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Hearing Loss

Stapes-pyramidal fixation by a bony bar

October 25, 2016  |  Kai-Chieh Chan, MD

Stapes fixation caused by an ossified stapedius tendon with normal mobility of the footplate, although rare, should be included in the differential diagnosis of conductive hearing loss with a normal tympanic membrane.

Sensorineural hearing loss after otitis media with effusion and subacute mastoiditis after viral infections of the upper respiratory tract: A comparative study of conservative and surgical treatment

September 19, 2016  |  Thomas Wilhelm, MD, PhD; Tim Stelzer, MD; Rudolf Hagen, MD, PhD

Abstract

Involvement of the middle ear after viral infections of the upper airways may lead to serous otitis media with effusion in the absence of bacterial infection. This can be accompanied by a concomitant shading of the mastoid air cells, which could manifest as a reduced opacity on...

Effects on auditory function of chronic exposure to electromagnetic fields from mobile phones

August 21, 2016  |  Sanjeev Bhagat, MS(ENT); Saurabh Varshney, MS(ENT); Sampan Singh Bist, MS(ENT); Deepak Goel, DM(Neurology); Sarita Mishra, MS(ENT); Vivek Kumar Jha, MSLAP

Abstract

The widespread use of mobile phones has given rise to apprehension regarding the possible hazardous health effects of high-frequency electromagnetic fields (EMFs) on auditory function. We conducted a study to investigate the effects of long-term (>4 yr) exposure to EMFs...

Surgical management of a high jugular bulb

August 21, 2016  |  Daniel S. Roberts, MD, PhD; Brian Chen, MD; William Slattery, MD

Patient selection for surgical repair of a high dehiscent jugular bulb should include the presence of a codominant sigmoid sinus to avoid elevated postoperative intracranial pressure.

Are routine preoperative CT scans necessary in adult cochlear implantation? Implications for the allocation of resources in cochlear implant programs

August 21, 2016  |  Bruno Kenway, MRCS, DO-HNS; Petros V. Vlastarakos, MD, MSc, PhD; Anand V. Kasbekar, MRCS, DO-HNS; Patrick R. Axon, MD, FRCS(ORL-HNS); Neil Donnelly, MSc, FRCS(ORL-HNS)

Abstract

Our aim was to critically assess the influence of preoperative computed tomography (CT) scans on implantation decisions for adult cochlear implant candidates. The working hypothesis was that these routine scans might not provide critical additional information in most adult...

A rare cause of conductive hearing loss: High lateralized jugular bulb with bony dehiscence

June 14, 2016  |  James G. Barr, MRCS(ENT), BSc, BM; Pranay K. Singh, MD, FRCS, (ORL-HNS)

Abstract

We present a rare case of pediatric conductive hearing loss due to a high lateralized jugular bulb. An 8-year-old boy with a right-sided conductive hearing loss of 40 dB was found to have a pink bulge toward the inferior part of the right eardrum. Computed tomography showed a...

Sympathetic hearing loss: A review of current understanding and report of 2 cases

April 30, 2016  |  Patrick F. Morgan, MD; Peter G. Volsky, MD; Barry Strasnick, MD, FACS

Abstract

Sympathetic hearing loss (SHL) is a rare complication that appears to occur when the immune system is primed against sequestered inner ear antigens. SHL has been implicated in delayed hearing loss after acoustic tumor removal, revision stapedectomy, and temporal bone fractures...

Endolymphatic sac tumor in association with von Hippel-Lindau syndrome

March 16, 2016  |  Kevin Shaigany, BS; Alejandro Vazquez, MD; Kelvin M. Kwong, MD; James K. Liu, MD; Robert W. Jyung, MD

Patients with ELST present most commonly with sensorineural hearing loss, tinnitus, and vertigo, in a pattern reminiscent of Ménière disease.

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

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-...

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.

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...

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