1,039 results match your criteria Labyrinthitis Ossificans


Infections of the Ear.

Emerg Med Clin North Am 2019 Feb;37(1):1-9

Department of Emergency Medicine, Kaiser Permanente, 4647 Zion Avenue, San Diego, CA 92120, USA. Electronic address:

Infections of the ear are a common presentation to an acute care environment. In this article, the authors aim to summarize the most common presentations, and diagnostic and treatment options for typical infections of the ear. This article is geared toward the emergency physician, urgent care provider, and primary care provider who will likely be the initial evaluating and treating provider to assist them in determining what treatment modalities can be managed in a clinic and what needs to be referred for admission or specialty consultation. Read More

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February 2019
3 Reads

Facial Nerve Stimulation Patterns Associated With Cochlear Implantation in Labyrinthitis Ossificans.

Otol Neurotol 2018 Dec;39(10):e992-e995

Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University, Nashville, Tennessee.

Objective: To describe and characterize facial nerve stimulation (FNS) patterns in patients with labyrinthitis ossificans who underwent cochlear implantation (CI) for sensorineural hearing loss.

Patients: Five ears in four patients with labyrinthitis ossificans who underwent CI and subsequently developed FNS.

Interventions: CI, electrode mapping, and/or explantation to resolve FNS. Read More

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December 2018
3 Reads

Cochlear implant in Thalassemia patient - Case report.

Cochlear Implants Int 2019 Jan 20;20(1):47-50. Epub 2018 Sep 20.

a Department of Otorhinolaryngology , SMS Medical College and Hospitals , Jaipur , India.

Introduction: Beta-thalassemias are a group of hereditary blood disorders characterized by anomalies in the synthesis of the beta chains of hemoglobin. Iron overload occurs in thalassemia, with blood transfusion therapy being the major cause. Deferoxamine continues to be the mainstay of therapy to remove excess iron in patients requiring long-term transfusions. Read More

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January 2019
2 Reads

Postoperative MR imaging features after superior semicircular canal plugging in Minor syndrome.

Diagn Interv Imaging 2018 Nov 13;99(11):679-687. Epub 2018 Sep 13.

Department of Neuroradiology, Lariboisière University Hospital, 75010 Paris, France. Electronic address:

Purpose: To report the postoperative magnetic resonance imaging (MRI) features after superior semicircular canal plugging in patients with Minor syndrome.

Materials And Methods: The MRI examinations with 3D T2-weighted SPACE sequence of 12 patients with superior semicircular canal dehiscence syndrome (SCDS) were retrospectively assessed. Two radiologists independently evaluated the presence of a filling defect of the superior semicircular canal above the superior ampulla and the common crus using an oblique plane parallel to the superior semicircular canal (Pöschl's plane). Read More

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November 2018
8 Reads

Cochlear implantation in children with meningitis related deafness: The influence of electrode impedance and implant charge on auditory performance - A case control study.

Int J Pediatr Otorhinolaryngol 2018 Oct 24;113:102-109. Epub 2018 Jul 24.

Department of Otorhinolaryngology, Hannover Medical University, Carl-Neuberg-Straße 1, 30625, Hannover, Germany; German Hearing Center, Hannover Medical University, Karl-Wiechert-Allee 3, 30625, Hannover, Germany.

Objectives: Bacterial meningitis can cause a labyrinthitis. Consequences often are intracochlear soft tissue neoformation (cochlear obliteration) or intracochlear osteoneogenesis (cochlear ossification) and deafness. Cochlear implantation becomes challenging and hearing rehabilitation is complicated. Read More

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October 2018
7 Reads

Gradenigo's Syndrome and Labyrinthitis: Conservative versus Surgical Treatment.

Case Rep Otolaryngol 2018 30;2018:6015385. Epub 2018 Jul 30.

Otorhinolaryngology, Head & Neck Surgery (ORL-HNS) Department, Al Wakra Hospital, Hamad Medical Corporation, Doha, Qatar.

Background: Extracranial intratemporal complications of chronic suppurative otitis media (CSOM) are extremely rare. Gradenigo's syndrome is defined as a clinical triad of otitis media, severe pain originating from the trigeminal nerve, and ipsilateral sixth cranial nerve palsy.

