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Effects of Musical Training in Music Therapy Following Cochlear Implantation-A Case Report. 人工耳蜗植入术后音乐治疗中的音乐训练效果--病例报告。
IF 1.7
Audiology Research Pub Date : 2024-02-22 DOI: 10.3390/audiolres14020020
Astrid Magele, Bianca Wirthner, Philipp Schoerg, Georg M Sprinzl
{"title":"Effects of Musical Training in Music Therapy Following Cochlear Implantation-A Case Report.","authors":"Astrid Magele, Bianca Wirthner, Philipp Schoerg, Georg M Sprinzl","doi":"10.3390/audiolres14020020","DOIUrl":"10.3390/audiolres14020020","url":null,"abstract":"<p><p>The most prevalent sensory impairment impacting the elderly is age-related hearing loss (HL), which affects around 65% of individuals over the age of 60 years. This bilateral, symmetrical sensorineural impairment profoundly affects auditory perception, speech discrimination, and the overall understanding of auditory signals. Influenced by diverse factors, age-related HL can substantially influence an individual's quality of life and mental health and can lead to depression. Cochlear implantation (CI) stands as a standard intervention, yet despite advancements, music perception challenges persist, which can be addressed with individualized music therapy. This case report describes the journey of an 81-year-old musician through profound sensorineural hearing loss, cochlear implantation, and rehabilitative music therapy. Auditory evaluations, musical exercises, and quality of life assessments highlighted meaningful improvements in music perception, auditory skills, and overall satisfaction post-implantation. Music therapy facilitated emotional, functional, and musical levels of engagement, notably enhancing his ability to perceive melody, rhythm, and different instruments. Moreover, subjective assessments and audiograms indicated marked improvements in auditory differentiation, music enjoyment, and overall hearing thresholds. This comprehensive approach integrating bilateral CIs and music therapy showcased audiological and quality of life enhancements in an elderly individual with profound hearing loss, emphasizing the efficacy of this combined treatment approach.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"14 2","pages":"217-226"},"PeriodicalIF":1.7,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10961688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140207800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of Head Injury, Neck Injury or Acoustic Trauma on Phenotype of Ménière's Disease. 头部损伤、颈部损伤或听觉创伤与梅尼埃病表型的关系
IF 1.7
Audiology Research Pub Date : 2024-02-17 DOI: 10.3390/audiolres14010019
Ilmari Pyykkö, Vinay, Artur Vetkas, Jing Zou, Vinaya Manchaiah
{"title":"Association of Head Injury, Neck Injury or Acoustic Trauma on Phenotype of Ménière's Disease.","authors":"Ilmari Pyykkö, Vinay, Artur Vetkas, Jing Zou, Vinaya Manchaiah","doi":"10.3390/audiolres14010019","DOIUrl":"10.3390/audiolres14010019","url":null,"abstract":"<p><p>The aim of the present study was to investigate adverse effects of head injury, neck trauma, and chronic noise exposure on the complaint profile in people with Ménière's disease (MD). The study used a retrospective design. Register data of 912 patients with MD from the Finnish Ménière Federation database were studied. The data comprised case histories of traumatic brain injury (TBI), neck trauma and occupational noise exposure, MD specific complaints, impact related questions, and the E-Qol health-related quality of life instrument. TBI was classified based on mild, moderate, and severe categories of transient loss of consciousness (TLoC). The mean age of the participants was 60.2 years, the mean duration of the disease was 12.6 years, and 78.7% were females. Logistic regression analysis, linear correlation, and pairwise comparisons were used in evaluating the associations. 19.2% of the participants with MD had a history of TBI. The phenotype of participants with TBI was associated with frequent vestibular drop attacks (VDA), presyncope, headache-associated vertigo, and a reduction in the E-QoL. Logistic regression analysis explained the variability of mild TBI in 6.8%. A history of neck trauma was present in 10.8% of the participants. Neck trauma associated with vertigo (NTwV) was seen in 47 and not associated with vertigo in 52 participants. The phenotype of NTwV was associated with balance problems, VDA, physical strain-induced vertigo, and hyperacusia. Logistic regression analysis explained 8.7% of the variability of the complaint profile. Occupational noise exposure was recorded in 25.4% of the participants and correlated with the greater impact of tinnitus, hyperacusis, and hearing loss. Neither the frequency, duration, or severity of vertigo or nausea were significantly different between the baseline group and the TBI, NTwV, or noise-exposure groups. The results indicate that TBI and NTwV are common among MD patients and may cause a confounder effect.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"14 1","pages":"204-216"},"PeriodicalIF":1.7,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10885978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Soft Tissue Conduction Activates the Auditory Pathway in the Brain. 软组织传导激活大脑中的听觉通路
