Otology & Neurotology最新文献

{"title":"Obliteration of the Epitympanum and Mastoid Results in Reduced Cholesteatoma Recidivism: Long-term Outcomes and Technique.","authors":"Simon I Angeli, Stefania Goncalves, Juan A Chiossone-Kerdel","doi":"10.1097/MAO.0000000000004645","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004645","url":null,"abstract":"<p><strong>Objective: </strong>To compare long-term rates of cholesteatoma recidivism between cases undergoing tympanomastoidectomy with obliteration and without obliteration.</p><p><strong>Study design: </strong>Retrospective case-control.</p><p><strong>Setting: </strong>Tertiary referral center.</p><p><strong>Patients: </strong>Adults and older children with pars flaccida cholesteatoma.</p><p><strong>Intervention: </strong>Tympanomastoidectomy with or without obliteration of the epitympanum and mastoid.</p><p><strong>Main outcome measure: </strong>Recidivistic cholesteatoma (ie, residual and/or recurrent cholesteatoma) determined by otoscopy, revision surgery, or imaging.</p><p><strong>Methods: </strong>Retrospective chart review of pars flaccida cholesteatoma surgeries by a single surgeon between 2015 and 2023. Demographic, clinical, and surgical information, inclusive of cholesteatoma type and EAONO/JOS staging.</p><p><strong>Results: </strong>There were 60 cases with obliteration and 63 cases without obliteration that were similar in age, sex, hearing, and cholesteatoma type and stage. Cases with obliteration had statistically significantly lower rates of recurrent (5% vs. 17%, P=0.0447) and residual (3.3% vs. 16%, P=0.0303) cholesteatoma compared with those without obliteration. The overall rate of recidivistic disease was 23.8% in cases without obliteration and 6.8% in cases with obliteration (P=0.0116). Using Kaplan-Meier analysis, recidivistic cholesteatoma-free survival rates at 5 years for the obliteration and non-obliteration groups were 91% and 63%, respectively (P=0.0367, log-rank test). No other clinical or surgical factors influenced recidivism.</p><p><strong>Conclusions: </strong>Epitympanum and mastoid obliteration during CWU and CWD tympanomastoidectomy for pars flaccida cholesteatoma is associated with reduced rates of recurrent and residual disease when compared with cases without obliteration.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Remote CI Fitting in Early Rehabilitation Phase: Preliminary Results.","authors":"Nienke C Homans, Hylke F E van der Toom, André Goedegebure, Jantien L Vroegop","doi":"10.1097/MAO.0000000000004648","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004648","url":null,"abstract":"<p><strong>Objective: </strong>Rising cochlear implant (CI) candidate numbers and limited clinic resources challenge high-quality care. Remote programming via telemedicine offers a solution to enhance efficiency while maintaining patient satisfaction and outcomes. This study examined the feasibility of replacing an in-clinic fitting with a remote one during the rehabilitation phase.</p><p><strong>Patients: </strong>This study included 31 postlingually deafened adult CI users implanted at Erasmus Medical Center, Rotterdam, The Netherlands.</p><p><strong>Interventions: </strong>Recently, a new remote programming system allowed audiologists to program implants via the CI user's smartphone app using Bluetooth connectivity. Twenty-one participants received standard in-clinic rehabilitation of 4 fitting appointments, while 10 patients underwent remote fitting for their third appointment.</p><p><strong>Main outcome measures: </strong>Auditory functioning and patient satisfaction was evaluated at 3 months postimplantation.</p><p><strong>Results: </strong>Participants in the remote group expressed high satisfaction with the process, with most of them recommending remote fitting to others. Most participants found the setup easy and appreciated the convenience of skipping an in-clinic visit. Technical performance was stable, with the exception of one CI user for whom it was not possible to establish the connection. No significant differences were observed between groups in free-field PTA thresholds, speech perception scores, or perceived auditory functioning (SSQ).