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Journal Otol. Neurotol.

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Physical and Emotional Burden of the Epley Maneuver in the Elderly.

Britta D P J Maas, Tjasse D Bruintjes, Hester J van der Zaag-Loonen, Stephanie M Winters, Sylvia Masius-Olthof, Carla Colijn, Peter Paul G van Benthem, Roeland B van Leeuwen,

OBJECTIVE:To analyze and compare experiences of anxiety and discomfort caused by the Epley maneuver and the willingness for a potential retreatment between younger (≤70 yr) and older (>70 yr) patients. STUDY DESIGN:Prospective, observational cohort study. SETTING:Tertiary referral center. METHODS:Dutch adults, diagnosed with posterior canal benign paroxysmal positional vertigo, were included. ... 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(8):1082-1087]

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Osteonecrosis of the External Auditory Canal Associated With Oral Sorafenib Therapy: Sorafenib and Temporal Bone Osteonecrosis.

Federica Canzano, Filippo Di Lella, Roberta Manuguerra, Vincenzo Vincenti,

OBJECTIVE:To present the first case of osteonecrosis of the external auditory canal associated with sorafenib treatment. PATIENT:58-year-old patient with right-sided otorrhea and otalgia was treated for otitis externa for 1 month without improvement. Otoscopic examination revealed a large defect in the inferior wall of the tympanic bone filled with skin ... 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(8):e812-e815]

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Endoscopic Versus Microscopic Middle Ear Surgery: A Meta-analysis of Outcomes Following Tympanoplasty and Stapes Surgery.

Sayan Manna, Vivian F Kaul, Mingyang L Gray, George B Wanna,

OBJECTIVE:This meta-analysis compares the efficacy and safety of endoscopic and microscopic approaches to tympanoplasty and stapes surgery, two common middle ear procedures. DATA SOURCES:A comprehensive electronic search of PubMed/MEDLINE, Scopus, Web of Science, and Cochrane Library was conducted for studies published from the year 1960 through June 2018. Article selection ... 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(8):983-993]

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Cochlear Implant Outcomes in Large Vestibular Aqueduct Syndrome-Should We Provide Cochlear Implants Earlier?

Andrew C Hall, Bruno Kenway, Halit Sanli, Catherine S Birman,

OBJECTIVE:Examine postoperative speech perception outcomes in a large vestibular aqueduct syndrome (LVAS) patients at a major cochlear implantation center. STUDY DESIGN:Retrospective analysis of the Sydney Cochlear Implant Centre (SCIC) database and medical records from January 1994 to December 2015 was performed. SETTING:Tertiary referral center. PATIENTS:Patients with a diagnosis of LVAS ... 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(8):e769-e773]

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Vestibular Schwannoma Tumor Size Is Associated With Acute Vestibular Symptoms After Gamma Knife Therapy.

Daniel Y Lee, David K Lerner, James G Naples, Jason A Brant, Douglas C Bigelow, John Y K Lee, Michelle Alonso-Basanta, Michael J Ruckenstein,

OBJECTIVE:To assess how pretreatment vestibular schwannoma (VS) tumor characteristics are associated with vestibular symptoms after gamma knife (GK) surgery. STUDY DESIGN:Retrospective chart review of patients undergoing GK treatment for VS at our institution from 2005 to 2018. SETTING:Academic tertiary referral center. PATIENTS:Patients receiving primary GK surgery for vestibular schwannomas with ... 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(8):1088-1093]

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Silver Nitrate: A Potential Mistaken Foreign Body.

Neal R Godse, Barton F Branstetter, Candace E Hobson,

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(8):e850-e851]

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Preclinical Validation of a Novel Device Designed to Reduce Biofilms on Percutaneous Osseointegrated Abutments.

Rachel Sammons, Matthew East, Melissa Grant, David Proops,

AIM:To assess the efficacy of a prototype cleaning device in removing biofilm from skin-penetrating abutments. BACKGROUND:Adverse skin reactions around percutaneous osseointegrated implants have been linked to poor hygiene and infection. A cleaning device made from open-cell polyfoam has been developed to facilitate manual cleaning of abutments by the patient. METHODS:Serratia ... 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(8):1116-1123]

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Onyx Embolization Material Extrusion in the Middle Ear.

