A Case for Genetic Testing in Isolated Tympanic Paragangliomas
Conclusion
These two cases reinforce the importance of offering genetic testing for all cases of isolated tympanic PGL. The discovery of a significant underlying genetic variant may affect management decisions and subsequent follow-up. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 1, 2022 Category: ENT & OMF Tags: Tumors Of The Ear & Cranial Base Source Type: research
Vestibular Migraine Confounds Management of Superior Canal Dehiscence Syndrome
Conclusions
This is the first study describing the incidence of VM in a cohort of patients with SCDS. The symptoms of VM confound those of SCDS and unrecognized or undertreated VM may contribute to surgical failure in SCDS. Therefore, we recommend a high index of suspicion for VM in patients with SCDS and a trial of medical therapy in the setting of suspected VM. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 1, 2022 Category: ENT & OMF Tags: Vestibular Disorders Source Type: research
Clinical Performance, Safety, and Patient-Reported Outcomes of an Active Osseointegrated Steady-State Implant System
Conclusion
These outcomes confirm the clinical safety, performance, and benefit of an innovative active transcutaneous bone conduction implant using a piezoelectric transducer design in subjects with conductive hearing loss, mixed hearing loss, or single-sided sensorineural deafness. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 1, 2022 Category: ENT & OMF Tags: Prosthetic Devices Source Type: research
Audiometric Outcomes Comparing Endoscopic Versus Microscopic Ossiculoplasty
Conclusions
For PORP ossiculoplasty procedures, endoscopic ossiculoplasty is associated with improved postoperative ABG compared with microscopic ossiculoplasty. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 1, 2022 Category: ENT & OMF Tags: Prosthetic Devices Source Type: research
Audiometric Outcomes After Surgical Repair of Congenital Aural Atresia: Does Age Matter?
Conclusion
An individual at any age can enjoy audiometric improvement from atresia repair. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 1, 2022 Category: ENT & OMF Tags: Pediatric Otology Source Type: research
Trends in Pediatric Acute Otitis Media Burden During the First COVID-19 Year
Objective
To study the changes in acute otitis media (AOM) pediatric emergency department (PED) visits and pediatric admission before and during the first coronavirus disease 2019 (COVID-19) year.
Study Design
Retrospective case review.
Setting
Secondary care center.
Patients
Children younger than 18 years with all-cause and AOM-related PED visits and pediatric admissions for 3 years (March 1, 2018–January 28, 2021) were identified. Children were categorized according to age (0–2, 2–6, and 6–18 yr) and their date of presentation: pre–COVID-19 (yearly average of visits/admissions during th...
Source: Otology and Neurotology - August 1, 2022 Category: ENT & OMF Tags: Middle Ear And Mastoid Disease Source Type: research
Comparing Outcomes and Billing Costs of Middle Cranial Fossa and Transmastoid Approaches for Otogenic Encephalocele and Cerebrospinal Fluid Leak Repair
Objective
Comparison of outcomes and billing costs of patients treated at our institution using transmastoid (TM), middle cranial fossa (MCF), and combined approaches for repair of otogenic cerebrospinal fluid (CSF) leaks and encephaloceles.
Study Design
Retrospective cohort review.
Setting
Tertiary-care hospital.
Patients
Seventy-seven cases of otogenic CSF leaks or encephaloceles.
Interventions
Surgical repair of an otogenic encephalocele or CSF leak using either a TM, MCF, or combined approach.
Main Outcome Measures
Success of repair, length of operation, cost of operating room mat...