</p><p><strong>Conclusions: </strong>Remote fitting proves to be a feasible alternative to in-clinic programming, yielding high patient satisfaction and similar auditory outcomes. It could optimize CI care by reducing clinic burden and improving accessibility, advancing future-proof CI health care. Further research with larger samples is needed to validate these findings and explore long-term effects. Incorporating streaming options and/or subtitles would enhance communication during the process.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Systematic Review and Meta-Analysis of Meningitis Risk Reduction After Repair of Spontaneous Lateral Skull Base Cerebrospinal Fluid Leaks.","authors":"Khadija Khan, Prishae Wilson, Mayuri S Patel, Estephania Candelo, Zhen Wang, Tara Brigham, Mallory Raymond","doi":"10.1097/MAO.0000000000004602","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004602","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the relative risk of meningitis after repair of spontaneous lateral skull base cerebrospinal fluid (CSF) leaks through meta-analysis of published studies.</p><p><strong>Databases reviewed: </strong>PubMed, Medline, Embase, Cochrane, SCI-EXPANDED, ESCI, Epistemonikos, and WHO Global Index Medicus were queried for terms including and related to meningitis, CSF leak, surgery, and spontaneous from inception to April 02, 2024.</p><p><strong>Methods: </strong>Prospective and retrospective studies in any language reporting either preoperative or postoperative rates of meningitis in adults with spontaneous lateral skull base CSF leaks were included. Two reviewers independently screened 2,564 studies and extracted data and evaluated risk of bias in 57 studies that met inclusion criteria. A random effects generalized linear mixed model was used to pool and compare logit transformed risk of meningitis before and after repair.</p><p><strong>Results: </strong>Of 1,310 patients who met inclusion criteria, 1,239 underwent CSF leak repair. Fifty-two studies reported rates of preoperative meningitis, and 27 studies reported rates of postoperative meningitis. Twenty-two studies with a total of 511 patients reported both rates. The average follow-up period of 17 studies reporting duration of follow-up was 23.1 months. The preoperative pooled risk of meningitis was 0.16 (95% CI: 0.13-0.25, I2 = 40.57%). The postoperative pooled risk was considerably lower at 0.01 (95% CI: 0.01-0.14, I2 = 4.16%). With substantial heterogeneity (I2 = 62.94%), we observed a relative risk of meningitis after repair of 0.02 (95% CI: 0.00-0.79, p = 0.04).</p><p><strong>Conclusion: </strong>Surgical repair of spontaneous lateral skull base CSF leaks may significantly reduce the risk of adult meningitis.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Variability in Long-Term Psychological Adjustment of Prelingually Deaf Young Adults Implanted During Childhood.","authors":"William G Kronenberger, Irina Castellanos, Morgan A Kincaid, Rick F Nelson, Charles W Yates, Susan T Sehgal, Allison M Ditmars, Carolyn J Herbert, David B Pisoni","doi":"10.1097/MAO.0000000000004607","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004607","url":null,"abstract":"<p><strong>Background: </strong>Young adults who received cochlear implants (CI) during childhood experience considerable variability in psychological adjustment. Understanding and explaining this within-group variability can help to identify CI users who are at risk for adjustment problems and suggest intervention strategies. This study investigated associations between psychological adjustment and hearing history, speech-language skills, and nonverbal intelligence in young adults who received CIs in childhood.</p><p><strong>Methods: </strong>Study participants were 30 young adult CI users aged 18-27 years, who were implanted at age 6 years or younger between the years of 1988 and 2003. Self-reported psychological adjustment was assessed in two domains: behavioral-emotional problems and executive functioning problems. Measures of device/hearing history, nonverbal intelligence, speech recognition, vocabulary, and everyday language comprehension problems were obtained to test for contributions to psychological adjustment outcomes.</p><p><strong>Results: </strong>Participants displayed significant variability in psychological adjustment scores, with sample mean scores falling in the average or the minimal problem range. Between 13% and 20% of the sample reported clinically elevated psychological adjustment problems. Psychological adjustment was not related to demographic or device/hearing history variables. In regression equations, fewer everyday language comprehension problems were associated with better psychological adjustment. Speech recognition, vocabulary, and nonverbal intelligence were inconsistently related or unrelated to psychological adjustment.