Annals of Otology and Neurotology最新文献

{"title":"A New Method of Cadaver Dissection in the Temporal Bone","authors":"M. Kumaresan, N. Bharath","doi":"10.1055/s-0039-1700207","DOIUrl":"https://doi.org/10.1055/s-0039-1700207","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":"31 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":"121309788","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":"Study on Use of Platelet-Rich Plasma in Myringoplasty","authors":"S. Bajpai","doi":"10.1055/s-0039-1700235","DOIUrl":"https://doi.org/10.1055/s-0039-1700235","url":null,"abstract":"Case Presentation We, hereby, present a case of 25-year-old male, a case of chronic suppurative otitis media atticoantral disease who underwent canal wall down mastoidectomy with tympanoplasty. He presented with com-plaints of facial nerve paralysis, 7 days after the surgery. Patient had a House–Brackmann grade-3 paralysis. Treatment was initiated with oral corticosteroids and oral acyclovir. Patient was recovered completely after the therapy","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"83 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":"116295604","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":"Vertigo Clinic Patients: A 2-Year Clinical Audit","authors":"A. Chandran","doi":"10.1055/s-0039-1700197","DOIUrl":"https://doi.org/10.1055/s-0039-1700197","url":null,"abstract":"","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"102 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":"127129631","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":"Prevalence, Clinical Profile, and Diagnosis of Dizziness in Pediatric Population","authors":"G. Haripriya, Lepcha Anjali","doi":"10.1055/s-0039-1700203","DOIUrl":"https://doi.org/10.1055/s-0039-1700203","url":null,"abstract":"to systematically analyze the","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"33 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":"132489928","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":"Correlation of Site and Size of Tympanic Membrane Perforation and Middle Ear Air Space Volume with Magnitude of Hearing Loss","authors":"R. Virk, Krishan Kudawla, S. Bansal, Ramya Rathod, S. Behera","doi":"10.1055/s-0039-1693095","DOIUrl":"https://doi.org/10.1055/s-0039-1693095","url":null,"abstract":"Abstract Introduction The effects of tympanic membrane perforations on middle ear sound transmission are not well characterized, largely because ears with perforations typically have additional pathological changes. It has been established that the larger the perforation, the greater is the hearing loss (HL). Aim This study aimed to correlate the location and size of tympanic membrane perforation and middle ear air space volume with the magnitude of HL in patients with tubotympanic or inactive mucosal type of chronic otitis media (COM). Materials and Methods A prospective clinical study of patients with tympanic membrane perforations due to COM and without any other ear disease and who attended the Otolaryngology services at our institute between July 2010 and December 2011 was conducted. A total of 300 ears were evaluated by performing otoendoscopy, followed by photo documentation and audiological investigations (pure-tone audiometry and tympanometry). Tympanic membrane perforations were categorized based on their size and location, and the mean air-bone (AB) gap between the various types of perforations was compared and statistically analyzed with significance level of p < 0.05. Results Out of 300 ears, maximum number of ears (n = 124, 41.3%) had large-sized perforations (> 30 mm2) that had a maximum mean AB gap of 26.43 dB, and minimum number of ears (n = 60, 20%) had small-sized perforations (0–9 mm2) that had minimum mean AB gap of 9.12 dB. The remaining were medium-sized perforations that had mean AB gap of 16.13 dB. Depending on the location, maximum were central perforations (n = 198, 66%) and minimum were anterosuperior (AS) perforations (n = 9, 3%). Based on the middle ear volume on tympanometry, maximum ears were of low-volume group (n = 246, 92%) that had larger mean AB gap of 19.96 dB HL when compared with the high-volume group (n = 24, 8%) with 11.80 dB HL. AB gap was maximum at lower frequencies and decreased with increase in frequencies except at 4,000 Hz, that is, 56.9 dB HL at 250 Hz, 42.6 at 500 Hz, 41.5 at 1,000 Hz, 32.4 at 2,000 Hz, and 49.5 at 4,000 Hz. Conclusion HL increases as the area of tympanic membrane perforation increases. There is an inverse relationship between HL and middle ear air space volume. Comparing the small-sized perforations at different sites with the middle ear volume being low, it was found that posterosuperior (PS) perforations had 4 to 7 dB greater HL than AS and anteroinferior (AI). However, the relationship was statistically insignificant. The phase cancellation effect of round window causing greater HL in posteroinferior (PI) perforations does not exist in small- and medium-sized perforations. HL is greater at lower frequencies and less at higher frequencies.","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"25 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":"116564935","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":"Endoscopic Exploratory Tympanotomy: Our Experience","authors":"Shankar G.","doi":"10.1055/s-0039-1700212","DOIUrl":"https://doi.org/10.1055/s-0039-1700212","url":null,"abstract":"in confirmed otosclerosis included dehiscent fallopian canal and dehiscent high-lying jugular bulb. Conclusion and Clinical Significance The study pro-vides us insight into various causes of conductive hearing loss behind an intact tympanic membrane with no previous history of ear discharge. The advantage of endoscopic exploratory tympanotomy was clear view of middle ear anatomy and aiding as an excellent teaching tool. A0020: Cholesteatoma of the External Auditory Canal: Review","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"7 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":"127473936","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":"Comparative Study between Microscopic Myringoplasty and Endoscopic Myringoplasty","authors":"V. Leivang, R. Jain","doi":"10.1055/s-0039-1700242","DOIUrl":"https://doi.org/10.1055/s-0039-1700242","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":"45 17 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":"117063633","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":"Case Report: Delayed Facial Nerve Paralysis—An Uncommon Complication of Tympanomastoid Surgery","authors":"Spandana S. Pardikar","doi":"10.1055/s-0039-1700237","DOIUrl":"https://doi.org/10.1055/s-0039-1700237","url":null,"abstract":"Case Presentation We, hereby, present a case of 25-year-old male, a case of chronic suppurative otitis media atticoantral disease who underwent canal wall down mas-toidectomy with tympanoplasty. He presented with com-plaints of facial nerve paralysis, 7 days after the surgery. Patient had a House–Brackmann grade-3 paralysis. Treatment was initiated with oral corticosteroids and oral acyclovir. Patient was recovered completely after the therapy","PeriodicalId":108664,"journal":{"name":"Annals of Otology and Neurotology","volume":"55 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":"127065208","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":"Screening of Hearing Impairment in High-Risk Neonates with the Use of OAE and BERA","authors":"Latha Naik","doi":"10.1055/s-0039-1700229","DOIUrl":"https://doi.org/10.1055/s-0039-1700229","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":"535 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":"133588866","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":"Evaluation of Temporal Bone Cholesteatoma and the Correlation between High-Resolution Computed Tomography and Surgical Findings","authors":"Epibeni L. Humtsoe","doi":"10.1055/s-0039-1700225","DOIUrl":"https://doi.org/10.1055/s-0039-1700225","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":"02 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":"130612706","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}