Laila Telmesani, Mona Al-Ramah, Yassin Abdelsamad, Lena Telmesani
{"title":"Cochlear Implantation: Predicting Round Window Niche Visibility Using One Measurement in High-Resolution Temporal Bone Computed Tomography.","authors":"Laila Telmesani, Mona Al-Ramah, Yassin Abdelsamad, Lena Telmesani","doi":"10.5152/iao.2024.231199","DOIUrl":"10.5152/iao.2024.231199","url":null,"abstract":"<p><strong>Background: </strong>To evaluate the accuracy of a single measurement in temporal bone computed tomography in predicting the round window niche (RWN) visibility during cochlear implantation.</p><p><strong>Methods: </strong>A prospective study was conducted on 148 patients (165 ears) who had a cochlear implant (CI) from January 2010 to December 2018 at a tertiary CI center. The measurement was done for the angle of the basal turn of the cochlea (ABTC), which we defined as the angle formed by the cochlear basal turn and the cranium mid-sagittal plane, by 2 readers blindly from the axial images of computed tomography. The RWN visibility was classified according to the observation during surgery (through posterior tympanotomy) into full visibility, partial visibility, and invisibility. The measured angle was then correlated to the intra-operative visibility of the RWN.</p><p><strong>Results: </strong>The average ABTC was 57.48° ± 4.05° (range: 45.0-68.0), and the RWN was found to be fully visible in 85%, partially visible in 11%, and invisible in 4% of the studied ears. The receiver operating characteristic analysis revealed a significant discriminating ability in predicting RWN visibility (P <.001) at a threshold ABTC angle of 58.5°. The mean ABTC was 56.71° ± 3.74°, 61.00°, and 63.86° ± 2.67° for fully visible, partially visible, and invisible RWN, respectively. A statistical significant difference was found (P = .0002) when comparing the ABTC in patients with partially visible/invisible RWN (61.80° ± 2.87°) with the fully visible RWN (56.71° ± 3.74°).</p><p><strong>Conclusion: </strong>Round window niche visibility could be predicted by measuring the ABTC in relation to the cranium's mid-sagittal plane in CT preoperatively. An ABTC bigger than 58.5° could be an indication of poorly visible RWN.</p>","PeriodicalId":94238,"journal":{"name":"The journal of international advanced otology","volume":"20 2","pages":"94-100"},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11114147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690197","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}
Frej Juul Vilhelmsen, Elisa Skovgaard Jensen, Bodil Damgaard, Per Cayé-Thomasen, Christian Thomas Brandt, Malene Kirchmann
{"title":"Magnetic Resonance Imaging in Prediction of Sensorineural Hearing Loss in Patients with Neuroinfections.","authors":"Frej Juul Vilhelmsen, Elisa Skovgaard Jensen, Bodil Damgaard, Per Cayé-Thomasen, Christian Thomas Brandt, Malene Kirchmann","doi":"10.5152/iao.2024.231373","DOIUrl":"10.5152/iao.2024.231373","url":null,"abstract":"<p><strong>Background: </strong>Magnetic resonance imaging (MRI) may be useful in detecting labyrinthitis and thereby predicting the development of sensorineural hearing loss (SNHL) in adults with central nervous system (CNS) infections. We therefore investigated the coherence between brain MRI and SNHL among adults with CNS infections.</p><p><strong>Methods: </strong>Twenty-eight patients with bacterial or viral meningitis, viral encephalitis, or Lyme neuroborreliosis, who had a brain MRI during the acute disease and pure-tone audiometry at follow-up, were included. Neuroradiologists were blinded to the audiometric outcome when rating each inner ear for MRI cochlear gadolinium enhancement using a postcontrast T1-weighted (T1W) sequence and signal intensity using a fluidattenuated inversion recovery (FLAIR) sequence. Scores were compared to the degree of SNHL.</p><p><strong>Results: </strong>Sensorineural hearing loss was observed in all types of infection, affecting 14 patients (26 of 56 ears). Enhancement on T1W was detected in 1 ear with normal hearing. Fluid-attenuated inversion recovery signal intensity was detected in 26 of 50 ears, of which 12 developed SNHL. The sensitivity of T1W could not be calculated. Fluid-attenuated inversion recovery had a sensitivity of 50% and specificity of 46%.</p><p><strong>Conclusion: </strong>Standard brain MRI protocols are not sufficient for the detection of labyrinthitis leading to SNHL following infection of the CNS.</p>","PeriodicalId":94238,"journal":{"name":"The journal of international advanced otology","volume":"20 2","pages":"135-141"},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11114145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690198","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}