Source: Otology and Neurotology - August 1, 2022 Category: ENT & OMF Tags: Middle Ear And Mastoid Disease Source Type: research
Video Learning of Surgical Procedures: A Randomized Comparison of Microscopic, 2- and 3-Dimensional Endoscopic Ear Surgery Techniques
Conclusion
The 3D endoscopic technique offers many advantages for video learning in terms of knowledge gain, visual field exploration, and subjective evaluation. To optimize learning effects in trainees, the authors recommend the use of endoscopes in middle ear surgery and, if available, using 3D technology. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 1, 2022 Category: ENT & OMF Tags: Middle Ear And Mastoid Disease Source Type: research
Sound Pressure Distribution in the Ear After Radical Mastoidectomy With Meatoplasty
Conclusion
Radical mastoidectomy with meatoplasty altered the sound distribution in the external auditory canal. Our finite-element model successfully simulated the postoperative sound distribution in the external auditory canal and will facilitate development of wearable equipment for these patients. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 1, 2022 Category: ENT & OMF Tags: Middle Ear And Mastoid Disease Source Type: research
Residual Cholesteatoma After Endoscopic-Assisted Canal Wall-Up Tympanomastoidectomy: A Randomized Controlled Trial
This study aimed to determine the effectiveness of using endoscopes in reducing recidivism secondary to residual cholesteatoma after canal wall-up tympanomastoidectomy.
Study Design
Randomized clinical trial.
Setting
Tertiary referral center.
Patients
Patients with cholesteatoma, aged 7 to 70 years.
Interventions
Subjects were randomly allocated into two groups: endoscopic-assisted canal wall-up (EACWU; group 1) and conventional canal wall-up (CWU; group 2) techniques. Pars flaccida and pars tensa subgroups were analyzed according to the anatomic location of cholesteatoma origin.
Main Outcome...
Source: Otology and Neurotology - August 1, 2022 Category: ENT & OMF Tags: Middle Ear And Mastoid Disease Source Type: research
HiRes Ultra Series Recall: Failure Rates and Revision Speech Recognition Outcomes
Objective
To report Advanced Bionics (AB) Ultra (V1) and Ultra 3D (V1) cochlear implant (CI) electrode failures and revision speech recognition outcomes for patients at a large CI program.
Study Design
Retrospective case series.
Setting
Tertiary referral center.
Patients
Patients receiving Ultra (V1) or Ultra 3D (V1) devices as of September 21, 2021.
Main Outcome Measures
Failure rate, revision surgery, speech recognition scores.
Results
To data, 65 (21.1%) of the 308 implanted devices are known failures, with 63 (20.5%) associated with the recent voluntary field corrective action (FC...
Source: Otology and Neurotology - August 1, 2022 Category: ENT & OMF Tags: Cochlear Implants Source Type: research
Four-point Impedance Changes in the Early Post-Operative Period After Cochlear Implantation
Conclusion
This is the first study to report increases in four-point impedance within 24 hours of cochlear implantation. The increases at 1 day and 3 months align with the natural timeline of an acute and chronic inflammatory responses. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 1, 2022 Category: ENT & OMF Tags: Cochlear Implants Source Type: research
Frequency Mapping of a Precurved Electrode Array in the Internal Auditory Canal for a Pediatric Cochlear Implant Recipient
Conclusion
A precurved array in the IAC creates difficult management decisions. Direct stimulation of the auditory nerve resulted in better monaural and bilateral speech recognition, likely due to better spectral representation of the speech signal. Individualizing the map using imaging and behavioral findings may improve performance for malpositioned arrays when revision surgery is not pursued. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 1, 2022 Category: ENT & OMF Tags: Cochlear Implants Source Type: research
Normative Cochlear Implant Quality of Life (CIQOL)-35 Profile and CIQOL-10 Global Scores for Experienced Cochlear Implant Users from a Multi-Institutional Study
Conclusion
Normative scores from a large sample of experienced adult CI users are consistent with clinical observations, showing large differences in functional abilities and large variability. Normative CIQOL data for adult CI users have the potential to enhance preoperative discussions with CI candidates, improve post-CI activation monitoring, and establish standards for CI centers. (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 1, 2022 Category: ENT & OMF Tags: Cochlear Implants Source Type: research
Can Electrocochleography Help Preserve Hearing After Cochlear Implantation With Full Electrode Insertion?
Conclusions
Although intracochlear ECochG during CI surgery has important prognostic utility, our data did not show significantly better hearing preservation in patients randomized to ECochG “on” compared with ECochG “off.” (Source: Otology and Neurotology)
Source: Otology and Neurotology - August 1, 2022 Category: ENT & OMF Tags: Cochlear Implants Source Type: research
