The journal of international advanced otology最新文献_第3页

Contralateral Hearing Loss in Temporal Bone Fractures: A Potential Association with Combined Intracranial Injury. 颞骨骨折的对侧听力损失：颞骨骨折的对侧听力损失：与合并颅内损伤的潜在关联

The journal of international advanced otology Pub Date : 2024-05-23 DOI: 10.5152/iao.2024.22989

Bum-Joon Kim, Insik Song, June Choi, Yoon Chan Rah

{"title":"Contralateral Hearing Loss in Temporal Bone Fractures: A Potential Association with Combined Intracranial Injury.","authors":"Bum-Joon Kim, Insik Song, June Choi, Yoon Chan Rah","doi":"10.5152/iao.2024.22989","DOIUrl":"10.5152/iao.2024.22989","url":null,"abstract":"Temporal bone (TB) fractures are frequently accompanied by intracranial injury. This study aimed to analyze combined intracranial injuries in relation to functional changes in the inner ear, including those of the contralateral ear, in patients with TB fractures. Ninety-four patients (mean age: 35.6 ± 18.7 years, M : F=67 : 27) diagnosed with unilateral TB fracture were included. Bone conduction (BC) threshold, word recognition score (WRS), and changes in vestibular function were compared based on intracranial injuries, focusing on the contralateral side. Various types of intracranial injuries were observed (67.9%). Among these, a significant association between traumatic brain injury (TBI) and otic capsule-violating fractures was noted. The BC threshold on the fractured side significantly deteriorated in patients with TBI. Additionally, a significantly worse BC threshold was confirmed on the contralateral side in patients with TBI, intracranial hemorrhage (ICH), and contrecoup injury. The follow-up BC threshold did not improve or differ, regardless of high-dose steroid administration. The initial WRS and canal paresis in the bithermal caloric test were not significantly different in the presence of each intracranial injury. Concurrent fluctuations in the pressure of the cerebrospinal fluid space and perilymphatic space were speculated to be the potential underlying mechanisms. A significantly worse BC threshold was confirmed on the contralateral side of patients with TBI, contrecoup injury, ICH, and on fracture sides of patients with TBI.","PeriodicalId":94238,"journal":{"name":"The journal of international advanced otology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001658","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

Knowledge Mapping of Benign Paroxysmal Positional Vertigo from 2002 to 2021: A Bibliometric Analysis. 2002 至 2021 年良性阵发性位置性眩晕的知识图谱：文献计量分析。

The journal of international advanced otology Pub Date : 2024-05-23 DOI: 10.5152/iao.2024.231290

Yali Yang, Qingja Cui, Shusheng Gong

引用次数: 0

Middle Ear Neuroendocrine Tumor: Case Report of a Tympanic Adenoma. 中耳神经内分泌瘤：鼓室腺瘤病例报告

The journal of international advanced otology Pub Date : 2024-05-01 DOI: 10.5152/iao.2024.231444

Ilinko Vrebac, Filip Pavlic, Andro Košec

{"title":"Middle Ear Neuroendocrine Tumor: Case Report of a Tympanic Adenoma.","authors":"Ilinko Vrebac, Filip Pavlic, Andro Košec","doi":"10.5152/iao.2024.231444","DOIUrl":"10.5152/iao.2024.231444","url":null,"abstract":"Middle ear neuroendocrine tumors (MeNETs) are an exceptionally rare occurrence. These benign tumors stem from the tympanic mucosa and can easily be misinterpreted by the clinician and the pathologist. Clinical characteristics, otoscopic findings and medical imaging in these cases are non-specific. We present a case of a 60-year-old male patient with bilateral hearing loss following recent coronavirus disease 2019 disease. Diagnostic work-up revealed a soft tissue neoplasm of the left middle ear. Surgical resection of the tumor mass with implantation of a partial ossicular replacement prosthesis (PORP) was the main modality of treatment. Middle ear neuroendocrine tumors was confirmed through positive immunohistochemistry for neuroendocrine tumor markers. Follow-up magnetic resonance imaging 12 months after the surgery reported no tumor recurrence or significant residual disease with a stable PORP. Our report highlights challenges in diagnosing and treating these rare tumors, while emphasizing surgical resection pitfalls and resulting improvement of quality of life of the patient. We recommend a through followup of patients with unclear soft tissue masses in the middle ear to obtain a definitive diagnosis.","PeriodicalId":94238,"journal":{"name":"The journal of international advanced otology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918489","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

Clinical Assessment of the Nystagmus Fixation Suppression Test: An Experimental Study. 眼球震颤固定抑制试验的临床评估：实验研究。