Case Report: A 61-year-old man presented with chronic left ear discharge, left-sided headache, diplopia associated with vertigo, tinnitus, and hearing impairment. Read More

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July 2018
5 Reads

Acute Otitis Media and Associated Complications in United States Emergency Departments.

Otol Neurotol 2018 Sep;39(8):1005-1011

Department of Otolaryngology, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.

Objective: Complications due to acute otitis media (AOM), while rare, are associated with significant morbidity and are not well characterized from an epidemiological perspective. We analyze the pattern of presentation and emergency department (ED) utilization in patients with AOM and associated complications.

Study Design: Retrospective analysis of the Nationwide Emergency Department Sample (NEDS) from 2009 to 2011. Read More

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September 2018
7 Reads

Epidemiology of Vestibular Impairments in a Pediatric Population.

Semin Hear 2018 Aug 20;39(3):229-242. Epub 2018 Jul 20.

Center for Evaluation of Balance Disorders in Children (EFEE), Robert Debré University Hospital, Paris, France.

The purpose of this study was to report the prevalence of vestibular impairment (VI) in children (  = 2,528) referred for complete vestibular testing because of balance disorders (BD) or hearing loss (H). A VI was shown in 51.5% of the children tested (1,304/2,528). Read More

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August 2018
3 Reads

Differentiation Between Intralabyrinthine Schwannoma and Contrast-enhancing Labyrinthitis on MRI: Quantitative Analysis of Signal Intensity Characteristics.

Otol Neurotol 2018 Sep;39(8):1045-1052

Department of Otorhinolaryngology-Head and Neck Surgery.

Objective: Distinguishing intralabyrinthine schwannoma (ILS) from labyrinthitis is crucial in deciding patient management between surgery and medication; however, the clinical and radiological differentiation between ILS and labyrinthitis is difficult, especially when labyrinthitis shows contrast-enhancement mimicking ILS on magnetic resonance imaging (MRI). This study aimed to evaluate the quantitative characteristics of signal intensity on 3T MRI for differentiating ILS from contrast-enhancing labyrinthitis (CEL).

Study Design: Retrospective study. Read More

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September 2018
8 Reads

[Otitis media: definition, pathogenesis, clinical presentation, diagnosis and therapy].

Laryngorhinootologie 2018 Jul 9;97(7):497-508. Epub 2018 Jul 9.

A number of diseases of the middle ear are summed up under the term otitis media: acute otitis media, recurrent acute otitis media, otitis media with effusion, chronic suppurative otitis media and chronic otitis media epitympanalis (= cholesteatoma). Acute otitis media belongs to the most common pediatric diseases and is often caused by bacterial infection. Since the advent of pneumococcal vaccines the quantity of AOM caused by pneumococci has declined; vaccination against NTHi and Moraxella catarrhalis are being developed. Read More

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July 2018
9 Reads

Spontaneous Labyrinthine Hemorrhage: A Case Series.

Otolaryngol Head Neck Surg 2018 Nov 3;159(5):908-913. Epub 2018 Jul 3.

2 Department of Radiology, Emory University, Atlanta, Georgia, USA.

Objectives: To describe patient characteristics, audiometric outcomes, and magnetic resonance imaging (MRI) signal patterns in patients with suspected labyrinthine hemorrhage.

Study Design: Retrospective review.

Setting: Tertiary medical center. Read More

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November 2018
1 Read

[Classification of acute vestibular syndrome].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Jun;32(11):827-830

Department of Otolaryngology Head and Neck Surgery, the Affiliated Sixth People's Hospital of Shanghai Jiao Tong University, Shanghai, 200233, China.

To explore the epidemiological characteristics and to help accomplish accurate diagnosis and treatment strategies by analyzing the composition and clinical features of various diseases with acute constant vertigo.We retrospectively analyzed medical records (including name, sex, age, diabetes, hypertension, history of vertigo, family history, etc.),otoneurological examination, vestibular function tests and radiological examination of patients with acute vestibular syndrome. Read More

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June 2018
8 Reads

Social representation of elderly people on falls: structural analysis and in the light of Neuman.