Weitao Wang, Edward Lin, Dongwei Zhang, Benjamin Crane,

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(8):e847-e849]

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Outcomes of Primary Pediatric Stapedotomy.

Joshua Cody Page, Victoria L Gau, Tristan Allsopp, DeAnne King, Joshua Jervis-Bardy, John L Dornhoffer,

OBJECTIVE:To review a single institution experience with pediatric stapedotomy for juvenile otosclerosis (JO), congenital stapes footplate fixation (CSFF), or tympanosclerosis. STUDY DESIGN:Retrospective chart review. SETTING:Tertiary referral center. PATIENTS:Pediatric patients undergoing surgery for stapes fixation from 2001 to 2017. MAIN OUTCOME MEASURES:Hearing result based on preoperative, first postoperative, and final postoperative ... 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(8):1054-1058]

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Partial Epithelial-Mesenchymal Transition Was Observed Under p63 Expression in Acquired Middle Ear Cholesteatoma and Congenital Cholesteatoma.

Masahiro Takahashi, Tomomi Yamamoto-Fukuda, Naotaro Akiyama, Masaomi Motegi, Kazuhisa Yamamoto, Yasuhiro Tanaka, Yutaka Yamamoto, Hiromi Kojima,

INTRODUCTION:Partial epithelial-mesenchymal transition (p-EMT) is a process by which epithelial cells partially lose their intercellular adhesion and change to obtain migration ability. The transcription factor p63 regulates the expression of cadherin family and induces epithelial cell proliferation. In this study, we hypothesized that p-EMT under p63 expression may be a ... 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(8):e803-e811]

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The Influence of Metabolic Syndrome on the Prognosis of Idiopathic Sudden Sensorineural Hearing Loss.

Yanni Zhang, Qian Jiang, Xuewen Wu, Shaobing Xie, Yong Feng, Hong Sun,

OBJECTIVES:We aimed to verify the hypothesis that metabolic syndrome (MetS) and its components affect the prognosis of idiopathic sudden sensorineural hearing loss (ISNNHL). STUDY DESIGN:A retrospective cohort study. SETTING:Tertiary otology referral center. PATIENTS:We divided patients who were diagnosed with ISSNHL between January 2015 and January 2018 into a MetS group ... 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(8):994-997]

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Characteristics and Outcomes of Pediatric Vestibular Schwannomas.

Tyler A Janz, Philip Ryan Camilon, Anthony Y Cheung, Shaun A Nguyen, Ted A Meyer, Theodore R McRackan, Paul R Lambert,

OBJECTIVE:To review the demographics, treatment modalities, and survival of children with vestibular schwannomas. STUDY DESIGN:Analysis using the Surveillance, Epidemiology, and End Results (SEER) database. SUBJECTS AND METHODS:Pediatric patients from birth to 18 years in the SEER database were included from 2004 to 2014 based on a diagnosis of vestibular schwannoma ... 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(8):1047-1053]

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Audiologic Improvement Following MCF Approach for Spontaneous Cerebrospinal Fluid Leaks.

Mohamedkazim Alwani, Elhaam Bandali, Lauren Van Buren, Charles W Yates, Rick F Nelson,

OBJECTIVE:To determine the audiologic improvement after middle cranial fossa (MCF) approach to repair spontaneous cerebrospinal fluid (sCSF) leaks. STUDY DESIGN:Retrospective cohort study. SETTING:Tertiary referral center. PATIENTS:Twenty-four consecutive patients (27 ears) with temporal bone sCSF leak over a 4-year period. Patient age, sex, ethnicity, body mass index (BMI), location of CSF ... 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(8):1026-1033]

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Auditory Performances in Older and Younger Adult Cochlear Implant Recipients: Use of the HEARRING Registry.

