Cross-Modal Reorganization From Both Visual and Somatosensory Modalities in Cochlear Implanted Children and Its Relationship to Speech Perception
Conclusion
Our results reflect changes in cortical resource allocation in pediatric CI users. Cross-modal recruitment of auditory and frontal cortices by vision, and cross-modal reorganization of auditory cortex by somatosensation, may underlie variability in speech and language outcomes in CI children. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 25, 2022 Category: ENT & OMF Tags: Highlights from the ACI Alliance Virtual Conference CI 2021 Source Type: research
Evolution of Type D Personality Traits After Cochlear Implantation in Severely Hearing Impaired Adults 55 Years and Older: An Exploratory Prospective, Longitudinal, Controlled, Multicenter Study
Purpose
To study the evolution of type D personality traits in older adults after cochlear implantation compared with a control group of severely hearing impaired older adults who did not receive a cochlear implant (CI). The influence of COVID-19 on this evolution was also explored. Type D personality combines a high degree of negative affectivity (NA) and social inhibition (SI).
Methods
In this prospective, longitudinal, controlled multicenter exploratory study, 76 older CI users and 21 severely hearing impaired controls without CI were included. The CI group and the control group did not differ significantly r...
Source: Otology and Neurotology - August 25, 2022 Category: ENT & OMF Tags: Highlights from the ACI Alliance Virtual Conference CI 2021 Source Type: research
Highlights From the ACI Alliance CI2021 Virtual Conference Cochlear Implants in Children and Adults: It Takes a Village
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 25, 2022 Category: ENT & OMF Tags: Highlights from the ACI Alliance Virtual Conference CI 2021 Source Type: research
Membranous Labyrinth Dysplasia in Branchio-Oto-Renal Syndrome
No abstract available (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 25, 2022 Category: ENT & OMF Tags: Imaging Case Of The Month Source Type: research
Endoscopic Endonasal Eustachian Tube Obliteration as a Treatment for Tension Pneumocephalus After Translabyrinthine Resection of Vestibular Schwannoma
Conclusion
Endoscopic endonasal ET obliteration, a technique previously applied to recalcitrant cerebrospinal fluid leaks, is a safe and reasonable alternative to reentering the original surgical site for patients with pneumocephalus after lateral skull base surgery. Utilizing a V-loc suture for this technique instead of a traditional suture may improve procedural ease and speed. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 25, 2022 Category: ENT & OMF Tags: Medical Neurotology Source Type: research
Endoscopic Medial Reepithelization for Inflammatory Canal Stenosis
Conclusions
Endoscopic treatment of Inflammatory EAC stenosis obviates the need for postauricular incision and results in clinical improvement with a favorable recurrence rate. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 25, 2022 Category: ENT & OMF Tags: Medical Neurotology Source Type: research
Surgical Reconsideration of Traumatic Facial Paralysis
Introduction
Despite the different pathophysiological mechanisms underlying Bell's palsy, in assessing severe traumatic facial paralysis, many surgeons rely on electrophysiological criteria to determine whether facial nerve exploration is warranted. To assess the value of preoperative electroneurography (ENoG) and the time of surgery, we analyzed data from three tertiary medical centers.
Materials and Methods
The records of 517 patients with a degenerative ratio (DR) greater than 80% on ENoG were collected, and two groups were defined: group A (90% DR ≤ ENoG) and group B (80% DR ≤ ENoG (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 25, 2022 Category: ENT & OMF Tags: Facial Nerve Source Type: research
Hearing Preservation After Intervention in Vestibular Schwannoma
Conclusions
After vestibular schwannoma intervention, overall HP was similar between radiated and surgical cohorts. However, when successful, surgical approaches offered more durable hearing outcomes at long-term follow-up. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 25, 2022 Category: ENT & OMF Tags: Tumors Of The Ear And Cranial Base Source Type: research
Safety and Efficacy of Hypofractionated Stereotactic Radiosurgery in Facial Nerve Schwannoma
Conclusion
From our case series, hfSRS in FNS seems to be safe and efficacious in terms of local tumor control, and improved facial and hearing nerve function. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 25, 2022 Category: ENT & OMF Tags: Tumors Of The Ear And Cranial Base Source Type: research
Early Translabyrinthine Surgery for Small- and Medium-Sized Vestibular Schwannomas: Consecutive Cohort Analysis of Outcomes
Objective
Reappraisal of the role of translabyrinthine (TLAB) surgery in small- and medium-sized vestibular schwannomas (VSs).