The journal of international advanced otology Pub Date : 2024-05-01 DOI: 10.5152/iao.2024.231249

Stefanie Siegrist, Thomas Wyss, Athanasia Korda, Georgios Mantokoudis

{"title":"Clinical Assessment of the Nystagmus Fixation Suppression Test: An Experimental Study.","authors":"Stefanie Siegrist, Thomas Wyss, Athanasia Korda, Georgios Mantokoudis","doi":"10.5152/iao.2024.231249","DOIUrl":"10.5152/iao.2024.231249","url":null,"abstract":"Background: Assessment of nystagmus fixation suppression can be used as an additional diagnostic tool for patients with an acute vestibular syndrome to distinguish between a central or peripheral cause. We investigated the ability of physicians to detect fixation suppression using a nystagmus simulation model.Methods: We used a nystagmus simulator to measure the accuracy of the nystagmus fixation suppression test. Fixation suppression was assessed randomly in 6170 trials by 20 otorhinolaryngologists and neurologists, segregated into 2 groups based on their neurootological experience, a beginner and an experienced group. The simulator presented random nystagmus slow velocity (SPV) reductions and presented 3 conditions with either changed nystagmus frequency, amplitude, or both.Results: The cutoff for the discernment of fixation suppression ranged from 1.2 to 14°/s nystagmus velocity difference. The more intense the baseline nystagmus was, the more difficult was the detection of fixation suppression. There was not significant difference (P >.05) in the cutoff values in the experts group compared to the novices for all 3 different conditions. Both, novices and experts, detected frequency changes easier than differences of the nystagmus amplitude. Test sensitivity was very low (19%-65%) for discernment of small nystagmus velocity differences of <2°/s by experts.Conclusion: In our study, there was no difference between experts and novices in detection of nystagmus suppression by visual fixation. The examiners could only detect large suppression effects at low-intensity baseline nystagmus. Overall, the sensitivity and accuracy of a clinical fixation suppression test is low and the assistance with a video-oculography device is highly recommended.","PeriodicalId":94238,"journal":{"name":"The journal of international advanced otology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918488","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

Can Video Head Impulse Testing Be Used to Estimate the Involved Canal in Benign Paroxysmal Positional Vertigo? 视频头脉冲测试能否用于估算良性阵发性位置性眩晕的受累耳道？

The journal of international advanced otology Pub Date : 2024-05-01 DOI: 10.5152/iao.2024.231369

Mustafa Uslu, Murat Eğrilmez, Murat Cem Miman

{"title":"Can Video Head Impulse Testing Be Used to Estimate the Involved Canal in Benign Paroxysmal Positional Vertigo?","authors":"Mustafa Uslu, Murat Eğrilmez, Murat Cem Miman","doi":"10.5152/iao.2024.231369","DOIUrl":"10.5152/iao.2024.231369","url":null,"abstract":"Background: There may be confusion about which canal is involved in patients with benign paroxysmal positional vertigo (BPPV), especially with those that have subtle findings. The study aimed to determine if video head impulse testing may be used in such patients as a diagnostic tool. Symptom scoring and treatment efficiency in BPPV are essential parts of the process. Therefore, inventories like \"Dizziness Handicap Inventory\" may be useful in this regard.Methods: Patients with posterior and lateral canal BPPV were included. Video head impulse testing was performed prior to treatment and 1 week after treatment. Vestibuloocular reflex (VOR) gains were noted and compared to the opposite side. The presence of correction saccades was noted as well. Also, pretreatment and posttreatment Dizziness Handicap Inventory scores were compared.Results: Fifty-seven patients were diagnosed with posterior canal BPPV, and sixteen were with horizontal canal BPPV. In patients with posterior canal BPPV, there was no difference between the involved canal VOR gains and the other canals on the same side (P=.639). The involved horizontal canal did not differ from the opposite horizontal canal. Patients with lateral canal BPPV show more significant improvement after treatment compared to patients with posterior canal BPPV.Conclusion: Video head impulse testing may not be used to estimate the involved canal in BPPV; however, it may be used to evaluate the efficiency of the treatment, especially in the lateral canal.","PeriodicalId":94238,"journal":{"name":"The journal of international advanced otology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918486","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

Cervical and Ocular Vestibular Evoked Myogenic Potentials in Fibromyalgia Syndrome Patients. 纤维肌痛综合征患者的颈部和眼部前庭诱发肌源性电位

The journal of international advanced otology Pub Date : 2024-05-01 DOI: 10.5152/iao.2024.231269

Abeir Osman Dabbous, Noha Mahmoud Abdel Baki, Malak Medhat Hassanein, Sarah Mohamed Sheta

