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Journal Otol. Neurotol.

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Clinical Presentation, Management, and Outcomes of Idiopathic Pain in Percutaneous Bone-anchored Hearing Implants.

Coosje Jacoba Isabella Caspers, Rik Chrétien Nelissen, Luc Martijn Verhamme, Frederick Jan Anton Meijer, Emmanuel Antonius Maria Mylanus, Myrthe Karianne Sophie Hol,

OBJECTIVE:To identify clinical features and investigate treatment outcomes of patients with idiopathic pain related to a percutaneous bone-anchored hearing implant (BAHI) and to propose management recommendations. STUDY DESIGN:Retrospective chart analysis. SETTING:Tertiary referral center. PATIENTS:The clinical data of 14 patients who were treated for idiopathic pain around their percutaneous BAHI between ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):1292-1298]

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The Role of Sex on Early Cochlear Implant Outcomes.

Mallory J Raymond, Samir A Ballestas, Justin C Wise, Esther X Vivas,

OBJECTIVE:To determine the presence of sex differences in cochlear implant outcomes. STUDY DESIGN:Retrospective chart review. SETTING:Tertiary referral center. PATIENTS:Adult patients having undergone cochlear implantation from 2009 to 2017. INTERVENTION(S):Standard electrode length cochlear implantation. MAIN OUTCOME MEASURE(S):AzBio scores in quiet of the implanted ear at the 1 to 3 months and ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):e984-e988]

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Recidivism After Endoscopic Treatment of Cholesteatoma.

Daniel E Killeen, Anthony M Tolisano, Yann Fuu Kou, Joe Walter Kutz, Brandon Isaacson,

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 months of surgical follow-up ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):1313-1321]

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Cochlear MRI Signal Change Following Vestibular Schwannoma Resection Depends on Surgical Approach.

Niels West, Hjalte Christian Reeberg Sass, Martin Nue Møller, Per Cayé-Thomasen,

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 the ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):e999-e1005]

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Predicting Development of Bilateral Menière's Disease Based on cVEMP Threshold and Tuning.

Kimberley S Noij, Barbara S Herrmann, John J Guinan, Steven D Rauch,

OBJECTIVE:To investigate if the cervical vestibular evoked myogenic potential (cVEMP) is predictive for developing bilateral Menière's disease (MD). STUDY DESIGN:Retrospective cohort study. SETTING:Tertiary care center. PATIENTS:Records of 71 patients previously diagnosed with unilateral MD at our institution who underwent cVEMP testing between 2002 and 2011 were screened. INTERVENTION:Patients were contacted ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):1346-1352]

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Concurrent Treatment With Intratympanic Dexamethasone for Moderate-Severe Through Severe Bell's Palsy.

Akira Inagaki, Toshiya Minakata, Sachiyo Katsumi, Shingo Murakami,

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 presenting with House-Brackmann grade ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):e1018-e1023]

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Lack of Evidence to Support the Beneficial Role of Intratympanic Dexamethasone Injection in Acute Peripheral Facial Palsy.

Su Jin Kim, Jun Lee, Ho Yun Lee,

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 hospital. PATIENTS AND ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):e1024-e1029]

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Novel Minimal Access Bone Anchored Hearing Implant Surgery and a New Surface Modified Titanium Implant, the Birmingham Experience.

Jack Limbrick, Jameel Muzaffar, Raghu Kumar, Daniel Mulvihill, Peter Gaskell, Owen Addison, Peter Monksfield, Rupan Banga,

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 implant. ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):1326-1332]

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Predictors of Distant Metastasis and Survival in Adenoid Cystic Carcinoma of the External Auditory Canal.

Yibo Zhang, Hongyan Liu, Qianru Wu, Shuyi Wang, Chunfu Dai,

OBJECTIVE:To analyze the predictors of both distant metastasis and survival in patients with adenoid cystic carcinoma of the external auditory canal. STUDY DESIGN:Retrospective patient review. SETTING:A single university hospital. PATIENTS:Eighty-two cases with adenoid cystic carcinoma of the external auditory canal were referred to our institution between 2004 and 2016. MAIN ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):e1006-e1011]

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Role of Autophagy in Acquired Cholesteatoma.

Quancheng Li, Yinjie Ao, Qi Yu, Shuihong Zhou,

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 growth. METHODS:Cholesteatoma ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):e993-e998]

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Obesity Is Not Associated With Postoperative Complications After Vestibular Schwannoma Surgery in a Large Single Institution Series.

