Giant Cholesteatoma: A Case Report and Review of the Literature
Conclusions
Giant cholesteatoma should be suspected in cases of recurrent ear discharge following canal wall down mastoidectomy. The case we report add to the literature to benefit future patients in preoperative counseling and better inform management. (Source: Otology and Neurotology)
Source: Otology and Neurotology - July 1, 2022 Category: ENT & OMF Tags: Middle ear and mastoid disease Source Type: research
Accuracy of 2D BLADE Turbo Gradient- and Spin-Echo Diffusion Weighted Imaging for the Diagnosis of Primary Middle Ear Cholesteatoma
Conclusion
TGSE BLADE DWI is useful for the detection of primary middle ear cholesteatomas, especially ≤3 mm lesions. (Source: Otology and Neurotology)
Source: Otology and Neurotology - July 1, 2022 Category: ENT & OMF Tags: Middle ear and mastoid disease Source Type: research
Impact of Sclerotic Lesions on the Surgical Outcome of Cholesteatoma
Objective
Cholesteatoma is occasionally accompanied by excessive calcification and presumably has different osteogenic dynamics compared to noncholesteatomous chronic otitis media. Cholesteatoma-related sclerotic lesions through the temporal bone can pose manipulatory difficulties, possibly leading to worse surgical outcomes or complications. Therefore, we compared surgical outcomes of cholesteatomas with and without sclerotic lesions.
Study design
Retrospective cohort study.
Setting
Tertiary academic medical center.
Patients
Consecutive ears with acquired cholesteatomas requiring primary resection...
Source: Otology and Neurotology - July 1, 2022 Category: ENT & OMF Tags: Middle ear and mastoid disease Source Type: research
The Feasibility and Treatment Results of Transcanal Endoscopic Myringoplasty
Conclusion
The endoscopic myringoplasty produced better visualization, the same or better closure rates, and the same or lower complication rates as compared with traditional microscopic techniques. (Source: Otology and Neurotology)
Source: Otology and Neurotology - July 1, 2022 Category: ENT & OMF Tags: Middle ear and mastoid disease Source Type: research
Inter and Intraobserver Agreement of the IOOG SAMEO ATO Classification for Tympanomastoid Surgery
Conclusion
The SAMEO ATO classification is a reliable system for recording surgical procedures. Given the complexity of the SAMEO ATO classification it is vital that those using it have a thorough knowledge of the classification. (Source: Otology and Neurotology)
Source: Otology and Neurotology - July 1, 2022 Category: ENT & OMF Tags: Middle ear and mastoid disease Source Type: research
Cochlear Implantation in Young Mandarin-Speaking Children: One Year After First Fitting
This study aims to investigate the auditory perception and speech intelligibility of Mandarin-speaking children 1 year after first fitting.
Materials and Methods
Twenty-nine children aged between 11.5 and 17.9 months with severe-to-profound bilateral sensorineural hearing loss were recruited; 10 were unilaterally implanted and 19 were bilaterally implanted. A test battery was used to monitor improvements during the first year of cochlear implant use.
Results
Bilaterally implanted children scored better in the spatial domain of the Speech, Spatial and Qualities of hearing scale for Parents (SSQ-P) in compariso...
Source: Otology and Neurotology - July 1, 2022 Category: ENT & OMF Tags: Cochlear Implants Source Type: research
The Importance of a Preinsertion Integrity Device Test of Cochlear Implants
Conclusion
Preinsertion telemetry is strongly recommended as a quick and reliable integrity test of the device to confirm the functionality of a cochlear implant. (Source: Otology and Neurotology)
Source: Otology and Neurotology - July 1, 2022 Category: ENT & OMF Tags: Cochlear Implants Source Type: research
The Relation of Cochlear Implant Electrode Array Type and Position on Continued Hearing Preservation
Objective
To analyze the relationship of electrode array (EA) type and position on hearing preservation longevity following cochlear implantation.
Study Design
Retrospective chart review.
Setting
Tertiary referral center.
Patients
Adult cochlear implant recipients between 2013 and 2019 with hearing preserved postoperatively and postoperative CT scans.
Interventions
CT scan analysis of EA position. Stepwise regression to determine influence of EA position, EA type, and patient demographics on postoperative low frequency hearing.
Main Outcome Measures
Low frequency pure tone average (LF...