Rev Bras Enferm 2018 ;71 Suppl 2:851-859

Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.

Objective: To understand the symbolic elements and the hierarchical system of representations of elderly people on falls, according to Abric's structural analysis and Neuman's theory.

Method: Abric structural approach developed at the home of primary care users in a city of Minas Gerais. A free evocation technique of images triggered by images was performed in 2016 with elderly individuals (≥65 years old). Read More

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October 2018

Bilateral tympanokeratomas (cholesteatomas) with bilateral otitis media, unilateral otitis interna and acoustic neuritis in a dog.

Acta Vet Scand 2018 May 22;60(1):31. Epub 2018 May 22.

Department of Diagnostic Medicine/Pathobiology, Kansas State Veterinary Diagnostic Laboratory, College of Veterinary Medicine, Kansas State University, K-221 Mosier Hall, Manhattan, KS, 66506-5802, USA.

Background: An aural cholesteatoma, more appropriately named tympanokeratoma, is an epidermoid cyst of the middle ear described in several species, including dogs, humans and Mongolian gerbils. The cyst lining consists of stratified, keratinizing squamous epithelium with central accumulation of a keratin debris. This case report describes vestibular ganglioneuritis and perineuritis in a dog with chronic otitis, bilateral tympanokeratomas and presumed extension of otic infection to the central nervous system. Read More

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May 2018
4 Reads

Labyrinthitis Ossificans in a Cynomolgus Macaque (Macaca fascicularis).

Comp Med 2018 Apr 12. Epub 2018 Apr 12.

Labyrinthitis is inflammation of the membranous and bony labyrinth of the inner ear. Typical portals of entry includehematogenous spread from the cochlear vasculature, passage of otitis media pathogens through the round window, and mostcommonly, meningogenic spread from the subarachnoid space. The sequela of chronic inner ear inflammation is labyrinthitisossificans, in which inner ear structures are replaced by fibrous and osseous tissues. Read More

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April 2018
17 Reads

The first report of human meningitis and pyogenic ventriculitis caused by Streptococcus suis: A case report.

J Infect Chemother 2018 Aug 9;24(8):669-673. Epub 2018 Feb 9.

Department of Infectious Disease, Showa General Hospital, 8-1-1 Hanakoganei, Kodaira, Tokyo 187-8510, Japan.

Streptococcus suis, a gram-positive facultative anaerobe commonly found in pigs, is an emerging zoonotic pathogen. Herein, we describe a case of a 45-year-old male Japanese meat wholesaler with S. suis meningitis and pyogenic ventriculitis. Read More

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August 2018
5 Reads

Labyrinthine Sequestrum: A Case Report and Review of the Literature.

Otol Neurotol 2018 Mar;39(3):340-343

Department of Diagnostic Radiology.

Objective: To report the presentation, diagnosis, management, and convalescence of labyrinthine sequestrum (LS) and summarize all previously published cases.

Patient(s): Eleven-year-old female with LS.

Intervention(s): Multidisciplinary diagnostic evaluation and treatment. Read More

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March 2018
27 Reads

Current diagnostic procedures for diagnosing vertigo and dizziness.

GMS Curr Top Otorhinolaryngol Head Neck Surg 2017 18;16:Doc02. Epub 2017 Dec 18.

HNO-Gemeinschaftspraxis, Main-Taunus-Zentrum, Sulzbach, Germany.

Vertigo is a multisensory syndrome that otolaryngologists are confronted with every day. With regard to the complex functions of the sense of orientation, vertigo is considered today as a disorder of the sense of direction, a disturbed spatial perception of the body. Beside the frequent classical syndromes for which vertigo is the leading symptom (e. Read More

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December 2017
11 Reads

The Differential Diagnosis of Vertigo in Children: A Systematic Review of 2726 Cases.

Pediatr Emerg Care 2017 Oct 31. Epub 2017 Oct 31.

From the Department of Pediatrics, Temple University School of Medicine, Philadelphia, PA.

