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Management of conductive hearing loss of inner ear origin 内耳传导性听力损失的管理
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.otot.2024.01.010
Cameron Fattahi BA , Divya A. Chari MD
{"title":"Management of conductive hearing loss of inner ear origin","authors":"Cameron Fattahi BA ,&nbsp;Divya A. Chari MD","doi":"10.1016/j.otot.2024.01.010","DOIUrl":"10.1016/j.otot.2024.01.010","url":null,"abstract":"<div><p><span>Conductive hearing loss<span> is typically associated with pathology of the external auditory canal or middle ear. However, there are several disorders of the inner ear that can also lead to conductive hearing loss. Inner ear conductive hearing loss is believed to occur due to the presence of an abnormal third window within the inner ear that diverts acoustic energy away from the cochlea, thereby increasing </span></span>air conduction<span><span><span><span> thresholds. These third window lesions may arise from congenital anomalies in the cochlea or labyrinth or may be acquired in the setting of infections, </span>cholesteatoma<span><span>, trauma, or iatrogenic injuries<span>. Herein, we explore the clinical presentation, diagnostic evaluation, and management of common third window syndromes, including superior semicircular canal dehiscence, </span></span>perilymphatic fistula, </span></span>enlarged vestibular aqueduct, and </span>labyrinthine fistula</span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 1","pages":"Pages 70-82"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139635906","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}
引用次数: 0
Operative techniques and materials in ossiculoplasty 骨整形术的操作技术和材料
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.otot.2024.01.008
Zahra N. Sayyid MD, PhD, Andy Ding MD, MSE, Francis X. Creighton MD
{"title":"Operative techniques and materials in ossiculoplasty","authors":"Zahra N. Sayyid MD, PhD,&nbsp;Andy Ding MD, MSE,&nbsp;Francis X. Creighton MD","doi":"10.1016/j.otot.2024.01.008","DOIUrl":"10.1016/j.otot.2024.01.008","url":null,"abstract":"<div><p>Successful ossiculoplasty aims to improve conductive hearing loss by restoring the mechanical transmission of energy from the tympanic membrane to the oval window. Ossiculoplasty is typically performed under general anesthesia with facial nerve monitoring as standard practice in our institution. Titanium implants have become the mainstay choice of prosthesis, due to its low density, high durability, and lower extrusion rate compared to other alloplastic implants. While microscopic techniques for ossiculoplasty have been the traditional approach, endoscopic ossiculoplasty has risen in popularity due to improved visualization of the middle ear.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 1","pages":"Pages 57-62"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139639774","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}
引用次数: 0
Management of conductive hearing loss with implantable bone conduction devices 使用植入式骨传导设备治疗传导性听力损失。
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.otot.2024.01.011
Soha N. Ghossaini MD, FACS , Yu-Lan Mary Ying MD
{"title":"Management of conductive hearing loss with implantable bone conduction devices","authors":"Soha N. Ghossaini MD, FACS ,&nbsp;Yu-Lan Mary Ying MD","doi":"10.1016/j.otot.2024.01.011","DOIUrl":"10.1016/j.otot.2024.01.011","url":null,"abstract":"<div><p>Implantable bone conduction devices have been a beneficial addition to the armamentarium of surgical management of conductive hearing loss. They have demonstrated rapid improvement in technology and increased application over the years leading to several new devices. Thorough patient evaluation is necessary for proper device selection. Several factors are considered when choosing the appropriate implantable bone conduction device including age, aesthetic concerns, the severity of hearing loss, the need for frequent MRIs, and other surgical considerations including anatomic variations and past otologic procedure. Audiological outcomes are generally favorable. Patient evaluation, selection criteria, surgical decision-making, operative techniques, post-op care, and potential complications will be summarized.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 1","pages":"Pages 83-94"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139631626","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}
引用次数: 0
Allograft tympanoplasty 异体鼓室成形术
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.otot.2024.01.012
Vincent Van Rompaey MD, PhD , Jeroen Caremans PhD
