journal
https://read.qxmd.com/read/38313765/a-case-report-on-a-rare-case-of-primary-tuberculous-otitis-media
#1
JOURNAL ARTICLE
Dr Yadav Sagar Shyamlal, Dr Shikha Gianchand, Dr Rahul Kurkure
Although tuberculosis has become more common in recent years, it still accounts for just a small percentage of cases of chronic otitis media. Common symptoms of tuberculous otitis media (TOM) include otorrhoea, hearing loss, and multiple tympanic membrane perforations. Due to its rarity, the illness is frequently misdiagnosed. When a patient does not improve with standard antibacterial and antifungal treatment, this may be a possible diagnosis to explore. Complete healing is possible if the illness is diagnosed and treated timely to prevent consequences...
January 2024: Journal of Otology
https://read.qxmd.com/read/38313764/universal-newborn-hearing-screening-program-in-saudi-arabia-current-insight
#2
JOURNAL ARTICLE
Noura Alothman, Reem Elbeltagy, Reem Mulla
Newborn hearing screening (NHS) programs are essential to identify hearing loss early in life and to improve outcomes in children. In Saudi Arabia, the national NHS program has been operational since 2016; however, few studies have evaluated its status, and none have covered all provinces across the country. This cross-sectional retrospective study provides an overview of the program's status across all provinces, focusing on screening coverage rates, referral/fail rates, and follow-up procedures. In 2021, 199,034 newborns were screened, with a coverage rate of 92...
January 2024: Journal of Otology
https://read.qxmd.com/read/38313763/controlled-release-of-dexamethasone-from-fibrin-sealant-for-intratympanic-administration-in-inner-ear-therapy
#3
JOURNAL ARTICLE
Jing Zou
The aim of the present work was to show the sustainability of fibrin sealant in releasing dexamethasone and adjust the protocol for clinical application of the novel method in the treatment of Meniere's disease (MD) and sudden sensorineural hearing loss (SSHL). Gelation occurred shortly after mixing dexamethasone-containing fibrinogen with thrombin. Dexamethasone was constantly released for at least 16 d at a stable level after 7 d in protocol 1 (low-dose), while it was robustly released within 4 d and slowed afterward until 10 d in protocol 2 (high-dose)...
January 2024: Journal of Otology
https://read.qxmd.com/read/38313762/co-infection-with-neisseria-mucosa-in-a-patient-with-tuberculous-otitis-media
#4
JOURNAL ARTICLE
Tatsuya Hioki, Kazuaki Soejima, Yuki Goto, Makoto Sugiura, Takumi Umemura, Yoshimi Ishihara, Yoshikazu Mutoh, Daisuke Sakanashi, Hiroshige Mikamo
Tuberculous otitis media (TOM) is a rare manifestation caused by Mycobacterium tuberculosis with low incidence rates among extrapulmonary tuberculosis cases. Diagnosis is often delayed because of the presence of several clinical manifestations and the high prevalence of secondary bacterial infections. Few reports have attributed secondary bacterial infections in patients with TOM to commensal Neisseria . Thus, understanding the pathogenic mechanisms and clinical features of commensal Neisseria is important, considering its recent presentation as an infection-causing pathogen...
January 2024: Journal of Otology
https://read.qxmd.com/read/38313761/the-application-of-the-strip-shaped-cymba-conchae-orthosis-in-the-nonsurgical-correction-of-complex-auricular-deformity
#5
JOURNAL ARTICLE
Huijuan Xu, Shaoguang Ding, Fei Zhang, Zhifeng Zhang, Xiangyu Chen, Mingyang Li, Haitao Yang, Fugen Han, Hongjian Liu
OBJECTIVE: This study aims to evaluate the efficacy and safety of using a strip-shaped cymba conchae orthosis for the nonsurgical correction of complex auricular deformities. METHODS: Clinical data were collected from 2020 to 2021 for 6 patients who underwent correction using a strip-shaped cymba conchae orthosis. The indications, corrective effects, and complications associated with use of the orthosis were analyzed. RESULTS: There were four indications for treatment: cryptotia with helix adhesion; cryptotia with grade I microtia; cryptotia with excessive helix thickness; and auricular deformity beyond the treatment time window (≥6 months)...
