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  • 1
    Online Resource
    Online Resource
    Vestibular function assessment of Susac syndrome patients by the video head impulse test and cervical vestibular-evoked myogenic potentials
    IOS Press ; 2020
    In:  Journal of Vestibular Research Vol. 30, No. 6 ( 2020-12-16), p. 393-399
    Details
    In: Journal of Vestibular Research, IOS Press, Vol. 30, No. 6 ( 2020-12-16), p. 393-399
    Abstract: BACKGROUND: Susac syndrome (retino-cochleo-cerebral vasculopathy, SuS) is an autoimmune endotheliopathy characterized by the clinical triad of encephalopathy, branch retinal artery occlusions and sensorineural hearing loss. In contrast to data regarding auditory function, data measuring vestibular function is sparse and the cervical vestibular-evoked myogenic potentials (cVEMPs). OBJECTIVE: To determine whether the video head impulse test (vHIT) can serve as a confirmatory assessment of vestibulocochlear dysfunction in cases of suspected SuS. METHODS: Seven patients diagnosed with SuS underwent pure tone audiometry, a word recognition test, cVEMPs and the vHIT. RESULTS: Five patients were diagnosed with definite SuS, and two with probable SuS. Two patients were asymptomatic for hearing loss or tinnitus, and no sensorineural hearing loss was detected by audiograms. Four patients complained of tinnitus, and three patients reported experiencing vertigo. Three patients had abnormal cVEMPs results. All seven patients’ vHIT results were normal, except for patient #2, who was one of the three who complained of vertigo. The calculated gain of her left anterior semicircular canal was 0.5, without saccades. CONCLUSIONS: This is the first study to describe the results of the vHIT and cVEMPs among a group of patients with SuS. The results suggest that the vHIT should not be the only exam used to assess the function of the vestibular system of SuS patients.
    Type of Medium: Online Resource
    ISSN: 0957-4271 , 1878-6464
    URL: Article
    DOI: 10.3233/VES-200007
    Language: Unknown
    Publisher: IOS Press
    Publication Date: 2020
    detail.hit.zdb_id: 2034037-0
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  • 2
    Online Resource
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    Guidelines for Ear, Nose, and Throat Examination of Adults With Intellectual Disabilities: Report of a Clinical Practice Application
    Wiley ; 2015
    In:  Journal of Policy and Practice in Intellectual Disabilities Vol. 12, No. 4 ( 2015-12), p. 272-278
    Details
    In: Journal of Policy and Practice in Intellectual Disabilities, Wiley, Vol. 12, No. 4 ( 2015-12), p. 272-278
    Abstract: Health problems among people with intellectual and developmental disabilities (I/DD) are considered more prevalent than among the general population, but there are very few studies that have described a detailed ear, nose, and throat examination of this group. The purpose of this paper is to provide a set of guidelines that can result in a structured ear, nose, and throat examination, describe one experience with implementing the guidelines for otorhinolaryngological care with a heteroegnous sample of adults with intellectual disability, discuss relevant care principles derived from the experience, and specifically address the issue of cerumen impaction. The subjects, 356 adult residents of two residential care centers for people with I/DD, were examined by four otolaryngologists, assisted by an audiologist/speech‐language pathologist, and a nurse. The examinations lasted 8 h over 2 days. Of the residents, 292 (82%) had at least one main finding; impacted cerumen was observed among 54.9% of the examined ears. Of these, 103 residents (206 ears) were examined again after cerumenolytic treatment and cerumen cleared. The authors concluded that there is a need for focused physical examination in order to recognize and treat ear, nose, and throat disorders in this population. Examinations of adults with I/DD are feasible and important in enabling good communication and maintaining general health.
    Type of Medium: Online Resource
    ISSN: 1741-1122 , 1741-1130
    URL: Issue
    URL: Article
    DOI: 10.1111/jppi.2015.12.issue-4
    DOI: 10.1111/jppi.12137
    Language: English
    Publisher: Wiley
    Publication Date: 2015
    detail.hit.zdb_id: 2152055-0
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  • 3
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    Could the Audiometric Criteria for Sudden Sensorineural Hearing Loss Miss Vestibular Schwannomas?
