News Neurologia

Objectives: Adjunctive intratympanic dexamethasone injection (IT-DEX) has been used for the treatment of acute peripheral facial palsy (APFP). However, there are controversies regarding the validity of this treatment. In this study, we aimed to verify the feasibility of IT-DEX treatment for APFP. Study Design: Retrospective cohort study. Setting: Local university... Leggi di più
Pubblicato il 15-11-2019
Fonte: OTOLOGY & NEUROTOLOGY - current issue
Outcome Objectives: Demonstrate feasibility of performing endoscopic transcanal lateral graft tympanoplasty. Compare audiometric and clinical outcomes of transcanal endoscopic lateral graft with previously reported outcomes of microscopic post-auricular lateral graft tympanoplasty. Methods: A retrospective review of sequential pediatric and adult endoscopic transcanal lateral graft tympanoplasties (type I) performed between May... Leggi di più
Pubblicato il 15-11-2019
Fonte: OTOLOGY & NEUROTOLOGY - current issue
Objectives: To determine the feasibility of endoscopic-assisted surgery for lesions involving the perilabyrinthine recesses, and develop and validate a technique for this kind of lesions that increases the possibility of preserving the labyrinth and cochlea. Study Design: Observational study. Setting: Referral center. Cases: Five patients who underwent endoscopy-assisted surgery for... Leggi di più
Pubblicato il 15-11-2019
Fonte: OTOLOGY & NEUROTOLOGY - current issue
Objective: To ascertain long-term hearing outcomes in patients with serviceable hearing following microsurgical resection of sporadic vestibular schwannoma (VS). Study Design: Retrospective cohort. Setting: Tertiary academic referral center. Patients: Forty-three adult subjects with unilateral sporadic VS who had serviceable hearing (American Academy of Otolaryngology–Head and Neck Surgery [AAO-HNS] class A... Leggi di più
Pubblicato il 15-11-2019
Fonte: OTOLOGY & NEUROTOLOGY - current issue
Objective: To investigate the recidivism rate of cholesteatoma treated via endoscopic ear surgery (EES), either via transcanal endoscopic ear surgery or endoscopic assisted tympanomastoidectomy compared with a microscopic postauricular approach. Study Design: Retrospective chart review. Setting: Academic otology practice. Patients: Adult patients (18 years and older) with at least 11... Leggi di più
Pubblicato il 15-11-2019
Fonte: OTOLOGY & NEUROTOLOGY - current issue
Objective: Information on cochlear MRI signal change following vestibular schwannoma (VS) surgery by the retrolabyrinthine approach (RLA) is nonexisting, and information using the translabyrinthine approach (TLA) is scarce. We aimed to evaluate cochlear MRI fluid signal in patients with a unilateral VS, before and after surgery by the RLA or... Leggi di più
Pubblicato il 15-11-2019
Fonte: OTOLOGY & NEUROTOLOGY - current issue
Objective: To gather long-term follow-up data on the efficacy of balloon dilation for treating patients with persistent Eustachian tube dysfunction (ETD). Study Design: Extended follow-up study of the treatment arm of a prospective, multicenter, randomized controlled trial. Setting: Tertiary care academic center and private practice. Patients: Patients diagnosed with medically... Leggi di più
Pubblicato il 15-11-2019
Fonte: OTOLOGY & NEUROTOLOGY - current issue
Objective: To date, prediction models for estimating risk of acquiring non-serviceable hearing in subjects with observed vestibular schwannoma (VS) have evaluated outcomes primarily based on features at initial diagnosis. Herein, we evaluate the association of rate of hearing decline during the initial period of observation with time to non-serviceable hearing.... Leggi di più
Pubblicato il 15-11-2019
Fonte: OTOLOGY & NEUROTOLOGY - current issue
Objective: To determine whether early intervention with intratympanic steroid injection, known as concurrent intratympanic steroid therapy, is effective as a supplement to systemic steroid therapy for treating moderate-severe to severe Bell's palsy. Design: An open-label historical control trial. Setting: Tertiary referral center. Participants: A total of 35 Bell's palsy patients... Leggi di più
Pubblicato il 15-11-2019
Fonte: OTOLOGY & NEUROTOLOGY - current issue
Objective: To demonstrate the efficacy of transcanal endoscopic ear surgery (TEES) for congenital middle ear anomalies. Study Design: Retrospective case review. Setting: Tertiary referral center. Patients: Twenty-one patients ranging in age from 4 to 62 years old (median: 15 yr) who underwent TEES between 2011 and 2017 were compared with... Leggi di più
Pubblicato il 15-11-2019
Fonte: OTOLOGY & NEUROTOLOGY - current issue
Hypothesis: Autophagy and its enhancement may have a role in the pathogenesis of acquired cholesteatoma. Background: The etiopathogenesis of acquired cholesteatoma remains unclear. Some clinical features of cholesteatoma are similar to those of cancer. The study of autophagy in cancer has indicated that enhanced autophagy enables tumor cell survival and... Leggi di più
Pubblicato il 15-11-2019
Fonte: OTOLOGY & NEUROTOLOGY - current issue
Hypothesis: Commercial quinolone ear drops may promote the development of perforations (TMPs) in intact tympanic membrane (TMs). Background: Quinolone ear drops have been associated with TMPs after myringotomy +/- tube placement in a drug-specific manner and potentiation by steroids. Methods: Rats were randomized to six groups (10/group), with one ear... Leggi di più
Pubblicato il 15-11-2019
Fonte: OTOLOGY & NEUROTOLOGY - current issue
Background: Bone anchored hearing implants (BAHI) are widely used and highly successful, accompanied with a high level of patient satisfaction across most techniques. A large UK teaching hospital switched from the previously used wide diameter titanium fixture and drilling system to the novel minimally invasive technique and laser ablated titanium... Leggi di più
Pubblicato il 15-11-2019
Fonte: OTOLOGY & NEUROTOLOGY - current issue
Hypothesis: Anatomic study of the external auditory canal's (EAC) anterior bulge, scutum, and ossicular chain will generate knowledge applicable to safe ear surgery and instrument design. Background: The EAC contains two structures that obscure view of the middle ear: the anterior bulge and the scutum. The dimensions of these structures... Leggi di più
Pubblicato il 15-11-2019
Fonte: OTOLOGY & NEUROTOLOGY - current issue
Objective: To investigate differences in the clinical features of bilateral Menière's disease (BMD) with early and late bilateral involvement. Study Design: A retrospective case-comparison study. Setting: Tertiary referral center. Patients: In total, 25 patients with definite BMD were enrolled. Patients with bilateral involvement with a transition interval shorter than 1... Leggi di più
Pubblicato il 15-11-2019
Fonte: OTOLOGY & NEUROTOLOGY - current issue