A5012680303- Ear Surgery and Otitis Media
- Ear and Head Tumors
- Vestibular and auditory disorders
- Hearing, Cochlea, Tinnitus, Genetics
- Nasal Surgery and Airway Studies
- Head and Neck Surgical Oncology
- Reconstructive Facial Surgery Techniques
- Meningioma and schwannoma management
- Tracheal and airway disorders
- Head and Neck Anomalies
- Hearing Loss and Rehabilitation
- Sinusitis and nasal conditions
- Congenital Ear and Nasal Anomalies
- Cerebral Venous Sinus Thrombosis
- Facial Nerve Paralysis Treatment and Research
- Ophthalmology and Eye Disorders
- Voice and Speech Disorders
- Electron Spin Resonance Studies
- Laser Applications in Dentistry and Medicine
- Speech and Audio Processing
- Balance, Gait, and Falls Prevention
- Hearing Impairment and Communication
- Neurofibromatosis and Schwannoma Cases
- Respiratory and Cough-Related Research
- Pituitary Gland Disorders and Treatments
Boston Children's Hospital
2016-2025
Harvard University
2015-2024
Quality Enhancement Research Initiative
2022
Children's Hospital Colorado
2019
University of Colorado Denver
2019
Johns Hopkins University
2018
Boston Children's Museum
2009-2017
Tampere University
2009-2015
Tampere University Hospital
2010-2015
Helsinki University Hospital
2015
Objective This update of a 2004 guideline codeveloped by the American Academy Otolaryngology—Head and Neck Surgery Foundation, Pediatrics, Family Physicians, provides evidence‐based recommendations to manage otitis media with effusion (OME), defined as presence fluid in middle ear without signs or symptoms acute infection. Changes from prior include consumer advocates added group, evidence 4 new clinical practice guidelines, 20 systematic reviews, 49 randomized control trials, enhanced...
A recent systematic review of treatments Eustachian tube dysfunction commissioned by the UK NIHR Health Technology Assessment (HTA) Programme revealed that an important limitation with available evidence is a lack consensus on definition and diagnosis this disorder.1 The HTA report recommended key to advancing research in field achieving diagnostic criteria for (to identify eligible patients future trials) clinical outcomes. To address need, international forum scientists physicians...
Objective: To identify otologic and audiologic characteristics of superior (and posterior) semicircular canal dehiscence (SCD). Study Design: Retrospective case review. Setting: Tertiary referral center. Patients: Sixty-five adult patients were evaluated for SCD; 26 65 (35 ears) had dehiscence. Intervention(s): Otologic examination, high-resolution computerized tomography (CT), air bone audiometry, tympanometry, acoustic reflex, vestibular evoked myogenic potential (VEMP). Main Outcome...
Objective: The patulous eustachian tube (ET) seems to be caused by a longitudinal concave defect in the mucosal valve at superior aspect of its anterolateral wall and causes troublesome autophony one's own voice breathing sounds. Patulous ET reconstruction was evaluated analyze whether submucosal graft implantation fill concavity within tubal may produce lasting relief symptoms. Study Design: Prospective trial. Setting: Tertiary referral center, ambulatory surgery. Patients: Fourteen ETs 11...
Objectives (1) To translate techniques developed in a previous cadaver study of balloon dilation the cartilaginous eustachian tube (ET) into clinical treatment for refractory dilatory dysfunction and (2) to safety/efficacy technique pilot trial. Study Design Prospective with subjects as their own historical controls since June 2009. Setting Regional academic center. Subjects Methods Eleven consecutive adult patients longstanding otitis media effusion (OME) who were unable autoinsufflate ET...
The American Academy of Otolaryngology—Head and Neck Surgery Foundation has published a supplement to this issue featuring the updated “Clinical Practice Guideline: Otitis Media with Effusion.” To assist in implementing guideline recommendations, article summarizes rationale, purpose, key action statements. 18 recommendations developed emphasize diagnostic accuracy, identification children who are most susceptible developmental sequelae from otitis media effusion, education clinicians...
Objectives/Hypothesis To assess balloon dilation of the Eustachian tube with catheter in conjunction medical management as treatment for dilatory dysfunction. Study Design In this prospective, multicenter, randomized, controlled trial, we assigned, a 2:1 ratio, patients age 22 years and older dysfunction refractory to therapy undergo or alone. Methods The primary endpoint was normalization tympanogram at 6 weeks. Additional endpoints were Tube Dysfunction Questionaire‐7 symptom scores,...