</p><p><strong>Conclusion: </strong>Pediatric CI recipients vary in psychological adjustment outcomes during young adulthood. Functional, everyday, higher-order language comprehension skills appear to be centrally important for psychological adjustment in young adult CI users.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterization of Hearing Loss in Paget Disease: A National Database Study.","authors":"Ross Rosen, Chelsea Cleveland, Jamil Hayden, Todd Otteson, Tekin Baglam","doi":"10.1097/MAO.0000000000004641","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004641","url":null,"abstract":"<p><strong>Objectives: </strong>The primary objective of this study is to identify a relationship between Paget disease and sensorineural, conductive, and mixed hearing loss.</p><p><strong>Methods: </strong>Using the TriNetx Analytics Network, a retrospective database review was performed. The database was queried for patients with a diagnosis of Paget disease. A control group was created by querying all patients without a diagnosis of Paget. Patients in both the control and study group with a diagnosis of hearing loss, tinnitus, vertigo, and cochlear implantation were recorded, propensity-matched by age, hypertension, diabetes, aspirin use, and loop diuretic use.</p><p><strong>Results: </strong>We identified 8790 patients with Paget disease. Among the control group, 6.1% had a diagnosis of sensorineural hearing loss, 0.46% had a diagnosis of conductive hearing loss, and 0.9% had a diagnosis of mixed hearing loss. The Paget disease group had a significantly higher rate of all 3 types of hearing loss: 9.1% had sensorineural hearing loss (P < 0.001), 0.8% had conductive hearing loss (P < 0.001), and 1.45% had mixed hearing loss (P = 0.006). Patients with Paget disease also had higher rates of tinnitus (4.6% vs 2.8%, P < 0.001) and vertigo (3.9% vs 2.8%, P < 0.001).</p><p><strong>Conclusion: </strong>This study is the largest to date that describes a relationship between Paget and otologic complications. There was a significant increased risk in each hearing loss subgroup as well as tinnitus and vertigo for patients with Paget disease. Further studies should focus on better understanding of screening and prevention of hearing loss for this population.</p><p><strong>Level of evidence: </strong>Level IV.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Provider Perceptions Versus Observed Impacts of Social Determinants on Pediatric Cochlear Implant Follow-up.","authors":"Hannah Sturm, Jacob Schnieder, Alexis Kim, Kelly Lee, Maja Svrakic","doi":"10.1097/MAO.0000000000004615","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004615","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluated the perceived versus actual impact of social determinants of health on follow-up attendance including time to activation and recorded hours of use in pediatric patients with cochlear implants (CI).</p><p><strong>Methods: </strong>A retrospective chart review included patients (0-18 yrs) who received a CI at a Northwell Health facility between August 1, 2013, and January 1, 2023. Social determinants assessed included race, immigration status, primary household language, insurance status, median household income, and zip code. Outcomes for CI patients included follow-up appointments after activation, at 6 months, 1 year, and 2-5 years.</p><p><strong>Results: </strong>Among 107 CI recipients, those who immigrated to the United States had fewer first-year follow-ups than US-born patients (born in the United States: 8.67 ± 1.97; immigrated: 6.38 ± 2.92; p = 0.0060). Patients from lower-income areas had lower follow-up rates after activation and at 6 months (activation: low income-0.81 ± 0.39, middle income-0.95 ± 0.23; p = 0.035; 6-mo follow-up: low income-0.75 ± 0.43, middle income-0.91 ± 0.29; p = 0.033). At 2-5 years, follow-up rates were highest in patients from zip code 112 (Brooklyn, 4.5 ± 0.71) compared to 117 (Suffolk County, 2.22 ± 1.56) and 113 (Flushing, 1.16 ± 1.14) (p = 0.037 and 0.023, respectively). No significant associations were found between primary language, insurance status, or race. Provider surveys showed that all providers believed socioeconomic status (SES) affected follow-up, while 55.6% cited primary language and 33.3% cited immigration status and zip code.