Objectives: Vertigo is a relatively common complaint in children with 5.3% of pediatric patients complaining of this symptom. Although the causes of vertigo have been well established in adults, the diagnoses in children have not been well described. Read More

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October 2017
1 Read

Radiological requirements for surgical planning in cochlear implant candidates.

Indian J Radiol Imaging 2017 Jul-Sep;27(3):274-281

Department of Otolaryngology, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt.

Objective: This study is concerned with clarification of radiological findings that should be addressed and reported in patients listed for cochlear implant (CI) operation. These findings may force a surgeon to consider modifications of the surgical approach by a CI surgeon.

Materials And Methods: The study was performed from January 2015 to January 2016. Read More

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November 2017
8 Reads

[How to manage vertigo in adult?]

Presse Med 2017 Nov 28;46(11):1055-1063. Epub 2017 Oct 28.

CHU Hautepierre Strasbourg, service ORL, 67098 Strasbourg, France; Université Louis-Pasteur, faculté de médecine, 67098 Strasbourg, France; Laboratoire des sciences de l'ingénieur, de l'informatique et de l'imagerie (ICube), 67098 Strasbourg, France.

The interrogation and the clinical examination are critical in the research of vertigo etiology. In the context of vertigo, the vital emergencies are of neurological and vascular origins. It is therefore necessary to be able to identify them quickly and simply. Read More

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November 2017

Cochlear Implant Associated Labyrinthitis: A Previously Unrecognized Phenomenon With a Distinct Clinical and Electrophysiological Impedance Pattern.

Otol Neurotol 2017 12;38(10):e445-e450

Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota.

Objectives: To report a unique clinical entity "cochlear implant associated labyrinthitis," characterized by a distinct constellation of clinical symptoms and pattern of electrode impedance fluctuations.

Study Design: Retrospective chart review.

Methods: All patients that underwent cochlear implantation between January 2014 and December 2016 were retrospectively reviewed. Read More

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December 2017
14 Reads

Interleukin-10 Attenuates Hypochlorous Acid-Mediated Cytotoxicity to HEI-OC1 Cochlear Cells.

Front Cell Neurosci 2017 6;11:314. Epub 2017 Oct 6.

Department of Head and Neck Surgery, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States.

Inflammatory reaction plays a crucial role in the pathophysiology of acquired hearing loss such as ototoxicity and labyrinthitis. In our earlier work, we showed the pivotal role of otic fibrocytes in cochlear inflammation and the critical involvement of proinflammatory cytokines in cisplatin ototoxicity. We also demonstrated that otic fibrocytes inhibit monocyte chemoattractant protein 1 (CCL2) upregulation in response to interleukin-10 (IL-10) via heme oxygenase 1 (HMOX1) signaling, resulting in suppression of cochlear inflammation. Read More

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October 2017
7 Reads

Sudden sensorineural hearing loss associated with inner ear lesions detected by magnetic resonance imaging.

PLoS One 2017 4;12(10):e0186038. Epub 2017 Oct 4.

Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University Sacred Heart Hospital, Anyang, Republic of Korea.

Although recent advances in magnetic resonance imaging (MRI) techniques have contributed to the detection of tiny lesions in the internal auditory canal (IAC) that may be responsible for sudden sensorineural hearing loss (SSNHL), there have been relatively few studies on the clinical characteristics of intra-labyrinthine hemorrhage (ILH) and labyrinthitis versus those regarding IAC tumors. Our purpose was to investigate the frequency of those IAC lesions on MRI and their clinical characteristics. Initial MRIs of 200 patients with SSNHL (93 men, 107 women; mean age = 48. Read More

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November 2017
15 Reads

Our experience with 500 patients with benign paroxysmal positional vertigo: Reexploring aetiology and reevaluating MRI investigation.

Auris Nasus Larynx 2018 Apr 22;45(2):248-253. Epub 2017 Sep 22.

Department of Otorhinolaryngology and Head and Neck Surgery, Beaumont Hospital and Blackrock Clinic, Dublin, Ireland.

Objective: To explore the aetiology of and to evaluate the importance of MRI investigation on the posterior semicircular canal benign paroxysmal positional vertigo in an Irish population.

