Four questions were asked: Does cVEMP accurately identify superiorcanaldehiscence syndrome (SCDS... cVEMP/oVEMP accurately and substantively aid diagnosis of any specific vestibulardisorder besides SCDS... utricle, or whether cVEMP or oVEMP is useful in diagnosing vestibularneuritis or Ménière disease... been demonstrated that cVEMP substantively aids in diagnosing benign paroxysmal positionalvertigo, or that cVEMP or oVEMP aids in diagnosing/managing vestibular ...
AbstractText: To investigate the usefulness of magnetic resonance imaging (MRI) including three-dimensional (3D) sequences in the differentiation between Bell'spalsy (BP) and RamsayHuntsyndrome (RHS) AbstractText: A prospective study AbstractText: Tertiary care center AbstractText: Twenty patients: 15 patients with BP and five patients with RHS AbstractText: Diagnostic AbstractText ...
Bell Palsy (2), Herpes Zoster Oticus (2), Facial Paralysis (1), more mentions
Spikes were related to objective and subjective hearingloss, dizziness, and tinnitus AbstractText: An impedance spike occurred in 14% (10/74) of enrolled patients... Seventy percent of patients exhibiting a spike also experienced vertigo. The administration of steroids at the time of surgery did not influence the occurrence of spikes AbstractText: Our results suggest that there is a relationship between ...
AbstractText: To describe persistent post-stapedotomy vertigo (PSV) and its treatment using migraine prophylaxis AbstractText: A retrospective ... Those with possible perilymph fistula, long prosthesis, and benign paroxysmal positionalvertigo were excluded AbstractText: All patients received instructions on migraine dietary ... All five patients had daily vertigo episodes and experienced complete resolution with no vertigo episodes after treatment ...
AbstractText: To investigate the relationship between sudden sensorineural hearingloss (SSNHL) and migraine, assess the prevalence of migraine in patients ... autoimmune, infectious, functional, metabolic, neoplastic, traumatic, toxic, or vascular causes; Meniere's disease; otosclerosis; multiple sclerosis; and/or cerebrovascular diseases were excluded AbstractText: Of ... Additionally, the rate of total hearingloss was lower in Group 1 (n = 3, 12.5%) than in ...
Pain Management (10), Immune System Diseases (2) Migraine Disorders (10), Multiple Sclerosis (1), Sensorineural Hearing Loss (1), more mentions
AbstractText: Translabyrinthine (TL) vestibularschwannoma (VS) resection may be accomplished with preservation of the cochlear nerve, permitting successful, concurrent cochlear ... and although speech outcomes do not achieve the same levels seen with other etiologies of hearingloss, excellent improvement in sound localization, improved speech understanding, and substantial reductions in tinnitus are achieved ...
Acoustic Neuroma (2), Tinnitus (2), Hearing Loss (1), more mentions
... midline of the forehead at the hairline (Fz) or unilateral air-conducted sound (ACS) are commonly used as stimuli for oVEMPs. It is recommended to apply short stimuli with short rise times for obtaining optimal oVEMP responses. Finally, this review summarizes the clinical application and interpretation of oVEMPs, particularly for vestibularneuritis, Ménière's disease, superiorcanaldehiscence and "challenging" patients.
... and curvature) and to compare them with those of the cholesteatoma and no cholesteatoma groups, which may help to explain cholesteatoma formation to a certain degree AbstractText: Computed tomography scans of two groups of patients (with and without EAC cholesteatoma) were analyzed ... The OEB-r was smaller in the cholesteatoma group (4.62 ± 0.62 mm) than in the no cholesteatoma group (7.41 ± 0.50 mm), and the OEB-c was found to be larger in the cholesteatoma group (1.55 ± 0.05 × 10 mm) than in the no cholesteatoma group (1.10 ± 0.10 × 10 mm ...
OBJECTIVE: To demonstrate successful surgical management of vestibular schwannomas via an exclusively endoscopic transcanal transpromontorial approach (EETTA).