January 2024: Journal of Otology
https://read.qxmd.com/read/38313760/modified-intratympanic-steroid-therapy-for-sudden-sensorineural-hearing-loss-via-tympanic-tube-and-gelfoam-as-a-salvage-treatment
#6
JOURNAL ARTICLE
Sichao Liang, Yunshuo Li, Zhenping Guo, Manlin Lu, Xin Li, Jia Xu, Wenjing Chen, Juanjuan Gao, Haijin Yi
BACKGROUND: Sudden sensorineural hearing loss (SSNHL) is a prevalent emergency in ear, nose, and throat practice. Previous studies have demonstrated that intratympanic steroid therapy (IST) can serve as a salvage treatment for SSNHL after the failure of systemic steroid therapy (SST). OBJECTIVE: This study aimed to analyze the efficacy of modified IST involving the insertion of a tympanic tube and gelfoam as a salvage treatment for patients with SSNHL, and to explore its associated factors...
January 2024: Journal of Otology
https://read.qxmd.com/read/38313759/surgical-management-of-tegmen-defects-of-the-temporal-bone-and-meningoencephalic-herniation-our-experience
#7
JOURNAL ARTICLE
Giuseppe De Donato, Emanuela Fuccillo, Alberto Maria Saibene, Elena Ferrari, Giorgia Carlotta Pipolo, Antonia Pisani, Liliana Colletti, Anastasia Urbanelli, Luigi De Donato, Giovanni Felisati
No abstract text is available yet for this article.
January 2024: Journal of Otology
https://read.qxmd.com/read/38313758/influence-of-bppv-and-meniere-s-disease-on-cognitive-abilities-a-questionnaire-based-study
#8
JOURNAL ARTICLE
Rohit Bhattacharyya, Animesh Barman, Freddy Antony
The vestibular system connects the inner ear to the midbrain and subcortical structures and can affect cognition. Patients with vertigo often experience cognitive symptoms such as attention deficits, memory problems, and spatial perception difficulties. This study aimed to explore the cognitive impairments associated with Benign paroxysmal positional vertigo (BPPV) and Meniere's Disease (MD). A non-experimental group comparison design was used with 107 participants divided into three groups: Group I (clinically normal), Group II (BPPV), and Group III (MD)...
January 2024: Journal of Otology
https://read.qxmd.com/read/38313757/masseter-vestibular-evoked-myogenic-potentials-a-new-tool-to-assess-the-vestibulomasseteric-reflex-pathway
#9
REVIEW
Aishwarya Nagarajan, Sujeet Kumar Sinha
PURPOSE: This review article provides the readers with an in-depth insight in understanding and interpreting various research literatures on the masseter vestibular evoked myogenic potentials (mVEMP). The article also reviews the contemporary researches involving the clinical applications of the mVEMP. CONCLUSIONS: Masseter VEMP is an evolving yet clinically promising neuro-otology test tool that has recently gained more research interest and is considered an additional tool to diagnose various vestibular disorders...
January 2024: Journal of Otology
https://read.qxmd.com/read/38313756/comparative-utility-of-vestibular-function-tests-in-patients-with-peripheral-and-central-vestibular-dysfunction
#10
JOURNAL ARTICLE
Cameron B Fattahi, Christopher Zaro, Janice J Chung, Richard F Lewis, Divya A Chari
BACKGROUND: Bithermal caloric irrigation, video head impulse test (vHIT), and rotational testing are commonly used to assess peripheral vestibular function, but the relative clinical utility of each test in differentiating patients with peripheral vestibulopathy is debated. OBJECTIVES: To determine whether (1) the combination of two or more vestibular tests enhances diagnostic utility over a single test; (2) abnormal test results on vestibular tests correlate with one another...