Study Design
Retrospective study.
Setting
Tertiary referral center.
Patients
A total of 330 consecutive patients diagnosed between 1973 and 2019 with small- and medium-sized VS up to 20 mm in the extrameatal portion submitted to surgical treatment.
Interventions
VS removal through microscopic TLAB approach.
Main Outcome Measures
Facial nerve function according to the House-Brackmann scale at 12-month follow-up, postoperative complications and entity of tumor r...
Source: Otology and Neurotology - August 25, 2022 Category: ENT & OMF Tags: Tumors Of The Ear And Cranial Base Source Type: research
Impact of an Endolymphatic Sac Tumor on Subjective and Objective Audiovestibular Function
Conclusion
A characteristic pattern of abnormal caloric findings, refixation saccades, and normal vestibulo-ocular reflex gain alongside sensorineural hearing loss on the tumor ear was identified. Asymmetric sensorineural hearing loss in any patient should lead to objective vestibular evaluation to strengthen not only a targeted tumor surveillance strategy and the indication for imaging, but also the design of vestibular rehabilitation. In addition, vestibular findings may guide the choice of surgical approach. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 25, 2022 Category: ENT & OMF Tags: Tumors Of The Ear And Cranial Base Source Type: research
Predicting Extent of Microsurgical Resection of Sporadic Vestibular Schwannoma
Objective
Develop a predictive model for incomplete microsurgical resection of sporadic vestibular schwannoma (VS).
Study Design
Historical cohort.
Setting
Tertiary referral center.
Patients
Patients with sporadic VS.
Interventions
Microsurgery with preoperative intent of gross total resection.
Main Outcome Measures
Patient and tumor characteristics that influence extent of resection.
Results
Among 603 patients, 101 (17%) had intracanalicular tumors and 502 (83%) had tumors with cerebellopontine angle (CPA) extension. For patients with CPA tumors, 331 (66%) underwent gross tota...
Source: Otology and Neurotology - August 25, 2022 Category: ENT & OMF Tags: Tumors Of The Ear And Cranial Base Source Type: research
Development and Validation of the Modified Motion Sensitivity Test
Objective
The aim of this study was to develop and validate an outcome measure for individuals with motion-provoked dizziness.
Study Design
Methodological.
Setting
Academic outpatient vestibular and dizziness clinic.
Patients/Subjects
Adults with and without motion-provoked dizziness.
Main Outcome Measures
Scores from the modified Motion Sensitivity Test (mMST) were compared between those with motion-provoked dizziness and controls without complaints of dizziness to evaluate the validity of the mMST. Intrarater and interrater reliability of the total Motion Sensitivity Quotient scores were a...
Source: Otology and Neurotology - August 25, 2022 Category: ENT & OMF Tags: Vestibular Disorders Source Type: research
Locations and Predictive Factors of Hypertrophic Pachymeningitis in Otitis Media With Antineutrophil Cytoplasmic Antigen-Associated Vasculitis
Conclusions
HP may not be a systemic manifestation of OMAAV but may be related to local lesions in the adjacent brain. A high NLR may be a predictive factor for comorbid HP. Therefore, CE-MRI should be considered for patients with a high NLR. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 25, 2022 Category: ENT & OMF Tags: Middle Ear And Mastoid Disease Source Type: research
Frailty Is Superior to Age for Predicting Readmission, Prolonged Length of Stay, and Wound Infection in Elective Otology Procedures
Objective
To determine the predictive ability of the 5-point modified frailty index relative to age in elective otology patients.
Study Design
Retrospective database analysis.
Setting
Multicenter, national database of surgical patients.
Patients
We selected all elective surgical patients who received tympanoplasty, tympanomastoidectomy, mastoidectomy, revision mastoidectomy, and cochlear implant procedures from 2016 to 2019 from the National Surgical Quality Improvement database.
Interventions
Therapeutic.
Main Outcome Measures
Readmission rates, discharge disposition, reoperation rat...
Source: Otology and Neurotology - August 25, 2022 Category: ENT & OMF Tags: Middle Ear And Mastoid Disease Source Type: research