IF 1.7
Audiology Research Pub Date : 2024-02-16 DOI: 10.3390/audiolres14010018
Miriam Geal-Dor, Haim Sohmer
{"title":"Soft Tissue Conduction Activates the Auditory Pathway in the Brain.","authors":"Miriam Geal-Dor, Haim Sohmer","doi":"10.3390/audiolres14010018","DOIUrl":"10.3390/audiolres14010018","url":null,"abstract":"<p><p>Soft tissue conduction is a mode of hearing which differs from air and bone conduction since the soft tissues of the body convey the audio-frequency vibrations to the ear. It is elicited by inducing soft tissue vibrations with an external vibrator applied to sites on the body or by intrinsic vibrations resulting from vocalization or the heartbeat. However, the same external vibrator applied to the skin sites also excites cutaneous mechanoreceptors, and attempts have been made to assist patients with hearing loss by audio-tactile substitution. The present study was conducted to assess the contribution of the auditory nerve and brainstem pathways to soft tissue conduction hearing. The study involved 20 normal hearing students, equipped with ear plugs to reduce the possibility of their response to air-conducted sounds produced by the external vibrator. Pure tone audiograms and speech reception (recognition) thresholds were determined in response to the delivery of the stimuli by a clinical bone vibrator applied to the cheek, neck and shoulder. Pure tone and speech recognition thresholds were obtained; the participants were able to repeat the words they heard by soft tissue conduction, confirming that the auditory pathways in the brain had been stimulated, with minimal involvement of the somatosensory pathways.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"14 1","pages":"196-203"},"PeriodicalIF":1.7,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10886245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Clinical Infrared Video-Oculoscopy Suppression Head Impulse (IR-cSHIMP) Test. 临床红外视频眼底镜抑制头部脉冲(IR-cSHIMP)测试。
IF 1.7
Audiology Research Pub Date : 2024-01-31 DOI: 10.3390/audiolres14010013
Vincenzo Marcelli, Beatrice Giannoni
{"title":"A Clinical Infrared Video-Oculoscopy Suppression Head Impulse (IR-cSHIMP) Test.","authors":"Vincenzo Marcelli, Beatrice Giannoni","doi":"10.3390/audiolres14010013","DOIUrl":"10.3390/audiolres14010013","url":null,"abstract":"<p><strong>Background: </strong>We propose a Suppression Head IMPulse (SHIMP) test method that provides for equipment only through the use of InfraRed Video-OculoScopy (IR-VOS) and allows horizontal and vertical semicircular canal function evaluation in bedside mode. We therefore named the test InfraRed clinical SHIMP (IR-cSHIMP).</p><p><strong>Methods: </strong>To check IR-cSHIMP diagnostic efficiency, we studied 22 normal subjects, 18 patients with unilateral, and 6 with bilateral deficient vestibulopathy. Each subject first underwent a vestibular examination and, only later, an IRc-SHIMP test.</p><p><strong>Results: </strong>When the IR-cSHIMP test was performed in the horizontal plane, all normal subjects showed anti-compensatory saccades. When the vertical semicircular canal function was evaluated, the same result was obtained in all normal subjects except three, which were considered false positives. In patients with vestibular deficits, the test performed in the horizontal and vertical planes were always pathological, with 100% agreement between clinical and instrumental tests.</p><p><strong>Conclusions: </strong>Our bedside method proved to be fast, simple, and effective in discriminating between healthy and pathological subjects. It required only the same skill as the better-known cHIT. For these reasons, we believe that the IR-cSHIMP should be part of daily clinical practice as a useful tool in the selection of patients to undergo more sophisticated investigations.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"14 1","pages":"151-165"},"PeriodicalIF":1.7,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10886088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139935140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Instrumental Assessment and Pharmacological Treatment of Migraine-Related Vertigo in Pediatric Age. 小儿偏头痛相关眩晕的仪器评估和药物治疗。