Noga Lipschitz, Gavriel D Kohlberg, Zoe A Walters, Kareem O Tawfik, Ravi N Samy, Myles L Pensak, Mario Zuccarello, Norberto Andaluz, Vincent A Dinapoli, Joseph T Breen,

OBJECTIVE:Determine whether elevated body mass index (BMI) is associated with postoperative complications after vestibular schwannoma (VS) surgery. STUDY DESIGN:Retrospective case series. SETTING:Tertiary referral center. PATIENTS:Two hundred six patients undergoing surgery for VS between 2010 and 2017, grouped into obese and nonobese patients. INTERVENTION:Surgery for VS resection. MAIN OUTCOME MEASURES:Postoperative facial ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):1373-1377]

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Long-term Outcomes in Down Syndrome Children After Cochlear Implantation: Particular Issues and Considerations.

Pedro Clarós, Agnieszka Remjasz, Astrid Clarós-Pujol, Carmen Pujol, Andrés Clarós, Andrzej Wiatrow,

OBJECTIVE:The aim of the study was to analyze the long-term outcomes after cochlear implantation in deaf children with Down syndrome (DS) regarding age at the first implantation and refer the results to preoperative radiological findings as well as postoperative auditory and speech performance. Additionally, the influence of the age at ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):1278-1286]

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Is Asymmetric Hearing Loss a Risk Factor for Vestibular Dysfunction? Lesson From Big Data Analysis Based on the Korean National Health and Nutrition Survey.

Michelle Jee Young Suh, Hee Jun Yi, Hyun Jung Kim, Sung Huhn Kim,

OBJECTIVE:The purpose of this study was to investigate whether asymmetric hearing loss affects vestibular function. STUDY DESIGN:Retrospective cross-sectional study. PATIENTS:Data from the 2010 Korean National Health and Nutrition Survey for adults aged 40 years or more were used. INTERVENTIONS:The modified Romberg test and pure-tone audiometry were performed. Data were analyzed ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):1339-1345]

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Musical Ear Syndrome and Cochlear Explantation: Case Report and Proposal for a Theoretical Framework.

Martin Kompis, Georgios Mantokoudis, Benjamin von Gunten, Christoph Schmid, Daniela Blaser, Marco Caversaccio,

OBJECTIVE:To report an unusual case of musical ear syndrome, and to present a theoretical framework for this condition, merging information from the presented case and from former case reports. PATIENT:A 67-year-old semi-professional musician, who underwent bilateral cochlear implantation and experienced musical ear syndrome, i.e., hearing music, where none was present. ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):e962-e965]

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Assessment of a Novel 3T MRI Compatible Cochlear Implant Magnet: Torque, Forces, Demagnetization, and Imaging.

James Russell Tysome, Yu Chuen Tam, Ilse Patterson, Martin John Graves, Dzemal Gazibegovic,

HYPOTHESIS:A novel cochlea implant (CI) device magnet providing alignment to the static field of a magnetic resonance imaging (MRI) will lead to reduced torque, longitudinal forces, and demagnetization effects. The image void and distortion will be comparable to those obtained with standard CI magnets. BACKGROUND:MRI investigations of CI users pose ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):e966-e974]

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Triphasic Pulses in Cochlear Implant Patients With Facial Nerve Stimulation.

Katharina Braun, Kevin Walker, Werner Sürth, Hubert Löwenheim, Anke Tropitzsch,

OBJECTIVE:Evaluation of triphasic pulse stimulation in comparison to the traditional biphasic pulse stimulation in cochlear implant (CI) patients with unintended facial nerve costimulation. STUDY DESIGN:Retrospective case review. SETTING:Cochlear Implant Center of a University Department of Otolaryngology, Head and Neck Surgery. PATIENTS:Fifteen CI patients (MED-EL, Innsbruck, Austria) received a triphasic fitting ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):1268-1277]

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Validating the Utility of High Frequency Ocular Vestibular Evoked Myogenic Potential Testing in the Diagnosis of Superior Semicircular Canal Dehiscence.

Kenny Lin, Ryan Lahey, Rachel Beckley, Dennis Bojrab, Brent Wilkerson, Emily Johnson, Seilesh Babu, Robert S Hong,

INTRODUCTION:Ocular vestibular evoked myogenic potential (oVEMP) is a diagnostic test employed in the evaluation of superior semicircular canal dehiscence (SSCD) syndrome. Previous work showed that the presence of the n10 component of oVEMP at 4000 Hz was diagnostic of SSCD with perfect sensitivity and specificity of 1.0 in a series of ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):1353-1358]

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Communication Mode and Speech and Language Outcomes of Young Cochlear Implant Recipients: A Comparison of Auditory-Verbal, Oral Communication, and Total Communication.

