{"title":"Outcomes of Endoscopic Stapedotomy","authors":"K. Rout","doi":"10.1055/s-0039-1700206","DOIUrl":"https://doi.org/10.1055/s-0039-1700206","url":null,"abstract":"Annals of Otology and Neurotology ISO Vol. 02 Suppl. S1/2019 simultaneous labyrinthectomy and cochlear implantation following complications of stapedotomy. Case Presentation A 37-year-old male teacher who had undergone stapedotomy 1 month ago at a local hospital, presented with complaints of right ear hearing loss and vertigo. Examination revealed a right-sided posterior marginal perforation and dislocated stapes piston with clear fluid seen filling the middle ear. Pure tone audiogram showed a right ear moderate to severe mixed hearing loss and a left moderate mixed hearing loss. A high-resolution computerized tomogram (HRCT) of the temporal bone was normal. Right revision stapedotomy, closure of perilymph leak and myringoplasty were done. Patient improved symptomatically with improvement of hearing and relief from vertigo. However, 3 months later patient developed viral labyrinthitis with severe vertigo and right-sided severe profound hearing loss. He was treated conservatively with IV antibiotics. Patient continued to have intractable vertigo and hearing loss. The patient subsequently underwent right simultaneous labyrinthectomy and cochlear implantation 7 months after the second surgery. Postoperatively, the patient had dramatic relief from vertigo and was able to resume to his daily routine activities. Discussion and Conclusion Simultaneous labyrinthectomy and cochlear implantation following complications of stapedotomy offers successful treatment and is yet another indication for cochlear implantation.","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"130 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127488885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Bharathi, Thanzeem Unisa, Swathi Chandresh, V. R, H. S.
{"title":"Clinical Study of Bell's Palsy at Tertiary Care: Our Experience","authors":"M. Bharathi, Thanzeem Unisa, Swathi Chandresh, V. R, H. S.","doi":"10.1055/s-0039-1693096","DOIUrl":"https://doi.org/10.1055/s-0039-1693096","url":null,"abstract":"Abstract Introduction Bell's palsy (BP) is the common cause of facial palsy. This study aims to report and analyze the age, sex distribution, symptomatology, site of lesion, and prognosis in 101 patients with (BP). Materials and Methods This is a cross-sectional study conducted at tertiary referral center, JSS Hospital, Mysuru. All patients consenting to participate in this study, of all ages, of either sex, both outpatients and inpatients with a diagnosis of BP during this study period were included. Results Of the 101 patients analyzed, maximum cases (25.7%) were in third decade of age; 55.4% were males, and both right and left sides of the face were equally involved. Maximum number of patients (50.5%) had a history of postaural pain at presentation Topodiagnostic tests showed majority of BP cases involving geniculate or suprageniculate regions (67.3%) in our study. 20.8% had lesion above the nerve to stapedius, and 11.9% had lesion below the nerve to stapedius. Electrodiagnostic test—electroneuromyography (ENMG)—was abnormal in 57 (67.1%) individuals at day 4. 50.4% of patients had a House-Brackmann (HB) facial nerve grade IV at presentation. 90% of the BP group in our study recovered normal to near-normal facial nerve function by the end of 28 days’ time. Conclusion Each case of BP should be evaluated with thorough clinical examination, topodiagnostic tests, and electrodiagnostic tests. Appropriate management will help in almost full recovery of disease.","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127536942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Human Gaze Holding and Its Disorders","authors":"A. Shaikh","doi":"10.1055/s-0039-1693834","DOIUrl":"https://doi.org/10.1055/s-0039-1693834","url":null,"abstract":"Abstract Stabilizing the retinal fovea on the object of interest is the most critical requirement for clear vision. Our brain implements sophisticated neural mechanisms to ensure stable gaze. In this article, I will review contemporary research delineating neural mechanisms for gaze holding. I will then describe various disorders of gaze holding in the context of basic neurophysiology, electrophysiology, and membrane biology. Particular focus is on the basic and translational neuroscience of central nystagmus of ocular motor and vestibular etiologies.","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115355524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Surgical Management of Menière's Disease: Our Experience","authors":"H. B.","doi":"10.1055/s-0039-1700228","DOIUrl":"https://doi.org/10.1055/s-0039-1700228","url":null,"abstract":". Conclusion In the six cases operated, Veria technique prove to be a simple, safe, and effective method of cochlear implantation with postoperative speech therapy playing a crucial role.","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116460695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Anatomy of Mesotympanum: Human Temporal Bone Study","authors":"Epibeni L. Humtsoe","doi":"10.1055/s-0039-1700224","DOIUrl":"https://doi.org/10.1055/s-0039-1700224","url":null,"abstract":"Aims and Objectives To study the role of HRCT in the preoperative evaluation of patients with cholesteatoma Materials and Methods For the purpose of this study, a total of 60 patients attending outpatient department (OPD) and clinically diagnosed as squamosal type of chronic otitis media were included in the study. All the patients underwent a detailed history taking