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American Neurotology Society Preliminary Program
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 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 29, 2018 Category: ENT & OMF Tags: Announcements Source Type: research

Metastatic Renal Cell Carcinoma Presenting as a Cerebellopontine Angle and Internal Auditory Canal Mass
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Imaging Cases of the Month Source Type: research

Case of a Rare “White Epidermoid Tumor” Involving the Cerebellopontine Angle
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Imaging Cases of the Month Source Type: research

Reply to letter regarding “the effect of hearing aids and cochlear implants on balance during gait”
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Letters to the Editor Source Type: research

Response to weaver ts, shayman cs, huller te. the effect of hearing aids and cochlear implants on balance during gait. otol neurotol 2017;38: 1327–1332
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Letters to the Editor Source Type: research

Response to “michael yong, erica zaia, brian westerberg, and jane lea. diagnosis of superior semicircular canal dehiscence in the presence of concomitant otosclerosis”. otol neurotol 2017;38: 1071–1075
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Letters to the Editor Source Type: research

Prevalence of potential hybrid and conventional cochlear implant candidates based on audiometric profile
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Letters to the Editor Source Type: research

Impact of cochlear implantation on cognitive functions of older adults: pilot test results
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Letters to the Editor Source Type: research

Re.: the paper “impact of cochlear implantation on cognitive functions of older adults pilot test results,” recently published in otology & neurotology (38:e289–e295_2017)
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Letters to the Editor Source Type: research

Auricular Clyster, Otenchytes, and Pyoulcos: Precursors of the Ear Syringe
Conclusion: Latin auricular clyster and Greek otenchytes and pyoulcos, in the few ancient texts in which they occur, designate tools of a large variety of shapes and uses, significantly different from Heron's description of piston-driven pyoulcos. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: History of Otology Source Type: research

Serum Methylarginines and Hearing Loss in a Population-based Cohort of Older Adults
Conclusion: This study showed a significant association between serum concentrations of ADMA and hearing loss for males, consistent with the association between endothelial dysfunction and hearing loss. The opposite effect of L-arginine on hearing loss in males versus females might reflect a different role of this precursor toward nitric oxide versus methylated arginines synthesis. These findings are potentially clinically significant if the association between ADMA and hearing loss is causal, as serum methylarginine levels are modifiable through pharmacotherapeutic/lifestyle interventions. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Basic Science Source Type: research

Structural Analysis of Tensor Tympani Muscle, Tympanic Diaphragm, Epitympanum, and Protympanum in Menière's Disease: a Human Temporal Bone Study
Conclusion: The position, configuration, and size of the tensor tympani muscle and tendon do not seem to play a role in the pathogenesis of Menière's disease. Because the tympanic isthmus and protympanum in Menière's disease are not smaller than controls and that none of the temporal bones had otitis media or cholesteatoma, it is unlikely that there was dysventilation in the middle ear. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Basic Science Source Type: research

Facial Nerve Trauma: A Call for Minimum Reporting Guidelines
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Facial Nerve Source Type: research

Radiosurgery of Glomus Tumors of Temporal Bone: a Meta-analysis
Conclusion: Gamma Knife was the most commonly implemented radiosurgery modality and was used in eight studies. The mean marginal dose varied between 13.2 and 20 Gy. The pooled tumor control rate was 95.4% (95% CI: 93.6–97.2%) over a median follow-up duration ranging between 27.4 and 148 months. Clinical data on outcomes of SRS for the treatment of GTs are sparse and primarily limited to single institutional analyses, with considerable variation in tumor volume and follow-up duration. This meta-analysis provides an in-depth analysis of the available data in the literature and reviews the reported outcomes. Future st...
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Tumors of the Ear and Cranial Base Source Type: research

Does Hospital Volume Affect Outcomes in Patients Undergoing Vestibular Schwannoma Surgery?
Objective: To determine the effect of hospital surgical case volume on the outcomes of vestibular schwannoma surgery. Study Design: Retrospective case review. Setting: University HealthSystem Consortium member hospitals (includes nearly every US academic medical center). Patients: Three thousand six hundred ninety-seven patients who underwent vestibular schwannoma resection over a 3-year timespan (2012–2015) grouped by race, age, comorbidities, payer, and sex. Intervention: Surgical resection of vestibular schwannoma. Main Outcome Measures: Morbidity and mortality following vestibular schwannoma exci...
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Tumors of the Ear and Cranial Base Source Type: research