{"title":"Cervical and Ocular Vestibular Evoked Myogenic Potentials in Fibromyalgia Syndrome Patients.","authors":"Abeir Osman Dabbous, Noha Mahmoud Abdel Baki, Malak Medhat Hassanein, Sarah Mohamed Sheta","doi":"10.5152/iao.2024.231269","DOIUrl":"10.5152/iao.2024.231269","url":null,"abstract":"Background: Fibromyalgia syndrome (FMS) is a chronic pain condition that may be associated with dysfunction in the central nervous system.Objective: The aim of this study was to assess the vestibulo-spinal reflex (VSR) and vestibulo-ocular reflex (VOR) in FMS using the cervical vestibular evoked myogenic potential (cVEMP) and ocular vestibular evoked myogenic potential (oVEMP) tests, respectively, and to evaluate their relation to disease severity.Methods: This study included 30 female FMS patients and 30 well-matched healthy controls. They underwent full history taking and assessment of the severity of dizziness/vertigo using the Dizziness Handicap Inventory; assessment of the severity of FMS symptoms using the Revised Fibromyalgia Impact Questionnaire; bedside examination of the dizzy patient; videonystagmography, cVEMP, and oVEMP tests; basic audiologic evaluation; and uncomfortable loudness level (UCL) testing.Results: Dizziness was reported in 46.6% and vertigo in 11.1% of patients. Abnormalities in cVEMP (50%) and oVEMP (63.3%) were mostly unilateral, irrespective of FMS severity. Disease duration affected only the oVEMP amplitude. Fibromyalgia syndrome patients had a statistically significant lower UCL and narrower dynamic range compared to controls.Conclusion: The VSR and VOR are commonly affected in FMS patients, and findings suggest central sensitization involving the brain stem. We recommend routine cVEMP and oVEMP testing to assess brainstem function in FMS patients.","PeriodicalId":94238,"journal":{"name":"The journal of international advanced otology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918487","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 Audiological Profile and Rehabilitation of Patients with Incomplete Partition Type II and Large Vestibular Aqueducts. 不完全分区 II 型和大前庭导水管患者的听力学特征和康复治疗。

The journal of international advanced otology Pub Date : 2024-05-01 DOI: 10.5152/iao.2024.231372

Beyza Demirtaş, Merve Özbal Batuk, Hilal Dinçer D'Alessandro, Gonca Sennaroğlu

{"title":"The Audiological Profile and Rehabilitation of Patients with Incomplete Partition Type II and Large Vestibular Aqueducts.","authors":"Beyza Demirtaş, Merve Özbal Batuk, Hilal Dinçer D'Alessandro, Gonca Sennaroğlu","doi":"10.5152/iao.2024.231372","DOIUrl":"10.5152/iao.2024.231372","url":null,"abstract":"Background: Incomplete partition type II (IP-II) malformation is often accompanied by a large vestibular aqueduct (LVA). In IP anomalies, the patient's auditory rehabilitation requirements are decided according to the presence of inner ear structures and the degree of hearing loss (HL). There has been limited research on auditory rehabilitation (AR) requirement selection in patients diagnosed with IP-II and LVA. This study investigated the typical characteristics of HL and AR choices in patients diagnosed with IP-II and LVA.Methods: Patients with IP-II and LVA (n=55; 25 women and 30 men) were identified, and audiological evaluations were performed. The patient's demographic characteristics, the type and degree of HL, the AR method, age at diagnosis, and educational status were retrospectively compared.Results: The distribution of our 55 patients according to cochlear implants, hearing aids (HA), and bimodal applications was 29.1% (n=16), 43.6% (n=24), and 27.3% (n=15), respectively. Statistical analyses using chi-square tests found no significant differences in the incidence of dizziness/imbalance, tinnitus, HL progression, or the degree and onset of HL among the patients.Conclusion: The data revealed different audiological characteristics among patients with IP-II and LVA, as well as different AR solutions. The most widely used AR modality was found to be HA. Prediction of sudden versus progressive HL development among patients is challenging, and the characteristics of IP-II vary. Therefore, they should be interpreted with caution.","PeriodicalId":94238,"journal":{"name":"The journal of international advanced otology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918466","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

P1-N1-P2 Cortical Auditory Evoked Potentials in Chronic Unilateral Acquired Conductive Hearing Loss in Adults. 慢性单侧获得性传导性听力损失成人的 P1-N1-P2 皮层听觉诱发电位

The journal of international advanced otology Pub Date : 2024-05-01 DOI: 10.5152/iao.2024.231270

Abeir Osman Dabbous, Noha Ali Hosni, Alzahraa Al-Sayed Owais Emara, Adel Said El-Antably

