A5057318681- Ear Surgery and Otitis Media
- Vestibular and auditory disorders
- Hearing, Cochlea, Tinnitus, Genetics
- Meningioma and schwannoma management
- Facial Nerve Paralysis Treatment and Research
- Ear and Head Tumors
- Neurofibromatosis and Schwannoma Cases
- Hearing Loss and Rehabilitation
- Head and Neck Surgical Oncology
- Nasal Surgery and Airway Studies
- Cerebral Venous Sinus Thrombosis
- Sinusitis and nasal conditions
- Ophthalmology and Eye Disorders
- Tracheal and airway disorders
- Reconstructive Facial Surgery Techniques
- Glaucoma and retinal disorders
- Noise Effects and Management
- Cerebrospinal fluid and hydrocephalus
- Trigeminal Neuralgia and Treatments
- Hearing Impairment and Communication
- Neurosurgical Procedures and Complications
- Voice and Speech Disorders
- Head and Neck Anomalies
- Speech and Audio Processing
- Fetal and Pediatric Neurological Disorders
Michigan Ear Institute
2016-2025
Michigan United
2013-2025
Michigan State University
2020-2024
St. John Macomb Oakland Hospital
2020-2024
Oakland University
2015-2023
Wayne State University
2005-2023
Ascension
2015-2023
Providence Hospital
2003-2022
Providence Park Hospital
2022
Albany Medical Center Hospital
2022
Idiopathic sudden sensorineural hearing loss has been treated with oral corticosteroids for more than 30 years. Recently, many patients' symptoms have managed intratympanic steroid therapy. No satisfactory comparative effectiveness study to support this practice exists.To compare the of vs treat loss.Prospective, randomized, noninferiority trial involving 250 patients unilateral presenting within 14 days onset 50 dB or higher pure tone average (PTA) threshold. The was conducted from December...
Objective: To report rates of recurrence in benign paroxysmal positional vertigo (BPPV) and associated patient disease factors. Study Design: Retrospective chart review. Setting: Single high-volume otology practice. Patients: Patients diagnosed with BPPV from 2007 to 2016 documented resolution symptoms. Intervention: Diagnostic particle repositioning maneuvers for BPPV. Main Outcome Measures: recurrence, time ear(s) affected at recurrence. Results: A total 1,105 patients meeting criteria...
Abstract Objective Limited evidence guides the optimal timing of treatment after detection tumor growth during observation sporadic vestibular schwannoma (VS). The current work aimed to inform radiosurgical intervention based on an analysis patient outcomes among those who ultimately failed stereotactic radiosurgery (SRS) and underwent salvage microsurgery. Study Design A historical cohort study. Setting Seven centers across United States Norway. Methods Adults with VS microsurgery following...
ABSTRACT Objectives To characterize patient demographics, tumor features, treatment patterns, and survival outcomes of adenoid cystic carcinoma the middle ear. Methods Retrospective review Surveillance, Epidemiology, End Results Database National Cancer Institute for all cases histopathologically confirmed ear as primary location. Twenty‐one patients with were identified. Patients had a median age 61 years (range 16–86) more commonly female (57.1%) Caucasian (85.7%). Tumors size 11 mm 5–22)...
Objective: The objective of this study was to describe our results ossicular reconstruction using bone cement. Study Design: We conducted a retrospective review 264 patients with chronic suppurative otitis media operated on since 1999. Setting: Academic tertiary referral center. Patients: Two hundred sixty-four underwent mastoidectomy tympanoplasty. Eighty had incudostapedial disarticulation secondary infection and or cholesteatoma were reconstructed an incus interposition graft (n = 31),...
Objectives/Hypothesis A hybrid variation of a tympanoplasty technique, termed over–under (OUT), was evaluated to demonstrate the long‐term outcomes and complications compared medial tympanoplasty. Study Design Retrospective review. Methods Patients who underwent between 2010 2015 were included. Primary outcome measures included graft healing at 18 months, change in air‐bone gap (ABG), high‐frequency hearing 8 kHz. The Shapiro‐Wilk test, Student t nonparametric Mann‐Whitney test used compare...
Management of sporadic vestibular schwannoma with radiosurgery is becoming increasingly common globally; however, limited data currently characterize patient outcomes in the setting microsurgical salvage for radiosurgical failure.
Objective To describe symptoms from intralabyrinthine schwannomas specific more common vestibular of the internal auditory canal or cerebellopontine angle resulting mass effect tumor within labyrinth. Patients Eight patients diagnosed as having 2000 to 2014 were examined retrospectively two tertiary neurotologic centers. Interventions Diagnosis schwannoma was made with gadolinium-enhanced magnetic resonance imaging scans. Heavily T2-weighted sequences used verify fluid-filled then underwent...