Electrocochleography Results in Patients With Bilateral Vestibular Paresis and Sound- or Pressure-Induced Horizontal Nystagmus
Conclusion: SP/AP elevation was found in all three patients with the syndrome of bilateral vestibular paresis and/or sound- or pressure-induced horizontal nystagmus. As the etiology of this syndrome remains unclear, understanding the basis for abnormal ECochG may shed insight into the pathophysiology of this condition. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Vestibular Disorders Source Type: research

A Relationship Between Blood Levels of Otolin-1 and Vitamin D
Conclusion: Our results demonstrate a relationship between vitamin D and otolin-1. The majority of our subjects had abnormally low vitamin D levels, but only those over 70 years of age showed a negative correlation with high otolin-1 levels. We postulate that a seasonal drop in vitamin D may not be sufficient for otoconia fragmentation and ultimately iBPPV, rather, chronically low vitamin D maybe required to induce otoconia degeneration. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Vestibular Disorders Source Type: research

Comparison of Video Head Impulse Test in the Posterior Semicircular Canal Plane and Cervical Vestibular Evoked Myogenic Potential in Patients With Vestibular Neuritis
Conclusions: Inter-test agreement between cVEMP and p-vHIT assessed in vestibular neuritis was relatively lower than we had predicted. Probably, p-vHIT can provide additional information on the differential diagnosis of dysfunction of the inferior vestibular nerve which is composed of the saccular nerve and the posterior ampullary nerve. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Vestibular Disorders Source Type: research

Diagnoses of Dizziness- and Vertigo-related Disorders in ENT Practices in Germany
Conclusions: Dizziness- and vertigo-related disorders are frequently diagnosed in ENT practices in Germany. The majority of these diagnoses are unspecific and lead to an increased rate of referrals and hospital admissions. The medical prescription rate, especially of antivertigo preparations, was high, even among patients with benign paroxysmal positioning vertigo. This study reflects a mostly pragmatic approach to a complex diagnostic and therapeutic challenge in daily ENT practice as well as the limited ability of the ICD-10 system to classify the underlying etiology. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Vestibular Disorders Source Type: research

Video Head Impulse Test (vHIT): The Role of Corrective Saccades in Identifying Patients With Vestibular Loss
Conclusions: Along with gain, incorporating CS frequency in interpreting vHIT improves diagnostic accuracy. A repeatable CS (>81.89%) and/or low gain ( (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Vestibular Disorders Source Type: research

Positioning a Novel Transcutaneous Bone Conduction Hearing Implant: a Systematic Anatomical and Radiological Study to Standardize the Retrosigmoid Approach, Correlating Navigation-guided, and Landmark-based Surgery
Conclusion: The navigation-guided retrosigmoid approach seemed to be a reliable procedure in all the specimens. Measurements of bone thickness revealed the need for spacers in 95% of the specimens. Reference coordinates of the optimal implantation site are provided and can confirm image-guided surgery or facilitate orientation if a navigation system is not available. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Prosthetic Devices Source Type: research

Comparison Study of Percutaneous Osseointegrated Bone Conduction Device Complications When Using the 9 mm Abutment Versus 6 mm Abutment at Initial Implantation
Conclusion: Minor complications after implantation of percutaneous osseointegrated bone conduction devices are common. The vast majority of these complications are due to localized skin reactions, most of which are readily addressed through local care. Patients receiving the 9 mm abutment during initial implantation are significantly less likely to require in-office procedural intervention or revision surgery postoperatively as compared with those receiving the shorter, 6 mm abutment. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Prosthetic Devices Source Type: research

Elevated Level of Myeloperoxidase-Deoxyribonucleic Acid Complex in the Middle Ear Fluid Obtained From Patients With Otitis Media Associated With Antineutrophil Cytoplasmic Antibody-associated Vasculitis
Objective: The purpose was to explore the presence of myeloperoxidase (MPO)-deoxyribonucleic acid (DNA) complex as a surrogate marker of neutrophil extracellular traps (NETs) in the middle ear fluid, and to clarify the correlation between its quantifiable level and hearing outcome in patients with otitis media associated with antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV). Study Design: Prospective study. Setting: Tertiary referral center. Patients: Nine AAV patients presenting with otitis media. Intervention: Collection of the fluid samples from middle ear. Main Outcome Measure: Th...
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Middle Ear and Mastoid Disease Source Type: research