{"title":"P1-N1-P2 Cortical Auditory Evoked Potentials in Chronic Unilateral Acquired Conductive Hearing Loss in Adults.","authors":"Abeir Osman Dabbous, Noha Ali Hosni, Alzahraa Al-Sayed Owais Emara, Adel Said El-Antably","doi":"10.5152/iao.2024.231270","DOIUrl":"10.5152/iao.2024.231270","url":null,"abstract":"Background: Chronic unilateral hearing loss causes imbalanced auditory input to the brain that triggers cortical reorganization. The effect of sensorineural hearing loss on the central auditory system (CAS) has been thoroughly studied, while there is a paucity of research on the effect of conductive hearing loss (CHL). The aim of this study was to assess the P1-N1-P2 cortical auditory evoked response potential (CAEP) in adult individuals with chronic acquired unilateral CHL.Methods: This study included 108 participants of both genders: 54 patients with unilateral chronic CHL who were compared to well-matched 54 controls. All were subjected to history-taking, otologic examination, basic audiological evaluation, and bone conduction N1-P2 CAEP.Results: The affected ears of the cases showed highly statistically significant shorter CAEPs N1, P2, N1-P2 latencies but not P1, and showed highly statistically significant larger N1, P2, N1P2, amplitude than the control group. Latencies decreased and amplitudes increased as the degree of CHL increased, but were not affected by patients' age, side, or duration of the CHL. Cases with tinnitus had statistically significant and worse results than those without tinnitus.Conclusion: Unilateral chronic CHL might enhance neurocortical plasticity, with greater changes occurring at greater degrees of the CHL.","PeriodicalId":94238,"journal":{"name":"The journal of international advanced otology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918490","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

Role of Comprehensive Vestibular Rehabilitation Based on Virtual Reality Technology in Residual Symptoms After Canalith Repositioning Procedure. 基于虚拟现实技术的前庭综合康复治疗在椎管复位术后残余症状中的作用

The journal of international advanced otology Pub Date : 2024-05-01 DOI: 10.5152/iao.2024.231393

Sen Yan, Pei Gao, Wen Wu

{"title":"Role of Comprehensive Vestibular Rehabilitation Based on Virtual Reality Technology in Residual Symptoms After Canalith Repositioning Procedure.","authors":"Sen Yan, Pei Gao, Wen Wu","doi":"10.5152/iao.2024.231393","DOIUrl":"10.5152/iao.2024.231393","url":null,"abstract":"Background: We aimed to explore the role of comprehensive vestibular rehabilitation based on virtual reality (VR) technology in residual symptoms after canalith repositioning procedure.Methods: A total of 124 patients, who were diagnosed with benign paroxysmal positional vertigo from September 2020 to July 2023 and had residual symptoms 24 hours after the canalith repositioning procedure, were selected as the subjects. They were randomly divided into a normal control (NC) group, a Cawthorne-Cooksey exercise group (n=41), a Brandt-Daroff exercise group (n=41), and a VR group (n=42). The NC group received no intervention, the Cawthorne-Cooksey exercise group underwent Cawthorne-Cooksey exercise, the Brandt-Daroff exercise group was subjected to Brandt-Daroff exercise, and the VR group was given comprehensive vestibular rehabilitation based on VR technology.Results: After treatment, the Dizziness Handicap Inventory (DHI) and vestibular symptom index (VSI) scores of the virtual reality (VR), Cawthorne-Cooksey exercise, and Brandt-Daroff exercise groups were significantly lower than those of the NC group (P <.05). The scores of the VR group were lower than those of the Cawthorne-Cooksey exercise and Brandt-Daroff exercise groups (P < .05). The abnormality rates of ocular vestibular evoked myogenic potentials (oVEMP) and cervical vestibular evoked myogenic potentials (cVEMP) in VR, Cawthorne-Cooksey exercise, and Brandt-Daroff exercise groups were lower than those of the NC group (P <05). The rates of the VR group were lower than those of the Cawthorne-Cooksey exercise and Brandt-Daroff exercise groups (P <05).Conclusion: Comprehensive vestibular rehabilitation based on VR technology can cure the residual symptoms after the canalith repositioning procedure, reduce the abnormality rates of oVEMP and cVEMP, and reconstruct the balance ability.","PeriodicalId":94238,"journal":{"name":"The journal of international advanced otology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918491","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

Hearing Loss in Space Flights: A Review of Noise Regulations and Previous Outcomes. 太空飞行中的听力损失：噪声法规和以往结果回顾。

The journal of international advanced otology Pub Date : 2024-03-27 DOI: 10.5152/iao.2024.231434

Ahmet Uğur Avcı

引用次数: 0