{"title":"Allograft tympanoplasty","authors":"Vincent Van Rompaey MD, PhD ,&nbsp;Jeroen Caremans PhD","doi":"10.1016/j.otot.2024.01.012","DOIUrl":"10.1016/j.otot.2024.01.012","url":null,"abstract":"<div><p>Allograft tympanoplasty was once widely used across the world but is currently only performed by a limited number of surgeons in Belgium and Germany. Allograft tympanic membranes and ossicles are procured endoscopically nowadays and are processed in specific tissue banks subject to European Union regulations on human allograft tissue to ensure the receptor will receive quality-controlled tissue. The surgical procedure via retroauricular approach can teach us how we can manage difficult cases with total, subtotal and marginal perforations, but also cases of isolated pars tensa cholesteatoma.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 1","pages":"Pages 104-109"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139631581","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}
引用次数: 0
Management of conductive hearing loss in tympanic perforation: Novel techniques and materials 鼓膜穿孔传导性听力损失的处理：新型技术和材料
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.otot.2024.01.007
Keelin Fallon BA , Elliott Kozin MD , Aaron K. Remenschneider MD, MPH
{"title":"Management of conductive hearing loss in tympanic perforation: Novel techniques and materials","authors":"Keelin Fallon BA ,&nbsp;Elliott Kozin MD ,&nbsp;Aaron K. Remenschneider MD, MPH","doi":"10.1016/j.otot.2024.01.007","DOIUrl":"10.1016/j.otot.2024.01.007","url":null,"abstract":"<div><p>Tympanic membrane (TM) perforation is a common medical condition often resulting from trauma or infection. TM<span> perforation can lead to significant morbidity including pain, recurrent infections<span><span> and conductive hearing loss. There are many methods of TM repair that have evolved to incorporate advancements in technology and reduce procedural burden. Three methods of repair that will be discussed include: transcanal endoscopic </span>tympanoplasty, total drum replacement tympanoplasty, and in office TM repair. The size and location of the perforation, in addition to patient factors and physician preference influence the type of repair indicated. Closure rate of TM perforations and conductive hearing loss improvement have been shown to be similar across techniques. Steps to successfully master each technique including preoperative indications, specific surgical steps, and expected postoperative outcomes are discussed herein.</span></span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 1","pages":"Pages 47-56"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139540039","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}
引用次数: 0
Radiologic evaluation of conductive hearing loss 传导性听力损失的放射学评估
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.otot.2024.01.003
Yuh-Shin Chang MD, PhD , Katherine L. Reinshagen MD
{"title":"Radiologic evaluation of conductive hearing loss","authors":"Yuh-Shin Chang MD, PhD ,&nbsp;Katherine L. Reinshagen MD","doi":"10.1016/j.otot.2024.01.003","DOIUrl":"10.1016/j.otot.2024.01.003","url":null,"abstract":"<div><p><span><span>In the presence of an intact tympanic membrane, </span>conductive hearing loss<span><span> may be due to a wide range of conditions, include congenital or acquired ossicular chain abnormalities, complications from chronic inflammation including </span>cholesteatoma<span> or tympanosclerosis<span>, neoplasms or vascular lesions in the middle ear, </span></span></span></span>bone dysplasia<span> including Paget disease<span> or otosclerosis<span>, or third window lesions. Imaging with CT and MRI has evolved as a powerful tool in the diagnosis and surgical planning in the evaluation of conductive hearing loss. This article aims to discuss the imaging features of the most common causes of conductive hearing loss in a patient with an intact tympanic membrane.</span></span></span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 1","pages":"Pages 18-25"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139632545","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}
引用次数: 0
Stapes surgery-new surgical techniques and tips 镫骨手术--新的手术技术和技巧
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.otot.2024.01.009
Zachary G. Schwam MD, Maura K. Cosetti MD