and clinical ENT examination. All otoscopic findings were confirmed by otomicroscopy. A preoperative HRCT of the temporal bone was done, using 128 slice GE CT scanner (VCT GE) in all the 60 patients. The selected patients then underwent tympanomastoidectomy via post aural route both under local and general anesthesia. Intraoperative findings were noted and preoperative HRCT findings were confirmed and compared with the intraoperative surgical findings. Result Based on the findings, the present study concludes that preoperative HRCT has an excellent correlation with the intraoperative findings in detecting the location and extension of soft tissue and bony erosions for most of the structure except facial canal erosion and stapes where sensitivity was found to be low. Also, in this study, HRCT could not differentiate cholesteatoma from other pathology. Conclusion The early identification of soft tissue and subtle bony erosions on HRCT helps the surgeon in planning the appropriate management and preventing impending complications. Clinical Significance HRCT also serves as a tool in guiding the surgeon during surgery by giving prior information about the extent of the disease and associated bony erosions. Thus, HRCT of the temporal bone, as a preoperative investigation modality, is invaluable in the diagnosis and management of cholesteatoma.","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128503398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Kairo, J. Quadri, A. Singh, S. Sarwar, R. Kumar, A. Thakar, A. Shariff, S. Sharma
{"title":"Over Expression of Psoriasin in Middle Ear Cholesteatoma Increases Inflammation, Bone Destruction, and Severity of Disease: Ultrastructural and Molecular Findings","authors":"A. Kairo, J. Quadri, A. Singh, S. Sarwar, R. Kumar, A. Thakar, A. Shariff, S. Sharma","doi":"10.1055/s-0039-1700199","DOIUrl":"https://doi.org/10.1055/s-0039-1700199","url":null,"abstract":"Annals of Otology and Neurotology ISO Vol. 02 Suppl. S1/2019 Results Hematoxylin and eosin-stained tissue sections showed stratified squamous epithelium, keratinous contents, ghost squamous cells, and inflammatory cells. The psoriasin expression in cholesteatoma tissues was significantly higher as compared with posterior superior retraction pocket (PSRP). A Psoriasin expression increases with the severity of the disease. The proinflammatory cytokines (IL-6 and IL-1β) were also upregulated along with VEGF and MMP-9 in cholesteatoma cases compared with control and the expression increased with disease severity. TEM images of ultra-thin sections of the tissues showed strips of stratified squamous epithelium layer along with inflammatory and apoptotic cells. A very unique ultrastructural feature of bacterial localization within the membrane pocket was seen, which gave direct evidence of bacterial infection in the middle ear cholesteatoma. Acknowledgment Authors are thankful to the Electron Microscope Facility for providing an opportunity to conduct ultrastructural analysis, and AIIMS, New Delhi for providing financial (Intramural Research Funding) and all other supports.","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125579904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Simultaneous Labyrinthectomy and Cochlear Implantation","authors":"J. Rozario","doi":"10.1055/s-0039-1700205","DOIUrl":"https://doi.org/10.1055/s-0039-1700205","url":null,"abstract":"Annals of Otology and Neurotology ISO Vol. 02 Suppl. S1/2019 simultaneous labyrinthectomy and cochlear implantation following complications of stapedotomy. Case Presentation A 37-year-old male teacher who had undergone stapedotomy 1 month ago at a local hospital, presented with complaints of right ear hearing loss and vertigo. Examination revealed a right-sided posterior marginal perforation and dislocated stapes piston with clear fluid seen filling the middle ear. Pure tone audiogram showed a right ear moderate to severe mixed hearing loss and a left moderate mixed hearing loss. A high-resolution computerized tomogram (HRCT) of the temporal bone was normal. Right revision stapedotomy, closure of perilymph leak and myringoplasty were done. Patient improved symptomatically with improvement of hearing and relief from vertigo. However, 3 months later patient developed viral labyrinthitis with severe vertigo and right-sided severe profound hearing loss. He was treated conservatively with IV antibiotics. Patient continued to have intractable vertigo and hearing loss. The patient subsequently underwent right simultaneous labyrinthectomy and cochlear implantation 7 months after the second surgery. Postoperatively, the patient had dramatic relief from vertigo and was able to resume to his daily routine activities. Discussion and Conclusion Simultaneous labyrinthectomy and cochlear implantation following complications of stapedotomy offers successful treatment and is yet another indication for cochlear implantation.","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124419808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anjali Lepcha, M. Mammen, A. Augustine, Ajay Philip