Methods: A retrospective observational study of 500 patients with posterior semicircular canal benign paroxysmal positional vertigo, diagnosed and treated by the senior author over a 10-year period. Most patients underwent an MRI brain and inner ear, following the same scan protocol. Read More

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April 2018
4 Reads

Natural killer cells attenuate cytomegalovirus-induced hearing loss in mice.

PLoS Pathog 2017 Aug 31;13(8):e1006599. Epub 2017 Aug 31.

Division of Otolaryngology, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.

Congenital cytomegalovirus (CMV) infection is the most common non-hereditary cause of sensorineural hearing loss (SNHL) yet the mechanisms of hearing loss remain obscure. Natural Killer (NK) cells play a critical role in regulating murine CMV infection via NK cell recognition of the Ly49H cell surface receptor of the viral-encoded m157 ligand expressed at the infected cell surface. This Ly49H NK receptor/m157 ligand interaction has been found to mediate host resistance to CMV in the spleen, and lung, but is much less effective in the liver, so it is not known if this interaction is important in the context of SNHL. Read More

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August 2017
7 Reads

Histopathology of the Human Inner Ear in the Cogan Syndrome with Cochlear Implantation.

Audiol Neurootol 2017 24;22(2):116-123. Epub 2017 Aug 24.

Otopathology Laboratory, Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA, USA.

The Cogan syndrome is a rare disorder characterized by nonsyphilitic interstitial keratitis and audiovestibular symptoms. Profound sensorineural hearing loss has been reported in approximately half of the patients with the Cogan syndrome resulting in candidacy for cochlear implantation in some patients. The current study is the first histopathologic report on the temporal bones of a patient with the Cogan syndrome who during life underwent bilateral cochlear implantation. Read More

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August 2018
6 Reads

Characteristic MR findings suggesting presumed labyrinthine hemorrhage.

Acta Otolaryngol 2017 Dec 21;137(12):1226-1232. Epub 2017 Aug 21.

c Department of Otolaryngology-Head and Neck Surgery , Hanyang University Guri Hospital , Guri , Korea.

Objectives: To evaluate the magnetic resonance imaging (MRI) findings of labyrinthine hemorrhage as a cause of sudden sensorineural hearing loss (SSNHL).

Methods: MRI scans of 59 patients with SSNHL were retrospectively analyzed and compared to clinical features and audiometry data. MR images included pre-enhanced T1-weighted, 3D FLAIR volume isometric turbo spin-echo acquisition (VISTA), post-enhanced T1-weighted and 4-h-delayed enhanced FLAIR VISTA, and 3D thin-section proton density-weighted images. Read More

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December 2017
52 Reads

Pediatric Langerhans cell histiocytosis of the lateral skull base.

Int J Pediatr Otorhinolaryngol 2017 Aug 15;99:135-140. Epub 2017 Jun 15.

Department of Otolaryngology - Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA. Electronic address:

Objective: Describe the presentation, imaging characteristics, management, and outcomes of pediatric patients with Langerhans cell histiocytosis (LCH) of the temporal bone.

Methods: A retrospective chart review was performed between 2000 and 2014 at a single tertiary care children's hospital. Fourteen patients were identified with a diagnosis of LCH and involvement of the temporal bone. Read More

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August 2017
20 Reads

Cholesteatoma Induced Labyrinthine Fistula: Is Aggressiveness in Removing Disease Justified?

Indian J Otolaryngol Head Neck Surg 2017 Jun 19;69(2):204-209. Epub 2017 Jan 19.

Department of Otorhinolaryngology and Head Neck Surgery, AIIMS, ENT Office- 4057, 4thfloor, Teaching Block, New Delhi, 110029 India.

Issues of complete disease clearance and hearing preservation in cholesteatoma induced labyrinthine fistula cases has been discussed and updated in this article. Successful disease clearance and hearing preservation in a case of cholesteatoma induced isolated cochlear promontory fistula encouraged us to retrospectively analyse 13 more cases of cholesteatoma induced labyrinthine fistula who presented in emergency service as complicated chronic suppurtive otitis media. Pre-operatively nine patients experienced vertigo, two had profound sensori neural hearing loss and radiology was suggestive of labyrinthine fistula in 12 patients. Read More

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June 2017
2 Reads

Hearing loss in patients with extracranial complications of chronic otitis media.