Anouk Hofkens-Van den Brandt, Griet Mertens, Annick Gilles, Erik Fransen, Luis Lassaletta, Javier Gavilan, Miryam Calvino, Yuri Yanov, Vladislav Kuzovkov, Dmitrii Kliachko, Mario Zernotti, Dra Maria Fernanda Di Gregorio, Vincent Van Rompaey, Paul Van de Heyning, Seraphima Sugarova,

OBJECTIVE:To evaluate the hearing outcomes of cochlear implantation in different age groups by using data collected in the HEARRING registry. METHODS:A multicenter study. Data of 146 patients were collected in a HEARRING registry. Patients were divided into three different age groups; ≤ 55 years old (age group 1, n = 66), 56 ... 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(8):e787-e795]

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Meta-analysis of Delayed Facial Palsy Following Middle Ear Surgery.

Seong Hoon Bae, Sang Hyun Kwak, Gi-Sung Nam, Jinsei Jung,

OBJECTIVE:Delayed facial palsy has been reported following various types of otologic surgery. However, the exact characteristics of this disease have not been fully elucidated because of its low incidence. This study analyzed case series studies on delayed facial palsy to increase the sample size and outline credible disease characteristics. DATA ... 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(8):1109-1115]

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Effect of Vestibular Exercises Associated With Repositioning Maneuvers in Patients With Benign Paroxysmal Positional Vertigo: A Randomized Controlled Clinical Trial.

Daniele Leite Rodrigues, Alleluia Lima Losno Ledesma, Carlos Augusto Pires de Oliveira, Fayez Bahmad,

: In addition to positional vertigo, it is quite common for patients with benign paroxysmal positional vertigo (BPPV) to present complaints associated with balance problems and a feeling of dizziness even after repositioning maneuvers. OBJECTIVE:It was to evaluate the additional effects of vestibular rehabilitation exercises as a therapeutic resource 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(8):e824-e829]

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Quantitative Assessment of Inner Ear Histopathologic Findings in Partial Trisomy of 13.

Rafael da Costa Monsanto, Mio Uchiyama, Michael Mauro Paparella, Sebahattin Cureoglu,

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2019, 40(8):e854-e857]

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Hearing Improvement Following Middle Cranial Fossa Floor Defect Repair Utilizing a Modified Middle Fossa Approach and Reconstructive Techniques.

Mostafa Alwan, Imogen Ibbett, Michael Pullar, Leon T Lai, Michael Gordon,

BACKGROUND:Few studies report hearing preservation following middle cranial fossa (MCF) floor defect repair. OBJECTIVE:To investigate audiological outcomes following MCF floor defect repair using a modified MCF suprapetrous approach. STUDY DESIGN:Retrospective cohort. SETTING:Tertiary referral center. PATIENTS:Eleven patients, with MCF floor defects. INTERVENTIONS:MCF floor defect surgical repairs with either fascia or fascia ... 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(8):1034-1039]

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Hearing and Quality of Life Over Time in Vestibular Schwannoma Patients: Observation Compared to Stereotactic Radiosurgery.

Lauren E Miller, Jason A Brant, Jinbo Chen, Adam C Kaufman, Michael J Ruckenstein,

OBJECTIVE:To examine quality of life changes for patients with vestibular schwannoma (VS) undergoing observation or stereotactic radiosurgery (SRS). STUDY DESIGN:Retrospective review. SETTING:Academic medical center. PATIENTS:Patients with VS who underwent observation or SRS and had at least two audiograms and Penn Acoustic Neuroma Quality of Life (PANQOL) surveys, a quality 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(8):1094-1100]

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Speech Perception Growth Patterns in Prelingual Deaf Children With Bilateral Sequential Cochlear Implantation.