    Wiley ; 2023
    In:  The Laryngoscope Vol. 133, No. 3 ( 2023-03), p. 670-675
    Details
    In: The Laryngoscope, Wiley, Vol. 133, No. 3 ( 2023-03), p. 670-675
    Abstract: To investigate the likelihood of missing a vestibular schwannoma (VS) diagnosis in patients who present with a sudden hearing loss (SHL) that does not meet the most accepted audiometric criteria for sudden sensorineural hearing loss (SSNHL) (a decrease of ≥30 dB at three consecutive frequencies). Methods All adult patients ( 〉 18 years) diagnosed with SHL of any severity in a tertiary care referral medical center between 2015 and 2020 and who underwent an MRI scan to rule out VS were included. Statistical analyses were conducted to evaluate the difference between the rate of VS among patients with an initial audiogram, which met the abovementioned criteria, and those who did not. Other audiometric criteria for SNHL were also evaluated (≥10 dB at ≥2 frequencies and ≥ 15 dB at one frequency). Results Of the 332 patients included in the study, 152 met the audiometric criteria for SSNHL, and 180 did not. Both groups had a similar VS rate (8.6% vs. 8.9%, p  = 0.914). Similar results were found when other audiometric criteria for asymmetric SNHL were analyzed. In a subgroup analysis of patients with VS‐associated SSNHL, neither the tumor size nor the Koos classification was associated with any of the audiometric criteria systems. Conclusion There should be a high index of suspicion for the presence of VS in patients with an SHL of any severity. Level of Evidence 3 Laryngoscope , 133:670–675, 2023
    Type of Medium: Online Resource
    ISSN: 0023-852X , 1531-4995
    URL: Issue
    URL: Article
    DOI: 10.1002/lary.v133.3
    DOI: 10.1002/lary.30230
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2026089-1
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  • 4
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    Residual Perforation Risk Assessment of Intratympanic Steroids via Tympanostomy Tube Versus Transtympanic Injections
    Wiley ; 2021
    In:  The Laryngoscope Vol. 131, No. 9 ( 2021-09)
    Details
    In: The Laryngoscope, Wiley, Vol. 131, No. 9 ( 2021-09)
    Abstract: To investigate the risk of residual tympanic membrane (TM) perforation after intratympanic (IT) steroidal treatment administered via transtympanic injection compared with trans‐tympanostomy tube (TyT). Study Design Case series, systematic review and meta analysis. Methods Data were retrieved from the medical files of an original cohort of all consecutive patients with sudden sensorineural hearing loss necessitating IT steroidal treatment in a tertiary medical center between January 1, 2016 and November 20, 2020. A systematic literature search of “MEDLINE” via “PubMed,” “Embase,” and “Web of Science” on comparable published cases was performed and meta‐analysis was established. Results Eighteen studies describing 818 ears were included in the quantitative meta‐analysis in addition to a local cohort of 140 ears. The proportion of residual TM perforation was 1.11% and 1.14% (95% confidence interval: 0.01%–3.27% and 0.028%–2.38%) in the TyT and trans‐tympanic groups, respectively, suggesting no significant difference in residual TM perforation risk between these techniques. Conclusion IT steroid therapy via trans‐TyT is not associated with more residual perforations than IT steroid therapy via transtympanic injections. Level of Evidence NA Laryngoscope , 131:E2583–E2591, 2021
    Type of Medium: Online Resource
    ISSN: 0023-852X , 1531-4995
    URL: Issue
    URL: Article
    DOI: 10.1002/lary.v131.9
    DOI: 10.1002/lary.29609
    Language: English
    Publisher: Wiley
    Publication Date: 2021
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  • 5
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    Online Resource
    Is Sudden Sensorineural Hearing Loss an Otologic Emergency? Evidence-Based Cutoff for Optimal Treatment Initiation for Sudden Unilateral Sensorineural Hearing Loss: A Case Series and Meta-Analyses
    Ovid Technologies (Wolters Kluwer Health) ; 2023
    In:  Otology & Neurotology Vol. 44, No. 3 ( 2023-3), p. 216-222