</p><p><strong>Conclusions: </strong>Lower income and immigration status were associated with reduced follow-up among CI recipients, aligning with provider expectations. However, patients from lower-income urban areas required more frequent follow-ups in the long term, possibly due to poorer hearing outcomes or limited access to local providers. Providers had a negative bias regarding the influence of primary household language, insurance status, and race. While these factors may be associated with lower income and immigration status, they were not directly linked to follow-up adherence. These findings highlight the importance of identifying patients with established risk factors, such as low household income, immigration status, and geographic distance from treatment centers, and proactively engaging their families in discussions about potential barriers to follow-up care and involving social workers to help address these challenges to improve postsurgical follow-up adherence.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Adult Cochlear Implantation on Communication Partner Disability and Quality of Life: A Systematic Review.","authors":"Jessica C Goodwin, Monica C Amarante, Mayuri S Patel, Prishae Wilson, Tara Brigham, Mallory J Raymond","doi":"10.1097/MAO.0000000000004633","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004633","url":null,"abstract":"<p><strong>Objective: </strong>Assess the impact of adult cochlear implantation on the disability and quality of life (QOL) of communication partners (CP) of cochlear implant (CI) recipients.</p><p><strong>Databases reviewed: </strong>PubMed, MEDLINE, Embase, Cochrane CENTRAL, Science Citation Index Expanded, and Emerging Sources Citation Index were searched.</p><p><strong>Methods: </strong>This study was reported following the preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines. Articles included reported on disability or QOL measures of CP of adult CI recipients. Study selection included retrospective, prospective, and randomized controlled studies in English language. Three reviewers independently screened studies for inclusion, extracted data, and evaluated risk of bias. Outcomes included both qualitative and quantitative pre-CI and post-CI measures of CP disability or QOL.</p><p><strong>Results: </strong>Of 1615 screened articles, 9 studies utilizing quantitative and qualitative measures with 504 CP met inclusion criteria. Four of 6 studies assessing only post-CI CP QOL, demonstrated self-reported improvement, while one demonstrated worse CP QOL compared with the general population and one identified CP and CI recipient qualities that correlated with CP QOL scores. Two studies assessing pre-CI to post-CI CP QOL also reported improvements. One study assessing only pre-CI CP QOL suggested that CPs had worse QOL than normal hearing controls. Duration of CI recipient hearing loss did not impact CP QOL in any study.</p><p><strong>Conclusions: </strong>Though homogenous data on the QOL of CPs of CI recipients and the relationship between CI recipient and CP factors is limited, studies suggest that CPs of CI recipients may have worse QOL than the general population but, cochlear implantation may improve CP QOL.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single-Sided Deafness and Cochlear Implants: Performance in a Novel Combined Speech-in-Noise and Localization Task.","authors":"Nadine I Ibrahim, Obada Abdulrazzak, Chioma Anidi, Gerilyn Jones, Madison V Epperson, Anahita H Mehta, Renee M Banakis Hartl","doi":"10.1097/MAO.0000000000004537","DOIUrl":"10.1097/MAO.0000000000004537","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to analyze the impact of single-sided deafness (SSD) on listening behavior to evaluate sound localization ability, speech-in-noise performance, and quantifying and comparing compensatory head movements in individuals with normal hearing (NH) and SSD, with and without a cochlear implant (CI).</p><p><strong>Study design: </strong>Nonrandomized, prospective, human-subject study.</p><p><strong>Setting: </strong>Tertiary academic medical center.</p><p><strong>Methods: </strong>NH, SSD, and SSD-CI subjects were presented with Harvard IEEE sentences at varying target azimuths in a darkened, semi-anechoic chamber in background noise while head position was monitored. Head movement (total absolute head displacement, onset delay, and response time), localization accuracy, and speech-in-noise performance were analyzed.