{"title":"Stapes surgery-new surgical techniques and tips","authors":"Zachary G. Schwam MD,&nbsp;Maura K. Cosetti MD","doi":"10.1016/j.otot.2024.01.009","DOIUrl":"https://doi.org/10.1016/j.otot.2024.01.009","url":null,"abstract":"<div><p>The goal of this article is to update the reader as to new techniques in stapes surgery<span> and to provide a review of currently available data to guide surgical management of otosclerosis<span>. Herein we discuss up-to-date information regarding evaluation of the patient with otosclerosis, techniques in operative management, and postoperative recommendations and follow-up. Stapes surgery is a safe and effective treatment for otosclerosis in experienced hands yet there continue to be developments that the otologist and otolaryngologist must be aware of.</span></span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 1","pages":"Pages 63-69"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140209072","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}
引用次数: 0
Management of congenital conductive hearing loss 先天性传导性听力损失的管理
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.otot.2024.01.004
Judith S. Kempfle MD , Aaron K. Remenschneider MD, MPH FACS
{"title":"Management of congenital conductive hearing loss","authors":"Judith S. Kempfle MD ,&nbsp;Aaron K. Remenschneider MD, MPH FACS","doi":"10.1016/j.otot.2024.01.004","DOIUrl":"10.1016/j.otot.2024.01.004","url":null,"abstract":"<div><p>Congenital conductive hearing loss can occur due to developmental abnormalities of the auricle, external auditory canal, or middle ear. A thorough understanding of the developmental anatomy is essential for effective management. If not addressed, congenital conductive hearing loss can result in speech and language delay. The effective evaluation and management of congenital conductive hearing loss includes air and bone conduction audiometry, temporal bone imaging, and either amplification or surgical correction. This article explores methods for evaluation and surgical management of congenital conductive hearing loss in the context of a normal external auditory canal and intact tympanic membrane.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 1","pages":"Pages 26-36"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139634340","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}
引用次数: 0
Oral cavity and floor of mouth dissection: 3D anatomy 口腔和口底解剖：3D 解剖
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2023-12-01 DOI: 10.1016/j.otot.2023.09.014
Cheyanne M. Silver MD, Lazaro R. Peraza MD, Gabriela A. Calcano BS, Matthew L. Carlson MD, Linda X. Yin MD, Kathryn M. Van Abel MD, Kendall K. Tasche MD
{"title":"Oral cavity and floor of mouth dissection: 3D anatomy","authors":"Cheyanne M. Silver MD,&nbsp;Lazaro R. Peraza MD,&nbsp;Gabriela A. Calcano BS,&nbsp;Matthew L. Carlson MD,&nbsp;Linda X. Yin MD,&nbsp;Kathryn M. Van Abel MD,&nbsp;Kendall K. Tasche MD","doi":"10.1016/j.otot.2023.09.014","DOIUrl":"10.1016/j.otot.2023.09.014","url":null,"abstract":"<div><p><span><span><span>The mainstay of treatment for </span>malignancies in the </span>oral cavity<span><span> often includes surgical resection. Tumor location in conjunction with the small cavity can create limitations to visualization that require an in-depth understanding of the anatomical structures and their relationships. 3-dimension stereoscopic </span>imaging techniques and oral cavity dissection with an emphasis on the </span></span>floor of mouth are reviewed, detailing important anatomical relationships.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 4","pages":"Pages 201-206"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134977455","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}
引用次数: 0
Thyroidectomy: 3D anatomy 甲状腺切除术： 3D 解剖
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2023-12-01 DOI: 10.1016/j.otot.2023.09.016
Cheyanne Silver MD, Lazaro R. Peraza MD, Gabriel A. Hernandez-Herrera BS, Matthew L. Carlson MD, Linda X. Yin MD, Kathryn M. Van Abel MD, Kendall K. Tasche MD
{"title":"Thyroidectomy: 3D anatomy","authors":"Cheyanne Silver MD,&nbsp;Lazaro R. Peraza MD,&nbsp;Gabriel A. Hernandez-Herrera BS,&nbsp;Matthew L. Carlson MD,&nbsp;Linda X. Yin MD,&nbsp;Kathryn M. Van Abel MD,&nbsp;Kendall K. Tasche MD","doi":"10.1016/j.otot.2023.09.016","DOIUrl":"10.1016/j.otot.2023.09.016","url":null,"abstract":"<div><p><span>Thyroidectomies<span> are performed routinely by the head and neck surgeon, especially for neoplastic disease. Adequate vascular control has been key in avoiding damage to surrounding structures that may lead to vocal cord paralysis<span> and hypothyroidism. Here, we review pertinent anatomical structures in the anterior neck and the </span></span></span>thyroid through a cadaveric model presented in 3D with stereographic imaging.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 4","pages":"Pages 212-219"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134977221","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}
引用次数: 0
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