{"title":"Hearing Loss in Space Flights: A Review of Noise Regulations and Previous Outcomes.","authors":"Ahmet Uğur Avcı","doi":"10.5152/iao.2024.231434","DOIUrl":"10.5152/iao.2024.231434","url":null,"abstract":"<p><p>Noise is the primary cause of hearing loss during space flight. Throughout every phase of flight, particularly during launch, a significant amount of noise is generated and transferred via the vehicle's structure to the places inhabited by the crew. The results of the previous studies provide insights into space flights that may have significant effects on hearing loss. Certain precautions must be taken to ensure the habitability of the spacecraft and prevent potential hearing loss in astronauts or space flight participants.</p>","PeriodicalId":94238,"journal":{"name":"The journal of international advanced otology","volume":"20 2","pages":"171-174"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11114227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001653","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}
Péter Révész, Eszter Kopjár, Zsolt Szakács, Vilmos Warta, Alexandra Csongor, Imre Gerlinger, István Szanyi
{"title":"Comparing the Quality of Life and Hearing Thresholds Following Stapedectomy Versus Laser Stapedotomy with NiTiBOND Piston.","authors":"Péter Révész, Eszter Kopjár, Zsolt Szakács, Vilmos Warta, Alexandra Csongor, Imre Gerlinger, István Szanyi","doi":"10.5152/iao.2024.231337","DOIUrl":"10.5152/iao.2024.231337","url":null,"abstract":"<p><p>The purpose of this study was to examine the quality of life (QoL) and hearing thresholds of patients who underwent 2 types of stapes surgery. A retrospective cohort study was performed comparing stapedotomy with NiTiBOND prostheses (n=20) and stapedectomy with autogenous cortical bone columella (n=20), applying the Glasgow Benefit Inventory (GBI) and the Hearing Handicap Inventory for Adults outcome measures with hearing thresholds. Univariate comparative statistical methods were applied. The stapedotomy cohort had significantly better values of Social Support Score of the GBI as compared to the stapedectomy cohort (P=.016). No statistically significant difference was detected between the groups in the pre- and postoperative audiological results and the further QoL measures. Apart from the excellent postoperative audiological results of the different types of stapes surgeries, stapedotomy with NiTiBOND prostheses seems to be superior as regards QoL over stapedectomy applying autogenous cortical bone columella.</p>","PeriodicalId":94238,"journal":{"name":"The journal of international advanced otology","volume":"20 2","pages":"142-146"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11114248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001650","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}
Manuel Loureiro, Jane Bradley, Jennifer Clemesha, Nishchay Mehta
{"title":"Datalogging Findings in Adult Cochlear Implant Recipients Who Never Developed Intelligible Speech.","authors":"Manuel Loureiro, Jane Bradley, Jennifer Clemesha, Nishchay Mehta","doi":"10.5152/iao.2024.231193","DOIUrl":"10.5152/iao.2024.231193","url":null,"abstract":"","PeriodicalId":94238,"journal":{"name":"The journal of international advanced otology","volume":"20 2","pages":"113-118"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11114180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001651","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}
Piotr H Skarzynski, Andrzej Pastuszak, Elzbieta Gos, Artur Lorens, Aleksandra Kolodziejak, Anita Obrycka, Marek Porowski, Henryk Skarzynski
{"title":"Outcomes of Cochlear Implantation in Patients with Far-Advanced Otosclerosis Who Had Previously Undergone Stapes Surgery.","authors":"Piotr H Skarzynski, Andrzej Pastuszak, Elzbieta Gos, Artur Lorens, Aleksandra Kolodziejak, Anita Obrycka, Marek Porowski, Henryk Skarzynski","doi":"10.5152/iao.2024.231332","DOIUrl":"10.5152/iao.2024.231332","url":null,"abstract":"","PeriodicalId":94238,"journal":{"name":"The journal of international advanced otology","volume":"20 2","pages":"101-107"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11114151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001655","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}
{"title":"Wideband Absorbance Pattern and its Diagnostic Value in Adults with Middle Ear Effusions and Tympanic Membrane Perforation.","authors":"Arunraj Karuppannan, Animesh Barman, Nerale Maraiah Mamatha","doi":"10.5152/iao.2024.231048","DOIUrl":"10.5152/iao.2024.231048","url":null,"abstract":"","PeriodicalId":94238,"journal":{"name":"The journal of international advanced otology","volume":"20 2","pages":"158-163"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11114253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141984235","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}
Vito Pontillo, Mary Daval, Morgane Marc, Denis Ayache