IF 1.7
Audiology Research Pub Date : 2024-01-29 DOI: 10.3390/audiolres14010011
Pasquale Viola, Alfonso Scarpa, Giuseppe Chiarella, Davide Pisani, Alessia Astorina, Filippo Ricciardiello, Pietro De Luca, Massimo Re, Federico Maria Gioacchini
{"title":"Instrumental Assessment and Pharmacological Treatment of Migraine-Related Vertigo in Pediatric Age.","authors":"Pasquale Viola, Alfonso Scarpa, Giuseppe Chiarella, Davide Pisani, Alessia Astorina, Filippo Ricciardiello, Pietro De Luca, Massimo Re, Federico Maria Gioacchini","doi":"10.3390/audiolres14010011","DOIUrl":"10.3390/audiolres14010011","url":null,"abstract":"<p><strong>Background: </strong>The most frequent form of vertigo in pediatric age is represented by vertigo linked to migraine, with a prevalence of 32.7%. This group of pathologies has received a redefinition of the diagnostic criteria to adapt them to the pediatric age with a new classification of the clinical pictures. We have several kinds of problems with these conditions that often have a significant impact on patients' and parents' quality of life: the diagnostic approach involves different tools for the different age groups contained in the pediatric range; the treatment of this type of vertigo is not consolidated due to the limited availability of trials carried out on pediatric patients. Focusing on this topic, the aim of this review was to provide an update on the more recent clinical advances in the diagnosis and treatment of Vestibular Migraine (VM) in children.</p><p><strong>Methods: </strong>We searched the PubMed, Embase, and Cochrane library databases for articles published in English from January 2015 to April 2023. The secondary search included articles from reference lists, identified by the primary search. Records were first screened by title/abstract, and then full-text articles were retrieved for eligibility evaluation. The searches combined a range of key terms (\"Pediatric\" AND \"Childhood\" AND \"dizziness\" OR \"vertigo\" AND \"vestibular\").</p><p><strong>Results: </strong>Migraine-related vertigo, in its most recent definitions and classifications, is the most frequent group of balance pathologies in pediatric age. The results from the various experiences present in the literature suggest a clinical approach to be integrated with the use of instrumental tests selected according to the age of the patient and the reliability of the results.</p><p><strong>Conclusion: </strong>Knowing the timeline of the applicability of vestibular tests and the information that can be obtained from them is fundamental for diagnostic accuracy. Therapy is strongly conditioned by the limited availability of pediatric trials and by the wide range it includes, from very young children to adolescents.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"14 1","pages":"129-138"},"PeriodicalIF":1.7,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10886403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effectiveness of Microcurrent Stimulation Combined with Sound Therapy for Tinnitus Relief: A Preliminary Study. 微电流刺激结合声音疗法缓解耳鸣的效果:初步研究
IF 1.7
Audiology Research Pub Date : 2024-01-29 DOI: 10.3390/audiolres14010012
Donghyeok Lee, Youngchan Jeong, Sumin Lee, Tae-Jun Jin, In-Ki Jin
{"title":"The Effectiveness of Microcurrent Stimulation Combined with Sound Therapy for Tinnitus Relief: A Preliminary Study.","authors":"Donghyeok Lee, Youngchan Jeong, Sumin Lee, Tae-Jun Jin, In-Ki Jin","doi":"10.3390/audiolres14010012","DOIUrl":"10.3390/audiolres14010012","url":null,"abstract":"<p><p>Various stimulation-based rehabilitation approaches have been proposed to alleviate tinnitus. This study aimed to determine the efficacy of a rehabilitation approach that simultaneously provides microcurrent and sound stimulation for tinnitus relief. Twenty-eight participants with chronic sensorineural tinnitus were randomly assigned to one of two groups based on the rehabilitation approaches (sound therapy-only group and combined microcurrent and sound therapy group). Each participant underwent sound therapy or simultaneous stimulation for approximately 2 h daily for 3 months. The effectiveness of the rehabilitation approaches was determined based on changes in the Korean version of the tinnitus primary function questionnaire (K-TPFQ) and visual analog scale for loudness (VAS-L) scores at baseline, 1.5 months, and 3 months. For the K-TPFQ scores, both groups exhibited a large effect of rehabilitation; however, for the VAS-L scores, the simultaneous stimulation group demonstrated a large effect of rehabilitation, whereas the sound therapy group exhibited a small effect. Therefore, a rehabilitation approach that combines sound stimulation with microcurrent stimulation can improve response and perception in tinnitus.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"14 1","pages":"139-150"},"PeriodicalIF":1.7,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10885923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Inheritance of Hearing Loss and Deafness: A Historical Perspective. 听力损失和耳聋的遗传:历史的视角。