    Details
    In: Otology & Neurotology, Ovid Technologies (Wolters Kluwer Health), Vol. 44, No. 3 ( 2023-3), p. 216-222
    Abstract: To study the need for defining unilateral idiopathic sudden sensorineural hearing loss (ISSNHL) as an otologic emergency and establish an evidence-based cutoff for treatment initiation for optimal outcome. Methods A systematic literature search of “MEDLINE” via “PubMed,” “Embase,” and “Web of Science” and original case series comparing the outcome of steroidal treatment for ISSNHL as a function of delays of patient presentation, of diagnosis, and of treatment initiation. Total delay was defined as days from ISSNHL onset to first steroidal dose and divided into up to 3 days, up to 7 days, up to 14 days, and 〉 14 days. Results The literature search identified 1,469 ears and our original case series contributed 154 ears suitable for study inclusion, resulting in 1,623 ears for statistical analysis. An odds ratio (OR) of 0.42 (95% confidence interval [CI], 0.25–0.71) was calculated for recovery if treatment had been initiated within the third day since the sudden occurrence of a unilateral hearing loss compared with treatment initiation on or after the fourth day (I 2 = 40.1%). The calculated OR for recovery was 0.35 (95% CI, 0.26–0.47) when treatment was initiated during the first 7 days after the sudden hearing loss onset compared with a delay of 8 days or more (I 2 = 52.1%). The OR was 0.31 (95% CI, 0.21–0.46) when treatment was initiated during the first 14 days after the event compared with a longer delay (I 2 = 0.0%). Conclusion Unilateral ISSNHL should be considered a medical emergency. Initiating treatment before 3 days have elapsed since the event portends the best outcome. Level of Evidence Level I.
    Type of Medium: Online Resource
    ISSN: 1537-4505 , 1531-7129
    URL: Article
    DOI: 10.1097/MAO.0000000000003808
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2023
    detail.hit.zdb_id: 2058738-7
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  • 6
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    Preoperative Anxiety Levels and Postoperative Middle Ear Surgery Pain Levels
    Ovid Technologies (Wolters Kluwer Health) ; 2023
    In:  Otology & Neurotology Vol. 44, No. 4 ( 2023-4), p. e235-e240
    Details
    In: Otology & Neurotology, Ovid Technologies (Wolters Kluwer Health), Vol. 44, No. 4 ( 2023-4), p. e235-e240
    Abstract: This study aimed to characterize self-reported postoperative pain after tympanoplasty and tympanomastoidectomy and correlate pain severity with the patient's preoperative anxiety state. Study Design Prospective cohort study. Setting Tertiary referral medical center. Patients Adult patients undergoing any middle ear surgery between July 2018 and July 2019. Main Outcome Measures Patient responses to an otology questionnaire (OQ) for scoring pain intensity on a visual analog scale preoperatively and on postoperative days (PODs) 1–4, 21, and 63. The responses were correlated with anxiety state (assessed by State-Trait Personality Inventory [STPI] scores) and clinical and operative data, including surgical technique–related details. Results Sixty patients were enrolled (mean age ± standard deviation, 40 ± 19.7 yr, 26 men). Their median preoperative (baseline) visual analog scale pain score was 6 on POD1, 5 on POD3, and 1 at 3 and 7 weeks. Their median preoperative OQ score was 32 of 70 (45.7%), 37 of 70 (52.8%) on POD1, 33 of 70 (47.1%) on POD3, 6 of 70 (8.5%) at 3 weeks, and 6 of 70 at 7 weeks. Their overall mean preoperative anxiety level (STPI score) was 2.63 ± 1.50. STPI scores were significantly higher among patients who reported OQ scores equal to or higher than the median during PODs 1 to 4 in comparison to patients who reported OQ scores lower than the median. The α Cronbach correlation between anxiety and postoperative pain scores on POD1 was 0.97. Conclusion Preoperative anxiety levels are closely associated with postoperative pain levels after any middle ear surgery. Measures to control preoperative anxiety are warranted to alleviate postoperative pain.
