Hearing Results in Patients With No Ossicular Chain Reconstruction and Factors Influencing the Outcome
Conclusion
Good hearing performance can be obtained in patients subjected to middle ear surgery, even if the ossicular chain is not reconstructed. Presence of ossicular chain remnants and the use of a rigid material for tympanic membrane reconstruction are the factors that seem to most favorably influence hearing outcomes after surgery for middle ear disease. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: MIDDLE EAR AND MASTOID DISEASE Source Type: research
Electrode Impedance Fluctuations and Sudden Decline in Cochlear-Implant Benefit
Conclusions
Overall, we found no similarities between cases that could potentially explain the sudden electrode impedance value increase or the decrease in speech perception scores. Each case should be evaluated uniquely and carefully for CI revision operations by frequent monitoring, including mapping and speech perception testing. The most common factor contributing to each teen's eventual resolution of electrode impedance values and speech perception scores was time. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research
External Validation of Cochlear Implant Screening Tools Demonstrates Modest Generalizability
Conclusions
Current tools for determining CICE referral have diverse screening criteria. These combinations of pure-tone average and word recognition score are modestly successful at identifying CI candidates. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research
A Five-Year Update on the Profile of Adults Undergoing Cochlear Implant Evaluation and Surgery—Are We Doing Better?
Conclusion
Despite expansions in criteria, speech understanding remained extremely low at CI evaluation. Younger age and non-Caucasian race predicted candidacy, and Caucasian, married patients with private insurance and lower SSQ scores were more likely to pursue surgery. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research
Prevalence of Endolymphatic Hydrops in Cochlear Implant Candidates with Idiopathic Profound Sensorineural Hearing Loss
Conclusions
This is the first study showing that EH can be assumed in about one third of CI candidates with idiopathic profound SNHL, but no classic EH-associated symptoms. Preliminary results suggest that EH has no influence on the preservation of cochlear function but could be a risk factor for loss of otolith function after cochlear implantation. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research
Single-Sided Deafness: Using Cortical Auditory Evoked Potential to Improve Cochlear Implant Fitting
Conclusion
aCAEP recordings were successfully used to verify CI mapping and improve resultant speech outcomes in SSD-CI users. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research
Further Evidence for Individual Ear Consideration in Cochlear Implant Candidacy Evaluation
Objective
To report speech outcomes after cochlear implantation (CI) for asymmetric hearing loss (AHL) and assess the influence of contralateral hearing.
Study Design
Retrospective review.
Setting
Tertiary referral center.
Patients
One hundred eighty-eight adults (mean age, 70 yr) undergoing CI for AHL from 2015 to 2020. Candidacy included pure-tone average (PTA) at least 70 dB hearing level and AzBio in quiet 60% or less in the implanted ear and AzBio in quiet greater than 40% in the contralateral ear.
Main Outcome Measures
PTA; Consonant-Nucleus-Consonant (CNC) word, AzBio sentences scores...
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research
Predictive Value of Transimpedance Matrix Measurements to Detect Electrode Tip Foldover
Conclusion
TIM measurements were able to accurately identify tip foldovers. More research is needed to define the adjunctive role of TIM as an intraoperative measure. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research
Geographic Variations in Medicare Cochlear Implantations in the United States
Conclusions
The number of CIs in the Medicare population has increased from 2012 to 2019. However, widespread geographic variations continue to persist in the United States and represent opportunities toward identifying and acting on the etiologies of persistent disparities in CI. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research
Radiologic Features in Cochlear Implant Candidates: A Prospective Study Comparing Candidates Carrying the p.Pro51Ser Mutation in Coagulation Factor C Homology With Noncarriers
Conclusion
The present study supplements previous data that endorse the hypothesis that focal sclerosis of semicircular canals are biomarkers of advanced vestibular deterioration, especially in DFNA9. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: SENSORINEURAL HEARING LOSS AND TINNITUS Source Type: research
Is Idiopathic Sudden Sensorineural Hearing Loss Seasonal?
Conclusion
The ISSNHL incidence was lowest during the winter season in our cohort and reported for other cohorts worldwide. Google Trends–based model analysis did not determine any circannual rhythm. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: SENSORINEURAL HEARING LOSS AND TINNITUS Source Type: research
Preoperative Evaluation of Otosclerosis: A National Survey of Otologists
Conclusion
Most otologists routinely obtain AR before stapedectomy. Academic providers more commonly order CT routinely and for AR inconsistent with otosclerosis. Most respondents not ordering routine CT ordered imaging in specific clinical scenarios. Overall, there is a high level of consistency in preoperative testing regardless of practice setting or time in practice. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: OTOSCLEROSIS Source Type: research
Otopathologic and Computed Tomography Correlation of Internal Auditory Canal Diverticula in Otosclerosis
Conclusion
IAC diverticula are commonly found in otopathologic specimens with varied etiologies, but larger diverticula are more likely to be associated with otosclerosis. The sensitivity and specificity of CT scans to detect IAC diverticula are limited. (Source: Otology and Neurotology)
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: OTOSCLEROSIS Source Type: research
The Case Against Stapedectomy as a Core Competency for General Practice: A Study of Care Patterns in the Department of Defense
This study compared the rates of stapedectomy performed by otolaryngologists at academic and nonacademic centers.
Study Design
Retrospective review.
Setting
Tertiary referral academic centers, nonacademic centers, and civilian purchased-care across the Department of Defense between 2015 and 2020.
Patients
Department of Defense beneficiaries with otosclerosis near a military treatment facility with an otolaryngologist.
Interventions
Stapedectomy (Current Procedural Terminology codes 69,660, 69,661, and 69,662).
Main Outcome Measures
Number of stapedectomies performed by setting.
Results...
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: OTOSCLEROSIS Source Type: research
Long-Term Audiometric Outcomes of a Self-Crimping Stapes Prosthesis With CO2 Laser Stapedotomy
Objective
To evaluate our experience with a self-crimping stapes prosthesis.
Study Design
Retrospective case review.
Setting
Tertiary referral center.
Patients
All patients diagnosed with otosclerosis who underwent surgery between June 2013 and June 2020. Inclusion criteria were 18 years or older, isolated stapes ankylosis, and at least 1 year of postoperative audiologic data.
Intervention(s)
CO2 laser stapedotomy undertaken by the same surgeon using the same CO2 laser stapedotomy technique and the same prosthesis.
Main Outcome Measure(s)
Preoperative and postoperative audiologic data...
Source: Otology and Neurotology - September 18, 2022 Category: ENT & OMF Tags: OTOSCLEROSIS Source Type: research