The Impact of the Transcanal Endoscopic Approach and Mastoid Preservation on Recurrence of Primary Acquired Attic Cholesteatoma
Conclusion: Transcanal endoscopic approaches that preserve the mastoid may play an important role in preventing recurrence and underscores the importance of the mucosa and mastoid air cells on middle ear homeostasis. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Middle Ear and Mastoid Disease Source Type: research

Application of Regenerative Treatment for Tympanic Membrane Perforation With Cholesteatoma, Tumor, or Severe Calcification
Conclusion: This new regenerative therapy is useful not only for patients with simple TM perforations but also for those with cholesteatomas, tumors, or severe calcification without requiring conventional surgical procedures. This regenerative therapy is an easy, safe, cost-effective, and minimally-invasive treatment. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Middle Ear and Mastoid Disease Source Type: research

Early Fitting in Cochlear Implantation: Benefits and Limits
Conclusions: Early fitting of the sound processor is feasible and did not compromise wound healing or generates additional pain. During the first month following surgery, reduction of wound swelling can be expected. Hence, regular inspection of magnet strength is recommended at follow-ups. Over all, early activation of their CI device was highly appreciated by nearly all patients. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Cochlear Implants Source Type: research

Speech Perception in Quiet and Noise With an Off the Ear CI Processor Enabling Adaptive Microphone Directionality
Conclusion: The beamforming algorithm in the investigated OTE processor provides similar benefits as described in previous studies for behind-the-ear processors in conditions with spatially separated speech and noise sources. Adaptive microphone directionality can be successfully implemented in an OTE processor. The OTE processor's potential to increase usability, comfort, and cosmetics might not be compromised by a deterioration of speech performance. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Cochlear Implants Source Type: research

A Mid-scala Cochlear Implant Electrode Design Achieves a Stable Post-surgical Position in the Cochlea of Patients Over Time—A Prospective Observational Study
Conclusion: A mid-scalar electrode array achieves a stable position in the cochlea in a small but representative group of patients. The methods applied in this work can be used for providing postoperative feedback for surgeons and for benchmarking electrode designs. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Cochlear Implants Source Type: research

Hearing Restoration in Cochlear Nerve Deficiency: the Choice Between Cochlear Implant or Auditory Brainstem Implant, a Meta-analysis
Conclusion: Although patients with (apparent) cochlear nerve aplasia are less likely to benefit from CI, CI before ABI is supported as some patients attain closed or open-set levels of speech perception after cochlear implantation. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Cochlear Implants Source Type: research

Bilateral Cochlear Implantation Versus Bimodal Hearing in Patients With Functional Residual Hearing: A Within-subjects Comparison of Audiologic Performance and Quality of Life
Conclusions: For patients using a bimodal hearing configuration with substantial residual hearing in the non-CI ear, bilateral cochlear implantation yields improved audiologic performance and better subjective quality of life, irrespective of the ability to preserve acoustic hearing during the second sided implantation. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Cochlear Implants Source Type: research

Picosecond Infrared Laser (PIRL) Application in Stapes Surgery—First Experience in Human Temporal Bones
Conclusion: The microscopic results following stapes footplate perforation suggest a superiority of the PIRL in comparison to the Er:YAG laser regarding the precision and tissue preserving ablation. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Otosclerosis Source Type: research

Right Ear Advantage of Speech Audiometry in Single-sided Deafness
Background: Postlingual single-sided deafness (SSD) is defined as normal hearing in one ear and severely impaired hearing in the other ear. A right ear advantage and dominance of the left hemisphere are well established findings in individuals with normal hearing and speech processing. Therefore, it seems plausible that a right ear advantage would exist in patients with SSD. Methods: The audiometric database was searched to identify patients with SSD. Results from the German monosyllabic Freiburg word test and four-syllabic number test in quiet were evaluated. Results of right-sided SSD were compared with left-sided S...
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Audiology Source Type: research

Tablet-based Screening for Hearing Loss: Feasibility of Testing in Nonspecialty Locations
Conclusion: Tablet-based audiometric applications can be used to screen for hearing loss in typical clinic locations. This tool does not replace standard audiometry testing but allows for screening for hearing disorders when appropriate and in settings without access to audiometric equipment. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Audiology Source Type: research