Yehree Kim, Jee Yeon Lee, Won Seob Lim, Min Young Kwak, Ji Won Seo, Jun Woo Park, Je Yeon Lee, Byung Chul Kang, Woo Seok Kang, Joong Ho Ahn, Jong Woo Chung, Hong Ju Park,

OBJECTIVE:To evaluate speech perception following the first (CI-1) and second (CI-2) cochlear implantation (CI) in children with sequential bilateral CI. STUDY DESIGN:Retrospective. PATIENTS:Seventy children with follow-up for 60 months post CI-1 and 36 months post CI-2. MAIN OUTCOME MEASURES:Word recognition score (WRS) was the main outcome. WRSs were compared by ... 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(8):e761-e768]

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Validating a New Tablet-based Tool in the Determination of Cochlear Implant Angular Insertion Depth.

Michael W Canfarotta, Margaret T Dillon, Emily Buss, Harold C Pillsbury, Kevin D Brown, Brendan P O'Connell,

OBJECTIVE:The objective of this study is to determine the reliability of a new tablet-based software that utilizes postoperative computed tomography to determine angular insertion depth (AID), cochlear duct length (CDL), and the cochlear place frequency of individual electrodes in cochlear implant recipients. PATIENTS:Twenty adult cochlear implant recipients with lateral-wall electrode ... 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(8):1006-1010]

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An Educational Intervention for Acute Dizziness Care: A Randomized, Vignette-based Study.

William J Meurer, Patricia Johnson, Devin Brown, Alexander Tsodikov, Brigid Rowell, Angela Fagerlin, Steven A Telian, Laura Damschroder, Lawrence C An, Lewis B Morgenstern, Kevin A Kerber,

IMPORTANCE:Benign paroxysmal positional vertigo (BPPV) is a common cause of acute dizziness. Strong evidence exists for diagnosing BPPV using the Dix-Hallpike Test (DHT) and treating it with the canalith repositioning maneuver (CRM). Despite this, both are infrequently used in the emergency department (ED). OBJECTIVE:As an early method to evaluate a ... 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(8):e830-e838]

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A Transcutaneous Active Middle Ear Implant (AMEI) in Children and Adolescents: Long-term, Multicenter Results.

John-Martin Hempel, Georg Sprinzl, Herbert Riechelmann, Christian Streitberger, Nadia Giarbini, Thomas Stark, Patrick Zorowka, Viktor Koci, Astrid Magele, Tobias Strenger, Joachim Müller, Barbara Wollenberg, Henning Frenzel,

OBJECTIVE:Evaluation of the long-term safety and performance of an active middle ear implant (AMEI) in the treatment of hearing loss in children and adolescents with a primary focus on improvement in speech discrimination. STUDY DESIGN:Prospective, multicentric, single-subject repeated-measures design in which each subject serves as his or her own control. ... 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(8):1059-1067]

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Speech Perception Outcomes in Transcutaneous Versus Percutaneous Bone Conduction Stimulation in Individuals With Single-sided Deafness.

Hillary A Snapp, Kari E Morgenstein, Brianna Kuzbyt,

OBJECTIVE(S):To investigate the differences in percutaneous versus passive transcutaneous bone-conduction stimulation in individuals with single-sided deafness. STUDY DESIGN:Prospective, single-subject. SETTING:Tertiary academic referral center. PATIENTS:Adult bone-anchored implant listeners with single-sided deafness using a percutaneous implant system. INTERVENTIONS:Experienced percutaneous bone anchored implant recipients were tested in the percutaneous and transcutaneous conditions using ... 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(8):1068-1075]

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Treatment of Auricular Hematomas by OK-432: How and Why It Works.

Nobuo Ohta, Shigeru Fukase, Yusuke Kusano, Yutaro Saito, Yutaka Tateda, Yusuke Ishida, Ryoukichi Ikeda, Muneharu Yamazaki, Junya Ono, Kenji Izuhara,

OBJECTIVES:The aim of this article was to investigate the effectiveness and underlying mechanisms of OK-432 therapy in patients with auricular hematomas. STUDY DESIGN AND SETTING:Case series with planned data collection. SUBJECTS AND METHODS:We tried this therapy in 47 patients with auricular hematoma between April 2008 and August 2018. We aspirated ... 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(8):e820-e823]

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