IF 1.7
Audiology Research Pub Date : 2024-01-26 DOI: 10.3390/audiolres14010010
Alessandro Martini, Andrea Cozza, Valerio Maria Di Pasquale Fiasca
{"title":"The Inheritance of Hearing Loss and Deafness: A Historical Perspective.","authors":"Alessandro Martini, Andrea Cozza, Valerio Maria Di Pasquale Fiasca","doi":"10.3390/audiolres14010010","DOIUrl":"10.3390/audiolres14010010","url":null,"abstract":"<p><p>If the term \"genetics\" is a relatively recent proposition, introduced in 1905 by English biologist William Bateson, who rediscovered and spread in the scientific community Mendel's principles of inheritance, since the dawn of human civilization the influence of heredity has been recognized, especially in agricultural crops and animal breeding. And, later, in familial dynasties. In this concise review, we outline the evolution of the idea of hereditary hearing loss, up to the current knowledge of molecular genetics and epigenetics.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"14 1","pages":"116-128"},"PeriodicalIF":1.7,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10886121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Objective and Subjective Assessment of Music Perception and Musical Experiences in Young Cochlear Implant Users. 对年轻人工耳蜗使用者的音乐感知和音乐体验进行客观和主观评估。
IF 2.1
Audiology Research Pub Date : 2024-01-18 DOI: 10.3390/audiolres14010008
Miryam Calvino, Alejandro Zuazua-González, Javier Gavilán, Luis Lassaletta
{"title":"Objective and Subjective Assessment of Music Perception and Musical Experiences in Young Cochlear Implant Users.","authors":"Miryam Calvino, Alejandro Zuazua-González, Javier Gavilán, Luis Lassaletta","doi":"10.3390/audiolres14010008","DOIUrl":"10.3390/audiolres14010008","url":null,"abstract":"<p><p>For many individuals, music has a significant impact on the quality and enjoyability of life. Cochlear implant (CI) users must cope with the constraints that the CI imposes on music perception. Here, we assessed the musical experiences of young CI users and age-matched controls with normal hearing (NH). CI users and NH peers were divided into subgroups according to age: children and adolescents. Participants were tested on their ability to recognize vocal and instrumental music and instruments. A music questionnaire for pediatric populations (MuQPP) was also used. CI users and NH peers identified a similar percentage of vocal music. CI users were significantly worse at recognizing instruments (<i>p</i> < 0.05) and instrumental music (<i>p</i> < 0.05). CI users scored similarly to NH peers on the MuQPP, except for the musical frequency domain, where CI users in the children subgroup scored higher than their NH peers (<i>p</i> = 0.009). For CI users in the children subgroup, the identification of instrumental music was positively correlated with music importance (<i>p</i> = 0.029). Young CI users have significant deficits in some aspects of music perception (instrumental music and instrument identification) but have similar scores to NH peers in terms of interest in music, frequency of music exposure, and importance of music.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"14 1","pages":"86-95"},"PeriodicalIF":2.1,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10801469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139513939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cochlear Implantation in Children Affected by Single-Sided Deafness: A Comprehensive Review. 单侧耳聋儿童的人工耳蜗植入:全面回顾。
IF 2.1
Audiology Research Pub Date : 2024-01-12 DOI: 10.3390/audiolres14010007
Giuseppe Santopietro, Virginia Fancello, Giuseppe Fancello, Chiara Bianchini, Stefano Pelucchi, Andrea Ciorba