Otolaryngol Pol 2017 Jun;71(3):36-42

Klinika Otolaryngologii, Gdański Uniwersytet Medyczny ul. Smoluchowskiego 17 80-214 Gdańsk Polska.

Objective: A pure tone audiomety analysis of patients with extracranial complications of chronic suppurative otitis media (ECCSOM).

Material And Methods: We retrospectively analyzed audiometric data performed before treatment from 63 patients with ECCSOM (56 single, 7 multiple complications) including groups of frequencies.

Results: The greatest levels of hearing loss were noted for 6 and 8 kHz (79. Read More

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June 2017
25 Reads

Kawasaki Disease and Labyrinthitis: An Underdiagnosed Complication.

J Audiol Otol 2017 Apr 30;21(1):53-56. Epub 2017 Mar 30.

Department of Otorhinolaryngology, Yonsei University Wonju College of Medicine, Wonju, Korea.

Sensorineural hearing loss (SNHL) that is seldom cited as a Kawasaki disease (KD) complication is known as an additional, potentially severe, and frequently irreversible sequel. Furthermore the vestibular functions of KD have been underestimated and it could be an important complication combined with SNHL in KD. We described a case that a 4 year-old boy who developed vestibular loss with SNHL has recovered successfully with a combined treatment. Read More

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April 2017
2 Reads

Pediatric Acute Otitis Media in the Era of Pneumococcal Vaccination.

Otolaryngol Head Neck Surg 2017 05 28;156(5):938-945. Epub 2017 Mar 28.

1 Department of Otolaryngology-Head & Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.

Objectives (1) Describe longitudinal trends in annual prevalence of hospital admission for pediatric acute otitis media (AOM) and complications of AOM (CAOM) since introduction of pneumococcal vaccination in 2000 and (2) describe the longitudinal trend of prevalence of hospital admission for pneumococcal meningitis in children with AOM-related diagnoses in the postvaccination era. Study Design Retrospective analysis of Kids' Inpatient Database from 2000 to 2012. Setting Community, nonrehabilitation hospitals. Read More

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May 2017
4 Reads

Bilateral Labyrinthine and Internal Auditory Canal Enhancement in an Infant With Severe Labyrinthine Dysplasia: A Previously Unreported Phenomenon.

Otol Neurotol 2017 06;38(5):e21-e25

*Department of Otorhinolaryngology †Department of Radiology ‡Department of Clinical Genomics §Department of Audiology, Mayo Clinic, Rochester, Minnesota.

Objective: To describe a novel case of congenital profound bilateral sensorineural hearing loss in a patient with bilateral nodular internal auditory canal and labyrinthine enhancement and temporal bone dysplasia.

Patients: A 76-day-old female was referred to the authors' center for evaluation of congenital deafness. Behavioral observations and objective audiometric evaluation demonstrated bilateral profound sensorineural hearing loss and a comprehensive multidisciplinary evaluation identified compound heterozygous pathogenic variants in MYO7A, a gene associated with Usher Syndrome Type 1B or DFNB2. Read More

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June 2017
13 Reads

Benign course of episodic dizziness disorders in childhood.

J Neurol 2017 Oct 7;264(Suppl 1):4-6. Epub 2017 Mar 7.

Institute for Clinical Neurosciences and German Center for Vertigo and Balance Disorders, University Hospital MunichLudwig-Maximilians University, Campus Großhadern, Marchioninistr. 15, 81377, Munich, Germany.

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October 2017
9 Reads

[The role of computer and magnetic resonance imaging in patients with deafness].

Vestn Otorinolaringol 2016;81(6):13-16

City Children's Clinical Hospital of St. Vladimir, Moscow, Russia, 107140.