{"title":"Audiological Effects of Occupational Noise Exposure in High-Risk Staff in a Tertiary Care Hospital in South India","authors":"Anjali Lepcha, M. Mammen, A. Augustine, Ajay Philip","doi":"10.1055/s-0039-1700196","DOIUrl":"https://doi.org/10.1055/s-0039-1700196","url":null,"abstract":"Aims To determine the audiological effects of long-term noise exposure in high risk groups of staff working in a tertiary care hospital in South India. Materials and Methods This study was done as part of the newly established occupational health program in the hospital. Boiler section, Artificial Limb Center (ALC), Laundry department, Central Sterile Supply Department (CSSD), and Dietary department were selected for the study based on questionnaires from employees about perception about noise hazards in their areas of work. The questionnaire that rated the noise levels on a scale from 0 to 5, where 0 was no noise to 5 was intolerable, extreme noise. Based on this, sound levels were assessed in these areas during different times of the day. The result of this questionnaire and sound measurement prompted the hospital administration to take several measures. Awareness programs were held in these areas, audiological examination was done, and ear protection devices were given to all employees working in these areas. This study data have been retrieved from chart reviews of staff working in the five high-noise level areas and screened for hearing loss between March 2015 and October 2017. Results The noisiest area in the hospital rated grade 5 was the boiler room with an average of 95 dB noise, followed by the CSSD, laundry, and dietary sections. One hundred and seventeen staff, 80 males and 37 females underwent evaluation by an ENT surgeon. Duration of noise exposure in these workers ranged from < 5 to > 20 years. Out of the 116 staff, who underwent pure tone audiometry, 66 had sensorineural hearing loss in either or both ears. Otoacoustic emissions were done on 73 staff, 23 had absent OAE bilaterally. There was significant association between CSSD workers and noise induced hearing loss as compared with other departments (Chi-square test with p","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"76 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128068279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Facial Nerve Decompression","authors":"S. Mary","doi":"10.1055/s-0039-1700239","DOIUrl":"https://doi.org/10.1055/s-0039-1700239","url":null,"abstract":"Annals of Otology and Neurotology ISO Vol. 02 Suppl. S1/2019 2 years from August 2016 to July 2018. Six hundred patients who attended outpatient department (OPD) in the Department of Otorhinolaryngology, with sensorineural hearing loss following inclusion criteria, are included in the study. Detailed history was taken followed by clinical examination. All patients were subjected to complete ENT examination, pure tone audiometric examination was done in all cases (MAICO MA42 audiometer). Height, body weight, and waist circumference (WC) were measured. Results The correlation between obesity and SNHL was found to be more significant in females than males. Obese and diabetic patients of both sexes were found to have higher degree of hearing loss for both high and low frequencies as compared with nonobese patients. Good correlation was found between BMI and degree of hearing loss. Abrupt high tone loss type of audiometric configuration was the commonest finding in both male and females. Conclusion There is a correlation between ages related to sensory neural hearing loss with central obesity and its comorbidities, with waist circumference as the most important indicator. Clinical Significance A careful understanding of the modifiable risk factors for age-related sensory neural hearing loss help in its early detection and prevention.","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127576421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Functional Endoscopic Middle Ear Surgery: Concept and Application","authors":"Anupama Hazarika","doi":"10.1055/s-0039-1700198","DOIUrl":"https://doi.org/10.1055/s-0039-1700198","url":null,"abstract":"Aims To determine the audiological effects of long-term noise exposure in high risk groups of staff working in a tertiary care hospital in South India. Materials and Methods This study was done as part of the newly established occupational health program in the hospital. Boiler section, Artificial Limb Center (ALC), Laun-dry department, Central Sterile Supply Department (CSSD), and Dietary department were selected for the study based on questionnaires from employees about perception about noise hazards in their areas of work. The questionnaire that rated the noise levels on a scale from 0 to 5, where 0 was no noise to 5 was intolerable, extreme noise. Based on this, sound levels were assessed in these areas during different times of the day. The result of this questionnaire and sound measurement prompted the hospital administration to take several measures. Awareness programs were held in these areas, audiological examination was done, and ear protection devices were given to all employees working in these areas. This study data have been retrieved from chart reviews of staff working in the five high-noise level areas and screened for hearing loss between March 2015 and October 2017. Results The noisiest area in the hospital rated grade 5 was the boiler room with an average of 95 dB noise, followed by the CSSD, laundry, and dietary sections. One hundred and seventeen staff, 80 males and 37 females underwent evaluation by an ENT surgeon. Duration of noise exposure in these workers ranged from < 5 to > 20 years. Out of the 116 staff, who underwent pure tone audiometry, 66 had sensorineural hearing loss in either or both ears. Otoacoustic emissions were done on 73 staff, 23 had absent OAE bilaterally. There was significant association between CSSD workers and noise induced hearing loss as compared with other departments (Chi-square test with p","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123029408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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