<b>Objective </b>To report our results and the technical details of fully endoscopic resection vestibular schwannomas. <b>Design </b>Prospective observational study. <b>Setting </b>A single academic institution involving neurosurgery neurotology. <b>Participants </b>Twelve consecutive patients who underwent a schwannoma. <b>Main Outcome Measures </b>Hearing preservation, based on American Association Otolaryngology-Head Neck Surgeons (AAO-HNS) score as well Gardener Robertson Modified...
Objectives/Hypothesis Hearing rehabilitation after translabyrinthine resection of a vestibular schwannoma (VS) has largely been based on the transfer acoustic stimulus to contralateral ear, typically through routing signal hearing aid or bone‐anchored (BAHA). Cochlear implant, either as subsequent surgery simultaneously, become more common treatment option; however, there is still relatively limited data available its success. The purpose this study evaluate early outcomes simultaneous...
Objective: This article describes the technique and reports results of endoscopic vascular decompression (EVD) in patients with trigeminal neuralgia (TGN), hemifacial spasm (HFS), cochleovestibular nerve compressive syndrome. Study Design: Retrospective case review. Subjects Methods: study evaluates outcome length stay (LOS) 20 who underwent EVD for disorders from 2005 to 2007. It also LOS 41 traditional microvascular (MVD) by same surgeons 1999 2004. Results: Eighty-six percent (12 14) had...
To determine the pediatric incidence and association of superior semicircular canal dehiscence (SSCD) with inner ear (IE) anomalies.Retrospective chart review.Two tertiary referral centers.Children less than 18 years who received a 0.5 mm or collimated computed tomography study including temporal bones between 2010 2013 for reasons including, but not limited to, hearing loss, trauma, infection.Images were reformatted into Pöschl Stenver planes. Five hundred three studies (1,006 bones)...
This study examines the effectiveness of acoustic reflexes in screening for third window disorders (eg, superior semicircular canal dehiscence) prior to middle ear exploration conductive hearing loss.Case series with chart review.Outpatient tertiary otology center.A review was performed 212 ears reflexes, as part evaluation loss patients without evidence chronic otitis media. The etiology determined from intraoperative findings and computed tomography imaging. relationship between...
Cochlear implants have been used for many years bilateral profound hearing loss. General longevity has continued to increase and, therefore, the age at which cochlear are placed concomitantly increased. Our purpose is determine whether outcomes and complications significantly different in elderly.Retrospective, clinical review.Tertiary referral center, primarily ambulatory setting.One hundred one patients with moderate-to-profound loss who ranged from 18 89 years. Subjects were divided into...
Objectives/Hypothesis The objective of this study is to demonstrate that balloon eustachian tuboplasty (BET) safe and had limited complications in the pediatric patient population. Study Design Retrospective chart review. Methods This analyzed medical records 43 consecutive encounters patients under age 18 years old who underwent attempted BET. Charts patients' postoperative appointments 30 days following procedure were reviewed. Any reported by surgeons' operative report or documented...
To describe a novel approach to manage malleus/incus fixation.Retrospective review of 363 patients with conductive hearing loss operated on since 1996.Academic tertiary referral center.Three hundred sixty-three loss, an intact tympanic membrane, and without history for chronic infection underwent middle ear exploration. Three forty-three had otosclerosis laser stapedotomy; the remaining 20 release their fixation.Twenty are presented in this paper. Nineteen were diagnosed malleus fixation...
Objective To compare characteristics between traumatic and idiopathic benign paroxysmal positional vertigo (BPPV) focusing on outcomes. Study Design Retrospective chart review. Setting High‐volume tertiary otology center. Subjects Methods Records of patients with BPPV treated at a single institution from 2007 to 2017 were analyzed. Traumatic was defined as symptoms beginning within 30 days following head trauma. Patient, disease, treatment, outcome compared groups. Results A total 1378...
Objective To assess hearing outcomes in observed vestibular schwannoma (VS) with focus on non-growing tumors. Study Design Retrospective review. Setting Two tertiary neurotology centers. Patients and Interventions sporadic VS undergoing at least 3 years’ observation. Main Outcome Measures Changes pure tone averages (PTA) word recognition scores (WRS) normalized to the contralateral ear. Results During study period, 39 of 105 included patients (37.1%) had tumor growth. growth a mean increase...