January 2024: Journal of Otology
https://read.qxmd.com/read/37877075/nodular-fasciitis-of-the-external-auditory-canal-clinical-case-report-and-review-of-the-literature
#11
REVIEW
Adrien Philippart, Jean-Christophe Degols, Jacques Vilain
Nodular fasciitis is a benign reactive soft tissue tumor arising from fibroblasts and myofibroblasts. Its incidence is low and misdiagnosis is frequent especially for malignant lesions. This can lead to inappropriate and unnecessary invasive treatment. Nodular fasciitis of the external auditory canal is extremely rare. So far, around fifteen cases have been reported. We present here the case of a 90-year-old patient with nodular fasciitis of the right external auditory canal. The lesion extends anteriorly for 6...
October 2023: Journal of Otology
https://read.qxmd.com/read/37877074/acute-isolated-vertigo-with-vertical-up-beating-nystagmus-a-rare-case-of-nucleus-intercalatus-of-staderini-ischemia
#12
JOURNAL ARTICLE
Francesco Comacchio, Giacomo Talenti, Renzo Manara, Chiara Briani
The role of intercalatus nucleus of Staderini (INS), the most caudal of the perihypoglossal nuclei, is much debated. Last research seems to suggest that this nucleus plays a role as a vertical eyes movements integrator. The few clinical reports present in the literature that describe isolated lesions of the INS have described patients presenting in acute with up-beating vertical spontaneous nystagmus. Isolated acute lesion of INS is, in fact, much rare, and, without other neurological signs, is exceptional...
October 2023: Journal of Otology
https://read.qxmd.com/read/37877073/the-relationship-between-age-acceptable-noise-level-and-listening-effort-in-middle-aged-and-older-aged-individuals
#13
JOURNAL ARTICLE
Hemanth Narayan Shetty, Suma Raju, Sanjana Singh S
OBJECTIVE: The purpose of the study was to evaluate listening effort in adults who experience varied annoyance towards noise. MATERIALS AND METHODS: Fifty native Kannada-speaking adults aged 41-68 years participated. We evaluated the participant's acceptable noise level while listening to speech. Further, a sentence-final word-identification and recall test at 0 dB SNR (less favorable condition) and 4 dB SNR (relatively favorable condition) was used to assess listening effort...
October 2023: Journal of Otology
https://read.qxmd.com/read/37877072/comparing-accuracy-of-cochlear-measurements-on-magnetic-resonance-imaging-and-computed-tomography-a-step-towards-radiation-free-cochlear-implantation
#14
JOURNAL ARTICLE
Anurita Swarup, Vinusree Karakkandy, Preetam Chappity, Suprava Naik, Sanjay Kumar Behera, Pradipta Kumar Parida, Mohnish Grover, Gaurav Gupta, Prajna Paramita Giri, Saurav Sarkar, Pradeep Pradhan, Dillip Kumar Samal, Aswathi Kallyadan Veetil, Asutosh Adhikari, Saurav Nayak
OBJECTIVE: Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) are commonly employed in pre-operative evaluation for cochlear implant surgery. However, with a decrease in the age of implantation, even minor radiation exposure can cause detrimental effects on children over their lifetime. The current study compares different cochlear measurements from CT and MRI scans and evaluates the feasibility of using only an MRI scan for radiological evaluation before cochlear implantation...
October 2023: Journal of Otology
https://read.qxmd.com/read/37877071/location-of-the-aica-influences-the-severity-but-not-occurrence-of-issnhl-a-reappraisal-using-high-resolution-3-t-mri
#15
JOURNAL ARTICLE
Guoping Zhang, Hongbin Li, Zikai Zhao, Mingxing Zhang, Jing Zou
OBJECTIVE: To investigate the potential influence of anatomical variation in the anterior inferior cerebellar artery (AICA) on the occurrence and severity of idiopathic sudden sensorineural hearing loss (ISSNHL). METHODS: Ninety ISSNHL patients were enrolled. The anatomical location of the AICA was exhibited using high-resolution magnetic resonance imaging (MRI), and the various AICA types classified by previously reported Chavda and Gorrie methods were analyzed...