The objective of the present study was to evaluate the potential of CT and MRI for diagnostics of congenital and acquired pathology of the inner ear in the deaf patients. Two groups of the patients were examined. The first group consisted of 75 patients with congenital or acquired deafness etiology. Read More

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June 2017
3 Reads

Improvement in imaging common temporal bone pathologies at 3 T MRI: small structures benefit from a small field of view.

Clin Radiol 2017 Mar 26;72(3):267.e1-267.e12. Epub 2016 Dec 26.

University Department of Otolaryngology, Head and Neck Surgery, Eberhard-Karls-University Tübingen, Germany.

Aim: To compare image quality and evaluate its clinical importance in common temporal bone pathologies of a pTX-SPACE (parallel transmit [pTX] three-dimensional turbo spin-echo with variable flip angle [SPACE]) magnetic resonance imaging (MRI) sequence improved for spatial resolution to a standard-SPACE sequence exhibiting the same scan time at 3 T.

Materials And Methods: Thirty-four patients were examined using a standard-SPACE and resolution improved pTX-SPACE sequence at 3 T MRI. The signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and image quality were assessed. Read More

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March 2017
4 Reads

Clinical examination and management of the dizzy patient.

Br J Hosp Med (Lond) 2016 Dec;77(12):692-698

Consultant Ear Nose and Throat Surgeon, Ear Nose and Throat Department, Leicester Royal Infirmary, University Hospitals of Leicester, Leicester and Professor of Balance Medicine, University of Leicester Teaching Hospitals, Leicester.

Dizziness is the commonest reason for a GP appointment over the age of 75 years and many dizzy patients will end up in hospital. This article introduces the range of vestibular disorders commonly seen in hospital practice with a symptom-based approach and discusses the range of treatments that might be considered. Read More

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December 2016
5 Reads

Deterioration of Vestibular Cells in Labyrinthitis.

Ann Otol Rhinol Laryngol 2017 Feb 24;126(2):89-95. Epub 2016 Nov 24.

1 Department of Otolaryngology, University of Minnesota, Minneapolis, Minnesota, USA.

Objective: To quantitatively assess the effect of serous labyrinthitis, suppurative labyrinthitis, and labyrinthitis ossificans on vestibular hair cells, dark cells, and transitional cells.

Methods: We examined human temporal bone specimens with serous labyrinthitis, suppurative labyrinthitis, and labyrinthitis ossificans, then compared them with age-matched control groups without labyrinthitis. We evaluated the density of type I and II vestibular hair cells, dark cells, and transitional cells in the peripheral sensorial organs. Read More

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February 2017
14 Reads

Hearing Preservation After Penetrating Cochlear Injury.

Ann Otol Rhinol Laryngol 2017 Feb 19;126(2):163-165. Epub 2016 Nov 19.

1 Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Utah, Salt Lake City, Utah, USA.

Objectives: To share results and recommendations for management of penetrating cochlear injury.

Methods: A patient underwent repair of a penetrating cochlear injury after a projectile led to a traumatic cochleostomy with a narrow miss of the facial nerve and intracranial carotid artery.

Results: Postoperatively, the patient's audiogram demonstrated a pure tone average of 47. Read More

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February 2017
2 Reads

Otologic disorders causing dizziness, including surgery for vestibular disorders.

Handb Clin Neurol 2016 ;137:279-93

Department of Oto-Rhino-Laryngology, Centre Hospitalier Universitaire de Saint Etienne, Saint Etienne, France.

This chapter will focus on vertigo/dizziness due to inner-ear malformations, labyrinthine fistula, otosclerosis, infectious processes, and autoimmune inner-ear disorders. Inner-ear malformation due to dehiscence of the superior semicircular canal is the most recently described inner-ear malformation. Vertigo/dizziness is typically induced by sound and pressure stimuli and can be associated with auditory symptoms (conductive or mixed hearing loss). Read More

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February 2017
3 Reads

Management of Adult Chronic Immune Thrombocytopenia in Japan: Patient and Hematologist Perspectives from a Multi-center Cross-sectional Questionnaire Survey.

Intern Med 2016 1;55(17):2379-85. Epub 2016 Sep 1.

Department of Hematology, Juntendo University School of Medicine, Japan.