{"title":"Cochlear Implantation in Children Affected by Single-Sided Deafness: A Comprehensive Review.","authors":"Giuseppe Santopietro, Virginia Fancello, Giuseppe Fancello, Chiara Bianchini, Stefano Pelucchi, Andrea Ciorba","doi":"10.3390/audiolres14010007","DOIUrl":"10.3390/audiolres14010007","url":null,"abstract":"<p><p>Children with single-sided deafness (SSD) may experience delays in language and speech development. Reduced speech discrimination and poor sound localization abilities in young SSD patients may result in greater cognitive efforts required to focus and process auditory information, as well as increased listening-related fatigue. Consequently, these children can have a higher risk of academic failure and are often in need of extra help at school. Recently, cochlear implants (CIs) have been introduced as a rehabilitative option for these children, but their effectiveness is still a topic of debate. A literature review was performed according to PRISMA guidelines, searching the Medline database from inception to October 2023. The research identified nine papers that met the inclusion criteria. Data extracted from the selected studies included 311 children affected by SSD and cochlear implants. The reported audiological outcomes were further analyzed. Overall, a high level of satisfaction was described by parents of children with SSD and CI, and those who received a CI under the age of 3 presented better results. However, a proportion of patients did not use the device daily. Our review highlights the possible, and still controversial, role of CI for the hearing rehabilitation of children with unilateral deafness, underlining the need for further research in this field. To date, careful and comprehensive counseling with the child and the family is necessary before considering this option.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"14 1","pages":"77-85"},"PeriodicalIF":2.1,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10801602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139513937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Suspicion and Treatment of Perilymphatic Fistula: A Prospective Clinical Study 虹膜周围瘘的诊断和治疗:一项前瞻性临床研究
IF 1.7
Audiology Research Pub Date : 2024-01-08 DOI: 10.3390/audiolres14010006
I. Saliba, Naif Bawazeer, S. Belhassen
{"title":"Suspicion and Treatment of Perilymphatic Fistula: A Prospective Clinical Study","authors":"I. Saliba, Naif Bawazeer, S. Belhassen","doi":"10.3390/audiolres14010006","DOIUrl":"https://doi.org/10.3390/audiolres14010006","url":null,"abstract":"Background: Since the discovery of the perilymphatic fistula (PLF), the diagnosis and treatment remain controversial. If successfully recognized, the PLF is surgically repairable with an obliteration of the fistula site. Successful treatment has a major impact on patient’s quality of life with an improvement in their audiological and vestibular symptoms. Objective: To prospectively investigate patients’ clinical and audiological evolution with PLF suspicion after middle ear exploration and obliteration of the round and oval window. Study Design: Prospective comparative study. Setting: Tertiary care center. Methods: Patients were divided into two groups: Group I consisted of patients where no PLF had been identified intraoperatively at the oval and/or at the round window, and Group II consisted of patients where a fistula had been visualized. Patient assessment was a combination of past medical history, the presence of any risk factors, cochlear and vestibular symptoms, a physical examination, temporal bone imaging, audiograms, and a videonystagmogram (VNG). Results: A total of 98 patients were divided into two groups: 62 in Group I and 36 in Group II. A statistically significant difference regarding gender was observed in Group II (83.3% of males vs. 16.7% of females, p = 0.008). A total of 14 cases (4 and 10 in Groups I and II, respectively) were operated for a recurrent PLF. Fat graft material was used in the majority of their previous surgery; however, no difference was found when comparing fat to other materials. In addition, no statistically significant difference was noted between Groups I and II concerning predisposing factors, imaging, VNG, symptom evolution, or a physical exam before the surgery and at 12 months post-operative. However, both groups showed statistically significant hearing and vestibular improvement. On the other hand, the air conduction (AC) and bone conduction (BC) at each frequency were not statistically different between the two groups before surgery but showed statistically significant improvement at 12 months post-operatively, especially for the BC at the frequencies 250 (p = 0.02), 500 (p = 0.0008), and 1000 Hz (p = 0.04). Conclusions: Whenever you suspect a perilymphatic fistula, do not hesitate to explore middle ear and do window obliterations using a tragal perichondrium material. Our data showed that cochlear and vestibular symptoms improved whether a fistula had been identified or not.","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"22 18","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139445538","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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