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Hearing Loss

Clival lesion: Atypical osteomyelitis vs. a neoplastic process

January 22, 2016  |  Mike C. Butterfield, MD; Juan S. Gomez, MD; Ngoc Ly, MD; Enrique Palacios, MD, FACR

The differential diagnosis of a clival lesion includes malignancy, infection, meningioma, and chordoma. In this patient, a recurrent neoplasm was suspected because of his medical history and the imaging findings

Facial nerve neurofibroma presenting with external auditory canal tumor and facial palsy

December 14, 2015  |  Yao-Ying Tseng, MD; Cheng-Chien Yang, MD; Chen-Chuan Li, MD; Min-Tsan Shu, MD

Facial nerve neurofibromas are benign and rare, and they generally present with facial palsy; however, hearing loss, tinnitus, and vertigo are also observed occasionally.

Sensorineural hearing loss in beta-thalassemia patients treated with iron chelation

December 14, 2015  |  Ustun Osma, MD; Erdal Kurtoglu, MD; Hulya Eyigor, MD; Mustafa Deniz Yilmaz, MD; Nurdan Aygener

Abstract

The predictive value of pure-tone audiometry (PTA) in the early detection of ototoxicity has been questioned, particularly in the higher frequencies. Otoacoustic emissions testing appears to be more sensitive to cochlear insult than conventional PTA. We conducted a cross-...

Bone-anchored hearing aid implantation in a patient with Goldenhar syndrome

December 14, 2015  |  Griffin Santarelli, MD; Roberta E. Redfern, PhD; Aaron G. Benson, MD

Abstract

Patients with Goldenhar syndrome exhibit a number of characteristic symptoms, including middle and internal ear malformations that may cause profound hearing loss. Bone-anchored hearing aids have been used to treat these patients in the past, although complications may arise...

Sensorineural hearing loss associated with a factitious disorder

December 14, 2015  |  Ayako Maruyama, MD; Yoshihiro Noguchi, MD; Taku Ito, MD; Kenji Narushima, MD; Ken Kitamura, MD

Abstract

Factitious disorders are characterized by intentionally abnormal physical and/or psychological behavior, and affected patients often make up their symptoms and clinical histories. The most serious and chronic type of factitious disorder is Munchausen syndrome. We report the...

Sensorineural hearing loss after ossicular manipulation and drill- generated acoustic trauma in type I tympanoplasty with and without mastoidectomy: A series of 51 cases

September 21, 2015  |  K. Cagdas Kazikdas, MD; Kazim Onal, MD; Nadir Yildirim, MD

Abstract

Recognized causes of high-frequency sensorineural hearing loss (SNHL) after tympanoplasty with and without mastoidectomy include acoustic trauma from manipulation of the ossicles, the noise generated by suctioning and, in the case of mastoidectomy, the noise generated by...

Erosion of the incus by the chorda tympani nerve from a complex retraction pocket

September 21, 2015  |  Ramanan Daniel, MBBS; Fiona Hill, MBBS; Timothy Price, FRCS(OHNS)

Chronic eustachian tube dysfunction can lead to retraction of the tympanic membrane and bone erosion.

Distortion-product otoacoustic emissions testing in neonates treated with an aminoglycoside in a neonatal intensive care unit

April 28, 2015  |  Iosif Vital, MD; George Psillas, MD; Nikolaos Nikolaides, MD; George Kekes, MD; Stavros Hatzopoulos, MD; John Constantinidis, MD

Abstract

We evaluated the ototoxic effect of aminoglycosides on the outer hair cells of newborns in a neonatal intensive care unit (NICU) by means of distortion-product otoacoustic emissions (DPOAE) testing. Our study population was made up of 164 newborns who were divided into three...

Cochlear implantation leading to successful stapedectomy in the contralateral only-hearing ear

March 2, 2015  |  Samantha J. Mikals, MD; Gerald I. Schuchman, PhD; Joshua G.W. Bernstein, PhD; Arnaldo L. Rivera, MD

Abstract

Cochlear implants have recently begun to be offered to patients with single-sided deafness (SSD). Implantation in these patients has led to good results in suppressing ipsilateral tinnitus and in providing audiologic benefits in terms of speech perception in noise and...

Progression of autoimmune inner ear disease to labyrinthitis ossificans: Clinical and radiologic correlation

March 2, 2015  |  Jenn Nee Khoo, FRCR; Tiong Yong Tan, FRCR

Abstract

We report the case of a 42-year-old man who presented with fluctuating bilateral sensorineural hearing loss that subsequently progressed to a complete hearing loss, and we describe the correlation between the clinical and radiologic features of this case. To the best of our...

Vestibular dehiscence syndrome caused by a labyrinthine congenital cholesteatoma

February 2, 2015  |  Francesco Fiorino, MD; Francesca B. Pizzini, MD, PhD; Barbara Mattellini, MD; Franco Barbieri, MD

Abstract

A 40-year-old man presented with conductive hearing loss and pressure- and sound-related vestibular symptoms. Computed tomography and diffusion-weighted magnetic resonance imaging revealed the presence of a cholesteatoma involving the vestibular labyrinth. The patient underwent...

Osteoradionecrosis of the temporal bone

January 19, 2015  |  Edmund W. Lee, BA; Robert W. Jyung, MD

The pathogenesis of osteoradionecrosis is not completely understood, but it has been thought that radiation causes tissues to become hypoxic, hypovascular, and hypocellular, leading to tissue breakdown and a nonhealing wound.

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