Objective: To evaluate with a new otologic database the results of primary stapes surgery for otosclerosis up to 14 years follow-up in consecutive series 2,525 patients operated on by same surgeon technique (stapedotomy and vein graft interposition) provide online access complete data this study reviewers. effect specific operative findings (obliterative simultaneous malleus ankylosis) age at time long-term outcome. Study Design: Prospective clinical using computerized database. Setting:...

Thirty cases of cerebellopontine angle epidermoid cysts treated over a period 20 years are reviewed with regard to their clinical features, the pathophysiology symptoms and management. The predominating were related 7th 8th cranial nerves headaches. signs present for an average 4 months. It was not always possible determine if due local involvement by epidermoid, increased intracranial pressure, or both. Diagnostic procedures evolved from angiography ventriculography non-invasive computed...

To identify the causes of failure primary stapes surgery and to evaluate hearing results revision in a consecutive series 652 cases.Prospective nonrandomized clinical study.Tertiary referral center.Six hundred thirty-four patients who underwent operations from April 1992 December 2007 were enrolled this study.Preoperative postoperative audiometric evaluation using conventional audiometry, namely, air-bone gap (ABG), bone-conduction thresholds, air-conduction assessed. Postoperative...

Cystic enlargement of the parotid gland is a newly described manifestation infection with human immunodeficiency virus (HIV). A review 15 such patients respect to clinical presentation, natural history, and management presented. Follow-up ranges from 1 27 months, averaging 10 months. In 47% patients, swelling was chief complaint leading diagnosis HIV infection. T-cell analysis revealed tendency for this lesion occur in early stages when counts are high. Histologic examination findings...

<h3>Objectives</h3>To characterize levels of tumor necrosis factor (TNF; formerly known as α), a well-established proinflammatory cytokine, in patients with immune-mediated sensorineural hearing loss (IM-SNHL) and to determine the role this cytokine identifying steroid-responsive loss.<h3>Design</h3>Prospective case-control study.<h3>Setting</h3>Tertiary care academic medical center.<h3>Patients</h3>A total 11 control subjects 85 clinical audiometric characteristics IM-SNHL (autoimmune inner...

To compare hearing results in patients undergoing ossiculoplasty using either partial ossicular replacement prosthesis (PORP) or total (TORP) with Silastic banding and malleus relocation techniques cases stapes both present mobile.Prospective nonrandomized clinical study.Tertiary referral center.Five hundred eighty-five were enrolled this study from April 1991 to May 2010. Comparative analyses made between a group of 304 who underwent positioned the head 281 footplate. Preoperative...

Objective To compare the 3-month postoperative hearing results after laser stapedotomy using a flexible potassium titanyl phosphate (KTP) or CO2 fiber in patients with primary otosclerosis. Study Design Prospective nonrandomized clinical study. Setting Tertiary referral center, 862 stapedotomies were performed 818 study between November 2006 and July 2011. Methods Otosclerotic stapes fixation was treated KTP 410 (431 stapedotomies) 408 stapedotomies). Their preoperative audiometric compared....

OBJECTIVE Systemic lupus erythematosus causes widespread tissue injury from deposition of immune complexes. The prevalence aural symptoms in this disease was evaluated. METHODS presence tinnitus, hearing loss, and fluctuating evaluated by a self‐directed questionnaire patients aged 65 or less clinic. Patients reporting were compared with those none, use demographics duration. Comparison also made historic serologic data. Audiometry offered to all completed 10. RESULTS Twenty‐six (31%) 84...

Objective: To compare 2 surgical techniques for implantation of a percutaneous bone anchored hearing device: (1) minimal skin punch incision without additional or soft tissue reduction and (2) with an epidermal flap tissues reduction. Study Design: Prospective study. Setting: Tertiary care referral center. Subjects Methods: Forty patients consecutively implanted (18 males 22 females). Twenty underwent by means (dermatome group), 20 resection (punch group). Main outcome measurements: adverse...

<h3>Objective</h3> To study the contralateral ear of patients with chronic otitis media (COM). <h3>Design</h3> Transversal. <h3>Setting</h3> Tertiary referral center. <h3>Patients</h3> A total 500 consecutive who had been diagnosed as having COM or without cholesteatoma. <h3>Interventions</h3> Digital otoendoscopy was performed on both ears. <h3>Main Outcome Measure</h3> Pathologic alterations in ear. <h3>Results</h3> In 75.2% patients, found to have some structural abnormalities; 60.4%...