Objective The objective of this study was to explore the perspective of hematologists and their patients regarding the management of adult chronic immune thrombocytopenia (ITP). Methods This was a multi-center, questionnaire-based, cross-sectional study conducted between 2012 and 2013 throughout Japan. Patients Hematologists, members of the Japanese Society of Hematology in 171 institutions, and their patients were invited to participate in this study. Read More

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March 2017
10 Reads

Experiences Engaging Healthcare When Dizzy.

Otol Neurotol 2016 09;37(8):1122-7

*Department of Rehabilitation Science, College of Health and Human Services, George Mason University, Fairfax, Virginia†Vestibular Disorders Association (VEDA), Portland, Oregon‡Department of Otolaryngology-Head and Neck Surgery, Laboratory of Vestibular NeuroAdaptation§Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Objective: Dizziness is a common yet difficult symptom to manage in patients seeking medical care. The purpose of this study was to describe the experiences of participants with dizziness engaging the medical community for help.

Patients: Five hundred twenty one participants were recruited from the Vestibular Disorder Association (VEDA) website using the association's list-serve, social media (Facebook), and fliers distributed through healthcare providers. Read More

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September 2016
1 Read

Pediatric sudden sensorineural hearing loss: Etiology, diagnosis and treatment in 20 children.

Int J Pediatr Otorhinolaryngol 2016 Sep 6;88:208-12. Epub 2016 Jul 6.

Department of Pediatric Otolaryngology, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA. Electronic address:

Objectives: 1. To report our experience in children with sudden-onset sensorineural hearing loss (SSNHL). 2. Read More

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September 2016
2 Reads

Vertigo with sudden hearing loss: audio-vestibular characteristics.

J Neurol 2016 Oct 19;263(10):2086-96. Epub 2016 Jul 19.

Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Level 8 East 1, Camperdown, 2050, NSW, Australia.

Acute vertigo with sudden sensorineural hearing loss (SSNHL) is a rare clinical emergency. Here, we report the audio-vestibular test profiles of 27 subjects who presented with these symptoms. The vestibular test battery consisted of a three-dimensional video head impulse test (vHIT) of semicircular canal function and recording ocular and cervical vestibular-evoked myogenic potentials (oVEMP, cVEMP) to test otolith dysfunction. Read More

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October 2016
67 Reads

[The reclassification of sudden deafness].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2016 Jul;30(14):1127-1130

Department of Otolaryngology,People's Hospital Peking University,Beijing,100044,China.

Reclassified the total deafness and flat type of sudden deafness,identified the relationship between new classification and hearing prognosis.To analyze 192 cases of patients with sudden deafness,especially for 159 cases of flat type and total deafness patients for further curve type classification,classified as rise,decline and consistent,analysis the possible factors with hearing in multiple factors using regression analysis.According to age group of 45 years old,>0. Read More

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Balance disorders in childhood: Main etiologies according to age. Usefulness of the video head impulse test.

Int J Pediatr Otorhinolaryngol 2016 Aug 7;87:148-53. Epub 2016 Jun 7.

Neuro-otology Department, INEBA Instituto de Neurociencias de Buenos Aires, Argentina. Electronic address:

Unlabelled: Balance disorders are common in adult patients but less usual in the pediatric population. When this symptomatology appears in children it is a cause for concern, both for parents and health-care professionals.

Objectives: To explain the balance disorders in children describing a case series and to discuss the main etiologies found according to age. Read More

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August 2016
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Contemporary surgical issues in paediatric cochlear implantation.

Int J Audiol 2016 7;55 Suppl 2:S77-87. Epub 2016 Jun 7.

a Department of Otolaryngology , The University of Melbourne , East Melbourne , Victoria , Australia.

Objective: To review the contemporary surgical issues in paediatric cochlear implantation (CI) based on published evidence.

Design: Narrative literature review.

Results: Surgical challenges in paediatric CI are discussed, with respect to post meningitic labyrinthitis ossificans; cochlear malformation; cochlear implantation in infants; auditory neuropathy and cochlear nerve deficiency; bilateral cochlear implantation; hearing preservation; otitis media; and device failure. Read More

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November 2017
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