Can Fat-plug Myringoplasty Be a Good Alternative to Formal Myringoplasty? A Systematic Review and Meta-analysis
Conclusions: The success rate of fat myringoplasty may be associated with the perforation site and size. The success rate of fat myringoplasty was equivalent to that of the paper patch but inferior to a conventional method using perichondrium or fascia. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Review Article Source Type: research

Gregory J. Matz, M.D.: Obituary
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 29, 2018 Category: ENT & OMF Tags: Obituary Source Type: research

American Neurotology Society Preliminary Program
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 1, 2018 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 1, 2018 Category: ENT & OMF Tags: Announcements Source Type: research

Jugular Foramen Meningioma
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 1, 2018 Category: ENT & OMF Tags: Imaging Case of the Month Source Type: research

Large Facial Nerve Schwannoma With Extensive Temporal Bone Destruction
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 1, 2018 Category: ENT & OMF Tags: Imaging Case of the Month Source Type: research

A Case of Bilateral Atrophy of the Inferior Vestibular Nerves
We report a case of a 62-year-old woman who was found to have bilateral atrophy of the inferior vestibular nerves on magnetic resonance imaging (MRI) after presenting to our clinic with 6 years of intermittent vertigo and residual unsteadiness. The nerve atrophy may be associated with an episode of vestibular neuritis, a common cause of vertigo that exclusively involves the inferior vestibular nerve in less than 3% of cases. While MRI may demonstrate vestibular nerve enhancement in cases of acute vestibular neuritis, no single MRI finding has been demonstrated consistently among cases of acute or chronic vestibular neuriti...
Source: Otology and Neurotology - March 1, 2018 Category: ENT & OMF Tags: Imaging Case of the Month Source Type: research

External Ear Arteriovenous Malformation
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 1, 2018 Category: ENT & OMF Tags: Imaging Case of the Month Source Type: research

Unilateral Sensorineural Hearing Loss Presenting With Bilateral Temporal Bone Lesions
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 1, 2018 Category: ENT & OMF Tags: Imaging Case of the Month Source Type: research

Response to Letter to the Editor: “Long-Term Complications and Surgical Failures After Ossiculoplasty”
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 1, 2018 Category: ENT & OMF Tags: Letters to the Editor Source Type: research

Retrograde Mastoidectomy
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 1, 2018 Category: ENT & OMF Tags: Letters to the Editor Source Type: research

Response to “Breaking the Myth of Central Neurological Complications in Stapedial Artery Surgery”
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 1, 2018 Category: ENT & OMF Tags: Letters to the Editor Source Type: research

Breaking the Myth of Central Neurological Complications in Stapedial Artery Surgery
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 1, 2018 Category: ENT & OMF Tags: Letters to the Editor Source Type: research

The Antioxidant Effect of Rosmarinic Acid by Different Delivery Routes in the Animal Model of Noise-Induced Hearing Loss
Conclusion: The effectiveness of RA given via trans-tympanic injection could be interesting for the future application of this minimally-invasive procedure in the treatment of ROS-induced hearing loss. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 1, 2018 Category: ENT & OMF Tags: Basic Science Source Type: research

Utility of Noncontrast Magnetic Resonance Imaging for Detection of Recurrent Vestibular Schwannoma
Conclusion: Noncontrast high-resolution 3D T2 MRI seems sufficient to assess for recurrence or regrowth after VS resection. The results of this study have implications for reducing cost, time, and adverse events associated with gadolinium administration in this population requiring serial follow-up examinations. These promising, yet preliminary findings warrant confirmation with a larger prospective cohort of patients. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 1, 2018 Category: ENT & OMF Tags: Tumors of the Ear and Cranial Base Source Type: research

Cochlear Implantation After Partial or Subtotal Cochleoectomy for Intracochlear Schwannoma Removal—A Technical Report
Conclusions: Surgical tumor removal and cochlear implantation is a promising treatment strategy in the management of intralabyrinthine schwannoma with intracochlear location, further extending the indication range for cochlear implantation. It is, however, of importance to observe the long-term outcome in these patients and to address challenges like follow up with magnetic resonance imaging. (Source: Otology and Neurotology)
Source: Otology and Neurotology - March 1, 2018 Category: ENT & OMF Tags: Tumors of the Ear and Cranial Base Source Type: research