Ellen S Thomas, Teresa A Zwolan,

OBJECTIVE:To evaluate the effect of communication mode on the spoken language outcomes of children who received a cochlear implant. STUDY DESIGN:Retrospective analysis of postoperative speech and language and reading scores for children who received a cochlear implant and used three different modes of communication: auditory-verbal (AV) (n = 39), oral communication (OC) ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):e975-e983]

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Multi-frequency Electrocochleography Measurements can be Used to Monitor and Optimize Electrode Placement During Cochlear Implant Surgery.

Aniket A Saoji, Neil S Patel, Matthew L Carlson, Brian A Neff, Kanthaiah Koka, Venkata S Aditya Tarigoppula, Colin L W Driscoll,

OBJECTIVE:To report the use of multi-frequency intra-cochlear electrocochleography (ECOG) in monitoring and optimizing electrode placement during cochlear implant surgery. An acoustic pure tone complex comprising of 250, 500, 1000, and 2000 Hz was used to elicit ECOG, or more specifically cochlear microphonics (CMs), responses from various locations in the cochlea. The ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):1287-1291]

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Transcanal Endoscopic Ear Surgery for Congenital Middle Ear Anomalies.

Tsukasa Ito, Toshinori Kubota, Takatoshi Furukawa, Hirooki Matsui, Kazunori Futai, Seiji Kakehata,

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 19 patients ranging in ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):1299-1305]

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Auditory Characteristics in Patients With Mucopolysaccharidosis.

Jungmin Ahn, Jung Joo Lee, Song-I Park, Sung-Yoon Cho, Dong-Kyu Jin, Yang-Sun Cho, Won-Ho Chung, Sung-Hwa Hong, Il Joon Moon,

OBJECTIVE:The purpose of the study was to evaluate audiologic findings according to mucopolysaccharidosis (MPS) subtypes and to estimate hearing changes as the disease progressed, as well as the therapeutic effect of enzyme replacement therapy on the hearing apparatus. METHODS:A total of 124 patients who were diagnosed with MPS between September ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):e955-e961]

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High Altitude Alternobaric Facial Palsy: Case Series and Systematic Review of the Literature.

Benjamin Cumming, Ian Matchett, Catherine Meller, Alexander Saxby,

BACKGROUND:Alternobaric facial palsy (AFP) is a rare phenomenon which occurs in patients with Eustachian tube dysfunction, a dehiscent facial canal, and subsequent compression induced ischemic neuropraxia of the facial nerve upon exposure to atmospheric pressure changes. There are few documented cases of AFP and most relate to underwater diving. There ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):1378-1385]

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Long-term Outcomes of Balloon Dilation for Persistent Eustachian Tube Dysfunction.

Jeffrey L Cutler, Ted A Meyer, Shaun A Nguyen, Ellen M O'Malley, Lisa Thackeray, Patrick W Slater,

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 refractory persistent ETD. INTERVENTIONS:Balloon ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):1322-1325]

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Durability of Hearing Preservation Following Microsurgical Resection of Vestibular Schwannoma.

Eric M Dowling, Neil S Patel, Christine M Lohse, Colin L W Driscoll, Brian A Neff, Jamie J Van Gompel, Michael J Link, Matthew L Carlson,

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 or B) on initial ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):1363-1372]

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Age-related Hearing Loss Is Strongly Associated With Cognitive Decline Regardless of the APOE4 Polymorphism.

Yuka Morita, Takanobu Sasaki, Kuniyuki Takahashi, Meiko Kitazawa, Yoriko Nonomura, Chihiro Yagi, Tatsuya Yamagishi, Shinsuke Ohshima, Shuji Izumi, Minako Wakasugi, Akio Yokoseki, Ichiei Narita, Naoto Endo, Arata Horii,

OBJECTIVE:To examine the association between hearing impairment and cognitive decline and to identify possible risk factors for presbycusis. STUDY DESIGN:Cross-sectional survey in prospective cohort study. SETTING:University hospital. PATIENTS:A total of 322 participants aged >60 years, for whom all the below data were available, were enrolled in the study. There were ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(10):1263-1267]

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