Source: Otology and Neurotology - July 1, 2022 Category: ENT & OMF Tags: Cochlear Implants Source Type: research
Customized Cochlear Implant Positioning in a Patient With a Low- Grade Glioma: Towards the Best MRI Artifact Management
Conclusions
The employment of strategies aimed at improving the MRI quality in CI recipients still represents a topic requiring attention. Thanks to multidisciplinary team collaboration, in our case, the CI position was successfully determined to allow unhindered MRI visibility of a specific intracranial structure. (Source: Otology and Neurotology)
Source: Otology and Neurotology - July 1, 2022 Category: ENT & OMF Tags: Cochlear Implants Source Type: research
Remote Intraoperative Neural Response Telemetry: Technique and Results in Cochlear Implant Surgery
Conclusions
Remote intraoperative NRT testing during cochlear implantation can be performed effectively using standard hardware and remote-control software. Especially important during the Covid-19 pandemic, such a procedure can reduce in-person contacts, and limit the number of individuals in the operating room. Remote testing can provide additional flexibility and efficiency in audiologist schedules. (Source: Otology and Neurotology)
Source: Otology and Neurotology - July 1, 2022 Category: ENT & OMF Tags: Cochlear Implants Source Type: research
Cochlear Implant Outcomes in CHARGE Syndrome: Updated Perspectives
Conclusions
Compared to a previous institutional cohort, children evaluated in this study were often implanted at a younger age and bilaterally with significantly improved outcomes. A CI evaluation should be considered in children with CHARGE syndrome to maximize sensory input and auditory ability. (Source: Otology and Neurotology)
Source: Otology and Neurotology - July 1, 2022 Category: ENT & OMF Tags: Cochlear Implants Source Type: research
Hearing Loss in Adults With Alström Syndrome—Experience From the UK National Alström Service
Conclusions
Alström syndrome is an ultra-rare genetic disorder with progressive, debilitating multi-system manifestations, including SNHL. The UK National MDT Alström service represents one of the largest reported adult cohorts in the world. SNHL in this group was ubiquitous, showing a rapid decline in hearing with age. Annual audiometric assessment to enable early diagnosis of hearing loss and optimum rehabilitation are paramount to minimize the impact of hearing loss in this condition. (Source: Otology and Neurotology)
Source: Otology and Neurotology - July 1, 2022 Category: ENT & OMF Tags: Sensorineural Hearing Loss & Tinnitus Source Type: research
Prognostic Factors Influencing the Tinnitus Improvement After Idiopathic Sudden Sensorineural Hearing Loss Treatment
Purpose
Logistic regression analysis was used to explore the factors that influence tinnitus improvement after idiopathic sudden sensorineural hearing loss (ISSNHL) treatment.
Materials and Methods
In this retrospective study, 137 ISSNHL patients with tinnitus were recruited at the Sun Yatsen Memorial Hospital of Sun Yat-sen University, China. They underwent audiological examinations, vestibular assessments, tinnitus examinations, a Tinnitus Handicap Inventory (THI) assessment and ISSNHL treatments. Logistic regression analysis was performed to investigate factors that affected tinnitus improvement.
Results
...
Source: Otology and Neurotology - July 1, 2022 Category: ENT & OMF Tags: Sensorineural Hearing Loss & Tinnitus Source Type: research
The Laterality of Age-Related Hearing Loss and Depression
Conclusions
Worsening hearing in the right and left ears individually was associated with increased depressive symptoms and odds of CSDS. No ear laterality was demonstrated. (Source: Otology and Neurotology)
Source: Otology and Neurotology - July 1, 2022 Category: ENT & OMF Tags: Sensorineural Hearing Loss & Tinnitus Source Type: research
Computed Tomography Density as a Bio-marker for Histologic Grade of Otosclerosis: A Human Temporal Bone Pathology Study
Hypothesis
Computed tomography (CT) density measurement can be used to objectively distinguish otosclerosis from normal bone and to determine histologic grades of otosclerosis.
Background
Otosclerosis can be seen on CT as subtle radiolucent areas. An objective radiologic measurement that corresponds to known otosclerosis pathology may improve diagnostic accuracy, and could be used as a radiologic biomarker for otosclerosis grade.
Methods
A blinded, randomized evaluation of both histologic grade on histopathology slides and CT density measurement was performed on 78 human temporal bone specimens (31 with o...
Source: Otology and Neurotology - July 1, 2022 Category: ENT & OMF Tags: Otosclerosis Source Type: research