October 2023: Journal of Otology
https://read.qxmd.com/read/37877070/intratympanic-injection-of-hydrogel-nanodrug-for-the-prevention-and-treatment-of-sensorineural-hearing-loss
#16
REVIEW
Tianying Zhai, Pingping Ai, Zhaohui Tang, Chaoliang He, Xuesi Chen, Shiming Yang, Nan Wu
Safe and efficient drug delivery to the inner ear has always been the focus of prevention and treatment of sensorineural deafness. The rapid development of nanodrug delivery systems based on hydrogel has provided a new opportunity. Among them, thermo-sensitive hydrogels promote the development of new dosage form for intratympanic injection. This smart biomaterial could transform to semisolid phase when the temperature increased. Thermo-sensitive hydrogel nanodrug delivery system is expected to achieve safe, efficient, and sustained inner ear drug administration...
October 2023: Journal of Otology
https://read.qxmd.com/read/37877069/differential-advantages-of-musical-backgrounds-on-binaural-integration-and-interaction-skills-in-instrumentalists-vocalists-and-non-musicians
#17
JOURNAL ARTICLE
Kavassery Venkateswaran Nisha, Adya Parmar, Chandana Shivaiah, Prashanth Prabhu
BACKGROUND: Musical perception requires a host of skills. Instrumental musicians place greater emphasis on motor coordination, whereas vocal musicians rehearse vocal sounds. The study explored the differential advantages of musical background on binaural integration and interaction in musicians (instrumentalists, vocalists) and compared them with age-matched non-musicians. METHODS: Eight six participants aged 20-40 y with normal hearing sensitivity were subjected to binaural tests using a standard group comparison research design...
October 2023: Journal of Otology
https://read.qxmd.com/read/37877068/success-rates-and-predictors-of-outcomes-of-type-i-tympanoplasty-performed-by-residents-in-a-teaching-tertiary-hospital
#18
JOURNAL ARTICLE
Lucas Resende Lucinda Mangia, Nicole Tássia Amadeu, Maurício da Silva Oliveira, Lucas Santin Patzer, Eduardo de Souza Somensi, Rogério Hamerschmidt
UNLABELLED: Several technical variations of tympanoplasty have been reported, usually involving the type of graft and/or instruments used. Few studies have focused on the outcome of type-1 tympanoplasty specifically in teaching scenarios. We aimed to describe the results of type-1 tympanoplasty performed by residents, and to investigate potential predictive factors of surgical success. To do so, we did a retrospective analysis of medical records of patients who underwent type-1 tympanoplasty in a tertiary university hospital...
October 2023: Journal of Otology
https://read.qxmd.com/read/37877067/an-evidenced-based-diagnostic-tool-for-superior-semicircular-canal-dehiscence-syndrome
#19
JOURNAL ARTICLE
Christian G Fritz, Garrett G Casale, Lulia A Kana, Robert S Hong
PURPOSE: To construct a symptoms-based prediction tool to assess the likelihood of superior canal dehiscence (SSCD) on high-resolution CT. MATERIALS AND METHODS: Mathematical modeling was employed to predict radiologic evidence of SSCD at a tertiary neurotology referral center. RESULTS: A total of 168 patients were included, of which 118 had imaging-confirmed SSCD. On univariate analysis significant predictors of SSCD presence were: sound/pressure-induced vertigo ( p  = 0...
October 2023: Journal of Otology
https://read.qxmd.com/read/37877066/vestibular-rehabilitation-in-cerebellar-ataxia-with-neuropathy-and-vestibular-areflexia-syndrome-canvas-a-case-report
#20
JOURNAL ARTICLE
R G Harrell, A R Cassidy, B N Klatt, P Hovareshti, S L Whitney
BACKGROUND AND PURPOSE: Cerebellar ataxia, neuropathy, and vestibular areflexia syndrome (CANVAS) is a neurodegenerative disease of the cerebellum. The disease progression is slow, with up to 25% of people diagnosed needing to use a wheelchair after 15 years from diagnosis. Vestibular symptoms arise from centrally-mediated ocular movement degradation and the reduced vestibular-ocular reflex functioning bilaterally. To date, no report has shown an improvement in VOR gain or gait outcome measures in someone with CANVAS after a course of vestibular physical therapy...
October 2023: Journal of Otology
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