To assess the prevalence of otologic symptoms in patients undergoing surgical decompression for symptomatic Chiari I malformation.Cross-sectional, prospective, nonrandomized.Urban tertiary referral center.Patients with malformation before intervention.None.Results completed questionnaire.Sixteen consecutive self-administered questionnaire. Eighty-one percent reported episodic aural fullness, 81% tinnitus, 69% vertigo, and 56% fluctuating hearing loss. Headaches were as frequently fullness...

Abstract Objectives/Hypothesis: To compare short‐term hearing results in patients undergoing laser stapedotomy for primary otosclerosis using either the flexible potassium titanyl phosphate (KTP) or CO 2 fiber. Study Design: Prospective nonrandomized clinical study at a tertiary referral center. Methods: Two hundred fourteen 214 stapedotomies otosclerotic stapes fixation were enrolled this from January 2008 to 2010. Comparative analyses made between group of 107 who underwent with KTP fiber...

The objective of this study was to report an original method malleus relocation allowing for better placement both partial and total prostheses in ossicular reconstruction.We conducted a retrospective review clinical audiometric findings.A tertiary referral center.This is 268 patients who underwent ossiculoplasty surgery from October 1997 2000 chronic otitis media, noninflammatory disease, otosclerosis revision. Malleus with replacement used all cases. Audiometric assessment included pre-...

To prospectively evaluate the hearing results in surgically treated cases of stapes fixation patients with osteogenesis imperfecta. Study Design: A prospective study imperfecta fixation. Setting: One tertiary referral center. Patients: Eighteen (23 ears) who underwent surgery from 1994 to 2004 were included. Intervention: Stapedotomy vein graft interposition and reconstruction a Teflon piston or bucket handle (cup) prosthesis. Main Outcome Measures: Preoperative postoperative audiometric...

To compare the minimal skin punch incision without additional or soft tissue reduction with epidermal flap technique and reduction, for implantation of percutaneous bone-anchored hearing devices.Prospective cohort study.Tertiary care referral center.Two hundred seventeen patients underwent 220 implantations. Sixty five cases by means a resection (punch group) 155 (dermatome group). Main outcome measures were duration surgery, perioperative adverse events, tolerance, revision surgery.The...

Abstract Facial nerve paralysis (FNP) complicating acute otitis media (AOM) is thought to be mediated by intrafallopian inflammatory edema and consequent ischemia with neuropraxia. Presumably this occurs either through (1) preexistent bony dehiscences, (2) physiologic canaliculi between the middle ear fallopian canal, or (3) vascular connections canal mastoid air cells. 1 , 2 3 Although there little scientific evidence, it has been proposed that bacteria causes AOM also produces facial...

Abstract Objective Lateralization of the tympanic membrane (TM) is associated with significant morbidity. In a series 14 patients, we make observations to illuminate this condition for diagnosing and treating physician. Study Design Chart review consecutively treated patients. Methods We analyzed presenting signs symptoms, etiology, audiometric data, operative findings patients lateralized (TM). Results The etiology was postsurgical in 13 (there were four aural atresia repairs nine...

To report an original method of ossicular reconstruction with intact stapes and absent malleus. Ossiculoplasty is performed a total replacement prosthesis positioned from the footplate to under-surface tympanic membrane, using Silastic banding technique stabilize prosthesis.A prospective study technique. A consecutive series cases superstructure missing malleus handle (Austin-Kartush Group C) presented.One tertiary referral center.Ninety-nine patients who underwent were enrolled in January...

Objective To measure early audiometric changes after primary stapedotomy. Study Design Case series with chart review. Setting Academic inner‐city hospitals. Subjects and Methods Consecutive patients operated on by the first author were included (only 1 ear in cases of bilateral surgery), their results reviewed. Data analyzed from 45 ears. Air bone measures 5 days post operation 6 months operation. Threshold shifts quantified at Results Overall for group good, 91% achieving an air‐bone gap...

Objective This study aimed to determine the effectiveness of using endoscopes in reducing recidivism secondary residual cholesteatoma after canal wall-up tympanomastoidectomy. Study Design Randomized clinical trial. Setting Tertiary referral center. Patients with cholesteatoma, aged 7 70 years. Interventions Subjects were randomly allocated into two groups: endoscopic-assisted (EACWU; group 1) and conventional (CWU; 2) techniques. Pars flaccida pars tensa subgroups analyzed according...