</p><p><strong>Results: </strong>SSD subjects demonstrated less accurate speech-in-noise and sound localization performance with a significant effect of hearing status and signal-to-noise ratio (SNR). Sound localization benefit with CI was limited and did not improve, with increasingly optimal SNR and speech-in-noise performance reaching the level of NH controls with more optimal SNR. Head movements varied with and without CI for total response time, whereby CI users had shortest response times. There was no difference between the SSD and SSD-CI conditions for onset delay and head displacement, despite significant differences compared with NH controls.</p><p><strong>Conclusions: </strong>Speech-in-noise performance may be the most significant improvement in CI use for SSD. Although sound localization abilities are present, there may be modest clinical significance. Head movement dynamics may highlight adaptive mechanisms that, if integrated into training or device programming, may further improve speech-in-noise and localization abilities.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":"1086-1094"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12410149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electric Acoustic Versus Electric-Only Stimulation in Full-Length Lateral Wall Cochlear Array Recipients With Preserved Hearing.","authors":"Todd A Hillman, Douglas A Chen, Kristin M Rathe, Amanda Rago, Michael M Weber, Derrick R Tint","doi":"10.1097/MAO.0000000000004584","DOIUrl":"10.1097/MAO.0000000000004584","url":null,"abstract":"<p><strong>Objective: </strong>To determine if cochlear implant recipients who have low-frequency hearing preservation after surgery can benefit from electric-acoustic stimulation (EAS) even after a period of electric-only stimulation.</p><p><strong>Study design: </strong>Prospective, crossover controlled, clinical study.</p><p><strong>Setting: </strong>Private practice single-specialty clinic.</p><p><strong>Patients: </strong>Patients who are native English speakers, implanted with a 28-mm lateral wall electrode, had residual low-frequency hearing post-cochlear implantation and had at least 3 months of electric-only stimulation before enrollment.</p><p><strong>Intervention: </strong>Participants were reprogrammed from electric-only stimulation to EAS-A (with electric and acoustic overlap in the preserved frequencies) for 3 months. Outcomes were measured, and then the participants were changed to EAS-B, a non-overlap program. Outcomes and the patients' map preferences were recorded.</p><p><strong>Main outcome measures: </strong>Speech perception for each programming strategy was measured with CNC and AzBio testing. Participants subjective performance was measured with CCIQ and APHAB testing for each modality.</p><p><strong>Results: </strong>Out of a total of 117 consecutive CI patients with preoperative low-frequency hearing thresholds of at least 65 db HL, 43 (36.8%) had at least one low-frequency threshold less than 65 dB allowing the use of EAS. Twelve participants with 16 implanted ears were enrolled and completed the study. Statistical analysis showed that participants performed significantly better ( p < 0.05) on CNC words with EAS-A (overlap, 71.6%) versus electric (65.5%) or EAS-B (non-overlap, 68%). There was not a difference between the strategies on AzBio testing. The overall scores on CCIQ and APHAB were also not statistically significant. A chi-squared test was performed for subjects' preferred programming strategy, revealing that there was a preference of the EAS strategies over electric only ( p = 0.04).</p><p><strong>Conclusions: </strong>There may be an advantage to EAS over electric-only stimulation in patients with low-frequency hearing preservation after cochlear implant even after a period of electric-only stimulation.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":"1070-1076"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified Fisch A Approach for Resection of Recurrent Jugular Foramen Meningioma.","authors":"Olivia Kalmanson, Omaditya Khanna, A Samy Youssef, Ashley Nassiri","doi":"10.1097/MAO.0000000000004589","DOIUrl":"10.1097/MAO.0000000000004589","url":null,"abstract":"","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":"e449"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}