PATIENTS: Four patients with vestibular schwannomas.
INTERVENTIONS: Surgical excision via EETTA.
MAIN OUTCOMES: Technique refinements, tumor access, complete tumor removal, and patient morbidity.
RESULTS: Three tumors were Koos grade I and one tumor was Koos grade II. All ears had non-serviceable hearing prior to surgery. The EETTA enabled access to the internal auditory canal and porus acousticus as well as limited access to the cerebellopontine angle. Gross total tumor resection was achieved in all cases. There were no intraoperative or postoperative complications and the mean hospital duration was 2.8 days. After a mean follow-up of 5.0 months, all cases had a good facial nerve outcome.
CONCLUSIONS: The EETTA can be successfully used for the management of small vestibular schwannomas in ears without serviceable hearing. Additional studies are needed to fully elucidate the risk-benefit profile of this minimally invasive approach.
The prevalence of Bell'spalsy in both the groups was measured from 0 to 10 ... 340 Korean individuals, 7,070 were diagnosed or treated with Bell'spalsy between 2002 and 2013; the annual incidence of Bell'spalsy was 0.057 ... The prevalence of Bell'spalsy was different between the two groups in postoperative 0 year ...
BACKGROUND: Invasive squamous cell carcinomas (SCCs) presents with different grades of differentiation and depths of invasion.
AIM: To compare the grade of differentiation, tumour diameter and tumour depth by anatomical site in invasive SCC.
METHODS: Retrospective clinical and histopathological data on consecutive cases of SCC came from a clinic in Sydney, Australia were assessed. A multinomial logistic regression model was applied to compare grades of differentiation by age, sex, anatomical sites, and histological tumour maximum diameter and depth.
RESULTS: In total, 1666 SCCs were identified, including 82.1% (n = 1367) well-differentiated, 13.3% (n = 222), moderately differentiated and 4.6% (n = 77) poorly differentiated SCCs. Patients with poorly differentiated tumours were more likely to be older and male (both P < 0.001). The most common site for poor differentiation was the scalp in men (n = 12; 15.6%) and the cheek or chin in women (n = 7; 9.1%). In the multivariate model, compared with well-differentiated SCC, older age was significantly associated with poorly and moderately differentiated SCC (P < 0.01 and P = 0.02, respectively). Larger tumour diameters were related to poor differentiation (P = 0.03). Ear, forehead and chest sites had increased tumour depth and poor differentiation.
CONCLUSIONS: This study found increased rates of poorly differentiated SCC on the forehead and cheek for both sexes, while men displayed increased rates of poorly differentiated SCC on the bald scalp and the ears. Tumour diameter and depth increased as tumours varied from well-differentiated to moderately differentiated and from moderately differentiated to poorly differentiated. An increase in depth and increased prevalence of poorly differentiated tumours were found on the ears for men and on various facial sites for both sexes.
Autoimmune innereardisease as a cause of sensorineural hearingloss is a poorly understood entity... No clinical improvement was reported by patients after immunosuppressive treatment in this subgroup.The role of ACLAs in the management of sensorineural hearingloss remains unclear. Further investigation may define their role in diagnosis and treatment of this entity.
Immune System Diseases (3) Autoimmune Diseases (2), Sensorineural Hearing Loss (2), Labyrinth Diseases (1), more mentions
AbstractText: This review considers recent advances in central vertigo in terms of clinical and laboratory features and pathophysiology AbstractText: Strokes presenting dizziness-vertigo are more likely to be associated with a misdiagnosis in ... been added to the clinical and laboratory features of central vertigo AbstractText: Central vertigo is a heterogeneous group of disorders with diverse clinical spectrums ...
Vertigo (6), Stroke (3), Transient Ischemic Attack (1), more mentions
OBJECTIVES: The aim of this study was to define the clinical features of psychogenic voice disorder (PVD) and explore the treatment efficiency of voice therapy and psychological evaluation.