Studies of balloon Eustachian tuboplasty (BET) have shown encouraging results in small series with short follow-ups. Our pilot study suggested that patients protracted otitis media effusion (OME) or atelectasis the tympanic membrane (TM) could benefit from BET.A prospective where subjects act as their own controls. Patients and additional cases were enrolled this cohort long-term follow-up.Regional Academic Center.Out 80 who underwent BET, 41 consecutive tube (ET) operations included....
To assess the outcomes of patients undergoing surgical management superior semicircular canal dehiscence (SSCD).Retrospective review.The medical records all treatment for SSCD at our institution between 2000 and 2004 were reviewed.Eleven underwent unilateral operative via a middle fossa approach. Ten treated successfully by plugging one unsuccessfully re-roofing. Plugging provided resolution sound- pressure-induced nystagmus, autophony, conductive hearing loss (HL). One patient experienced...
To identify clinical, audiological, and vestibular characteristics of posterior semicircular canal dehiscence.Retrospective case review.Tertiary referral center.Twelve patients aged 2 to 67 years identified with dehiscence.Patients by suspicious clinical history examination, confirmed high-resolution computed tomography. Audiological evaluation included air bone audiometry, tympanometry, acoustic reflexes, evoked myogenic potential testing.Hearing loss was mixed in 9 patients, conductive...
Surgical intervention of the Eustachian tube (ET) has become increasingly common in past decade, and balloon dilation shown promising results recent studies. It is unclear how enhances ET function. Our aim was to evaluate histological changes ET's mucosal lumen comparing before dilation, immediately after, postoperatively.Case series.Thirteen patients with bilateral dysfunction were enrolled. Biopsies mucosa obtained just dilation; after; three cases, 5 12 weeks postoperatively. Specimens...
Objectives Pediatric eustachian tube dysfunction (ETD), otitis media with effusion (OME), and tympanic membrane retraction (TMR) have been well studied, but no large analyses described the associated burden beyond childhood. The potential impact feasibility of prospective trials designed to optimize management affected adults are thus unclear. Our objectives were therefore (1) determine national visit ETD/OME/TMR childhood (2) examine risk factors specific adults, highlighting differences in...
Objective To develop a clinical consensus statement on the use of balloon dilation eustachian tube (BDET). Methods An expert panel otolaryngologists was assembled with nominated representatives general otolaryngology and relevant subspecialty societies. The target population adults 18 years or older who are candidates for BDET because obstructive dysfunction (OETD) in 1 both ears 3 months longer that significantly affects quality life functional health status. A modified Delphi method used...
Background and aims Eustachian tube dysfunction (ETD) is a commonly diagnosed disorder of opening closure, which may be associated with severe symptoms middle ear disease. Currently the diagnosis obstructive patulous forms ETD primarily based on non-specific or examination findings, rather than measurement underlying function tube. This has proved problematic when selecting patients for treatment, designing trial inclusion criteria outcomes. study to determine correlation diagnostic value...
Using a representative cross-sectional sample combined with census data, this study calculates prevalence and population estimates to approximate the burden of eustachian tube dysfunction among adults in United States.
Human eustachian tubes with known pathologic conditions of the ear were inspected endoscopically, and video recordings made for slow-motion analysis pathophysiologic changes.Ambulatory office in a tertiary referral center.Forty-four adults 64 ears having conditions.Transnasal endoscopic examination nasopharyngeal opening tube during rest, swallowing, yawning to study dilatory movements tube.Slow-motion tube.Sixty-four changes studied. Tubal function was graded on (1) extent lateral excursion...
For many complex surgical procedures, larger hospital or surgeon caseload is associated with better patient outcome. We examined the volume-outcome relationship for excision of acoustic neuromas.Retrospective cohort study.The Nationwide Inpatient Sample (1996 to 2000) was used. Multivariate regression analyses were adjusted age, sex, race, payer, geographic region, procedure timing, admission type and source, medical comorbidities, neurofibromatosis status.At 265 hospitals, 2643 operations...
Laser eustachian tuboplasty (LETP) combined with appropriate medical management will eliminate the chronic presence of middle ear effusions in selected patients.The study population consisted 13 adults otitis media effusion (OME). Patients underwent slow-motion video endoscopy to identify location and extent surgical resection. A diode or argon laser was used vaporize areas hypertrophic mucosa submucosa along cartilaginous tube. were evaluated at 6, 12, 24 months. Successful outcome defined...