experience
Conclusions: There are no definite correlations to the COVID-19 pandemic or vaccination and new or worsened otologic symptoms. Vaccinated patients with new or exacerbated otologic symptoms should be promptly referred for evaluation. Suspected cases of post-vaccination otologic symptoms should be reported to the Center for Disease Control (CDC) vaccine adverse event reporting system (VAERS). (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: SENSORINEURAL HEARING LOSS AND TINNITUS Source Type: research

Tinnitus and Subjective Hearing Loss are More Common in Migraine: A Cross-Sectional NHANES Analysis
Objectives: To investigate whether migraine is independently associated with tinnitus and subjective hearing loss (HL) in a large national database. Methods: The de-identified 1999 to 2004 National Health and Nutrition Examination Survey database was retrospectively queried for subjects aged 18 to 65. HL and tinnitus were subjectively reported by subjects. Results: A total of 12,962 subjects (52.9% female) with a mean age of 38.1 ± 14.6 years were included. This consisted of 2,657 (20.5%), 2,344 (18.1%), and 2,582 (19.9%) subjects who had migraine, subjective-HL, and tinnitus, respectively. I...
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: SENSORINEURAL HEARING LOSS AND TINNITUS Source Type: research

Sensorineural Hearing Loss and Tinnitus Characteristics in Patients With Idiopathic Intracranial Hypertension
Conclusions: There was no classic pattern or presentation for hearing loss in our IIH patients. They developed sudden, unilateral, or bilateral SNHL in low, middle, or high frequency range. The degree of hearing loss did not correlate with CSF opening pressure. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 20, 2021 Category: ENT & OMF Tags: SENSORINEURAL HEARING LOSS AND TINNITUS Source Type: research