{"title":"Effects of Tranexamic Acid on Intraoperative Bleeding and Surgical Field Visualization During Middle Ear Surgery: A Narrative Review.","authors":"Vito Pontillo, Mary Daval, Morgane Marc, Denis Ayache","doi":"10.5152/iao.2024.231275","DOIUrl":"10.5152/iao.2024.231275","url":null,"abstract":"<p><p>Tranexamic acid is an antifibrinolytic agent widely used in several surgical procedures to reduce intraoperative bleeding. Intraoperative bleeding is a crucial problem for the ear surgeon, as it prevents good visualization of the surgical field. The aim of this work was to analyze the relevant literature about the use of tranexamic acid in ear surgery. A literature search was conducted in agreement with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement, across 3 databases (Medline, Cochrane, and Google Scholar), with the terms \"tranexamic acid,\" and \"ear,\" and \"surgery.\" Three prospective, randomized, and double-blind clinical trials met the inclusion criteria. Studies were not able to be pooled because of heterogeneity in material, methods of delivery and evaluation, and procedures used. Despite these limitations, all 3 papers found a significant reduction in intraoperative bleeding, allowing a better visualization of the operating field. Despite the scarcity of published trials, tranexamic acid is safe and seems to be useful in reducing intraoperative bleeding in ear surgery, thus improving operative field visualization.</p>","PeriodicalId":94238,"journal":{"name":"The journal of international advanced otology","volume":"20 2","pages":"175-181"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11114171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001652","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}
Giacomo Ciacca, Alfredo Di Giovanni, Lupinelli Giacomo, Mario Gullà, Giampietro Ricci, Mario Faralli
{"title":"Hyperventilation-Induced Nystagmus in Acute Unilateral Vestibulopathy: A Correlation with Vestibulo-ocular Reflex Gain and Clinical Implication.","authors":"Giacomo Ciacca, Alfredo Di Giovanni, Lupinelli Giacomo, Mario Gullà, Giampietro Ricci, Mario Faralli","doi":"10.5152/iao.2024.231313","DOIUrl":"10.5152/iao.2024.231313","url":null,"abstract":"<p><p>Hyperventilation-induced nystagmus test (HINT) is capable of generating a response in 77.2% of cases of acute unilateral vestibulopathy (AUVP); both nystagmus toward the affected side (excitatory pattern) and toward the healthy side (inhibitory pattern) have been described. The aim of the study is to investigate the clinical and prognostic role of the test by evaluating its correlation with vestibulo-ocular reflex (VOR) gain. We evaluated 33 AUVP patients by performing the HINT and video head impulse test (V-HIT) during the acute phase and then at 15 and 90 days after the onset of the symptoms. The correlation between the VOR gain of the affected side and test responses was evaluated first, phase by phase, and then considering the pattern shown during the first assessments. Patients with a negative HINT had a higher mean VOR gain than patients with a positive test at both 15 and 90 days. Patients who showed an inhibitory pattern at the first assessment had a continuous improvement in V-HIT performance, while patients with an initial excitatory response had a transient decrease in gain at the subsequent evaluation (P=.001). No difference between these 2 groups emerged at 90 days (P=.09). The finding of a negative HINT during the follow-up correlates with good V-HIT performance and could be an indicator of good recovery. The inhibitory pattern is associated with a subsequent improvement; and it would be indicative of compensation. but, despite this, the prognostic value of the test is limited.</p>","PeriodicalId":94238,"journal":{"name":"The journal of international advanced otology","volume":"20 2","pages":"164-170"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11114161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141984233","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}
Pietro Canzi, Elena Carlotto, Silvia Quaglieri, Maurizio Guida, Domenico Minervini, Ilaria Ottoboni, Cesare Chiapperini, Anna Chiara Stellato, Marco Lucio Manfrin, Marco Benazzo
{"title":"Intratympanic Gentamicin Injection for Endolymphatic Hydrops After Cochlear Implantation.","authors":"Pietro Canzi, Elena Carlotto, Silvia Quaglieri, Maurizio Guida, Domenico Minervini, Ilaria Ottoboni, Cesare Chiapperini, Anna Chiara Stellato, Marco Lucio Manfrin, Marco Benazzo","doi":"10.5152/iao.2024.23122","DOIUrl":"10.5152/iao.2024.23122","url":null,"abstract":"<p><p>Endolymphatic hydrops has been documented as a possible complication of cochlear implantation; however, few studies have addressed its treatment. We describe the first case ever reported of delayed endolymphatic hydrops after a cochlear implant successfully treated with intratympanic gentamicin injection. A detailed discussion of this case with a focus on its management and outcomes will be provided in comparison with literature data. The intratympanic gentamicin injection has been demonstrated to be an effective treatment for symptomatic endolymphatic hydrops after cochlear implantation. We advocate further studies to validate this strategy as a promising alternative to surgical labyrinthectomy.</p>","PeriodicalId":94238,"journal":{"name":"The journal of international advanced otology","volume":"20 2","pages":"186-188"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11114177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001654","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}