    Type of Medium: Online Resource
    ISSN: 1537-4505 , 1531-7129
    URL: Article
    DOI: 10.1097/MAO.0000000000003837
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2023
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  • 7
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    Online Resource
    Sudden Brief Unilateral Tapering Tinnitus : Prevalence and Properties
    Ovid Technologies (Wolters Kluwer Health) ; 2011
    In:  Otology & Neurotology Vol. 32, No. 9 ( 2011-12), p. 1409-1414
    Details
    In: Otology & Neurotology, Ovid Technologies (Wolters Kluwer Health), Vol. 32, No. 9 ( 2011-12), p. 1409-1414
    Type of Medium: Online Resource
    ISSN: 1531-7129
    URL: Article
    DOI: 10.1097/MAO.0b013e3182355626
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2011
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  • 8
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    Cardiovascular Risk Factors as Causes for Hearing Impairment
    S. Karger AG ; 2014
    In:  Audiology and Neurotology Vol. 19, No. 4 ( 2014), p. 256-260
    Details
    In: Audiology and Neurotology, S. Karger AG, Vol. 19, No. 4 ( 2014), p. 256-260
    Abstract: The purpose of this paper is to provide a contemporary review of the correlation between cardiovascular risk factors (CVRFs) and hearing impairment (HI) 〈 b 〉 〈 i 〉 . 〈 /i 〉 〈 /b 〉 We 〈 b 〉 〈 /b 〉 conducted a comprehensive review of the literature in order to assess the effects of the different CVRFs on HI. We focused on the pathological findings in the inner ear and their correlation with cochlear function in population-based studies. We found that CVRFs adversely affect hearing acuity. HI diagnosis should be accompanied by detecting and treating CVRFs, according to the presented outline, which may augment hearing rehabilitation and improve the general health and the well-being of the patient.
    Type of Medium: Online Resource
    ISSN: 1420-3030 , 1421-9700
    URL: Article
    DOI: 10.1159/000363215
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2014
    detail.hit.zdb_id: 1481979-X
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  • 9
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    Spontaneous recovery rate of idiopathic sudden sensorineural hearing loss: A systematic review and meta‐analysis
    Wiley ; 2023
    In:  Clinical Otolaryngology Vol. 48, No. 3 ( 2023-05), p. 395-402
    Details
    In: Clinical Otolaryngology, Wiley, Vol. 48, No. 3 ( 2023-05), p. 395-402
    Abstract: Steroids comprise the mainstay of treatment for idiopathic sudden sensorineural hearing loss (ISSNHL). Since steroidal treatment was integrated to clinical practice guidelines, newly published no‐treatment or placebo arms in clinical trials are scarce. To evaluate the effectiveness of steroidal treatment ± hyperbaric oxygen therapy, the data should be compared to spontaneous recovery. The aim of this paper is to find the most accurate spontaneous recovery rate, in the light of which, other treatment modalities should be judged. Materials and Methods Eligible studies published until July 2021 were identified through systematic searches of ‘PubMed’, ‘Web of Science’ and ‘Google Scholar’. Retrospective studies and randomised/non‐randomised control trials involving only adult participants (≥18 years) with ISSNHL, and placebo/no treatment were included. Only articles that used the American Academy of Otolaryngology–Head and Neck Surgery's diagnostic criteria for ISSNHL were included. Results 942 records initially identified, 166 duplicates and 753 articles were excluded based on article subject, title, and abstract. The full texts of 13 articles were reviewed. Seven studies were included for qualitative synthesis, five papers included in quantitative synthesis. 180 ears were included in pooled statistics. The pooled spontaneous recovery was 60.28% (95% confidence interval [CI] = 38.88%–79.94%) with a heterogeneity of 86.0% (95% CI = 69.4%–93.6%). Conclusions Spontaneous recovery of ISSNHL should not be over‐looked, as it may be close to 60%. This may have both clinical and research implications.
    Type of Medium: Online Resource
    ISSN: 1749-4478 , 1749-4486
    URL: Issue
    URL: Article
    DOI: 10.1111/coa.v48.3
    DOI: 10.1111/coa.14036
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2206071-6
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  • 10
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    Iatrogenic cholesteatoma originating from a misplaced tympanomeatal flap during tympanoplasty: a series of five patients
    Springer Science and Business Media LLC ; 2020
    In:  European Archives of Oto-Rhino-Laryngology Vol. 277, No. 12 ( 2020-12), p. 3295-3299
    Details
    In: European Archives of Oto-Rhino-Laryngology, Springer Science and Business Media LLC, Vol. 277, No. 12 ( 2020-12), p. 3295-3299
    Type of Medium: Online Resource
    ISSN: 0937-4477 , 1434-4726
    URL: Article
    DOI: 10.1007/s00405-020-06039-y
    RVK:
    XA 26650
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
    detail.hit.zdb_id: 1459042-6
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