METHOD: Fifty-eight patients who received treatment following the PVD diagnosis and had no organic or other functional voice disorders were assessed retrospectively based on laryngoscopic examinations and subjective and objective assessments. Epidemiological characteristics, accompanying organic and psychological disorders, preferred methods of treatment, and previous treatment outcomes were examined for each patient. A comparison was made based on voice disorders and responses to treatment between patients who received psychotherapy and patients who did not.
RESULTS: Participants in this study comprised 58 patients, 10 male and 48 female. Voice therapy was applied in all patients, 54 (93.1%) of whom had improvement in their voice. Although all patients were advised to undergo psychological assessment, only 60.3% (35/58) of them underwent psychological assessment. No statistically significant difference was found between patients who did receive psychological support concerning their treatment responses and patients who did not. Relapse occurred in 14.7% (5/34) of the patients who applied for psychological assessment and in 50% (10/20) of those who did not. There was a statistically significant difference in relapse rates, which was higher among patients who did not receive psychological support (P < 0.005).
CONCLUSION: Voice therapy is an efficient treatment method for PVD. However, in the long-term follow-up, relapse of the disease is observed to be higher among patients who failed to follow up on the recommendation for psychological assessment.
OBJECTIVES: The Voice Symptom Scale (VoiSS) questionnaire is a self-reported measure of voice function. Compared with previous voice-rating tools, the VoiSS focuses more on communication difficulties, pharyngeal symptoms, and psychosocial distress. This study aimed to translate the VoiSS into the Korean language, validate it, and assess its reliability.
STUDY DESIGN: This is a prospective patient study utilizing questionnaires and acoustic analysis.
METHODS: A recognized methodology was used to translate the questionnaires. The final Korean version was used in 31 patients scheduled for thyroidectomy between November 2013 and February 2015 for preoperative voice assessment, and at 2 weeks, 3 months, and 6 months postoperatively. The participants included had no specific vocal disorders before surgery and no vocal cord paralysis after surgery, and completed the Korean versions of the VoiSS and Voice Handicap Index (VHI), and acoustic analysis.
RESULTS: The Korean version of the VoiSS demonstrated high internal consistency (α = 0.97) and test-retest reliability of its subscales. There was a significant correlation between the VoiSS and VHI scores in the total thyroidectomy group at each time-point. With regard to subjective symptoms, the VoiSS appeared to be more accurate than the VHI in terms of physical and functional subscales.
CONCLUSIONS: The Korean version of the VoiSS is ready for use for the assessment of voice dysfunction in Korean patients. It is an applicable and useful supplementary tool for evaluating patients' perceptions of voice dysfunction after thyroidectomy, for identifying multiple factors affecting patients' voices, and for measuring treatment efficacy before and after therapeutic intervention.
We report the genetic findings from 33 Saudi hearing-loss probands of tribal ancestry, with predominantly prelingual severe to profound hearingloss.MethodsTesting was performed over the course of 2012-2016, and ... a next-generation sequencing panel with 70, 71, or 87 hearing-loss genes.ResultsA "positive" result was reached in 63% of probands ...
... pressure using self-reported occupational exposure and bilateral high-frequency hearingloss.This study included 4548 participants aged 20 to 69 years ... Bilateral high-frequency hearingloss was defined as the average high-frequency hearing threshold at ... Among previously exposed participants, those with bilateral high-frequency hearingloss had increased systolic blood pressure, heart rate, and the prevalence ...
Cardiovascular Diseases (1) High-Frequency Hearing Loss (4), Hypertension (1), more mentions
AbstractText: The objective is to perform a systematic review and meta-analysis of the literature on the long-term results of hearing preservation after vestibularschwannoma resection AbstractText: Ovid/Medline, PubMed, Embase, and the Cochrane library from January 1980 to January 2015 AbstractText: Inclusion criteria: age ≥18 years, minimum 10 ...
Acoustic Neuroma (2), Neurofibromatosis 2 (1), Neoplasms (1), more mentions