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...

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...

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....

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...

To show that mastoid cavities with continuous infections and cleaning problems can be obliterated bioactive glass (BG) to present results of a pilot study for 16 operations on adults.Case series planned data collection.Päijät-Häme Central Hospital, Finland-a single ear, nose, throat (ENT) hospital department serving population 216,000.Fourteen patients had large open radical cavity recurrent infections. Two ears discharge pain after simple mastoidectomy. A re-mastoidectomy included support...

It has long been known that cochlear implantation may cause loss of residual hearing and vestibular function. Different insertion depths varying degrees intracochlear trauma in the apical region cochlea. The present study investigated correlation between depth postoperative function.Thirty-nine adults underwent unilateral implantation. One group received a Med-El +Flex electrode array (24 mm; n = 4), 1 (28 18), (31.5 17). Residual hearing, cervical vestibular-evoked myogenic potentials,...

This is the first controlled study of balloon sinuplasty's long-term efficacy with follow-up time over 5 years. The results are in accordance a previous 2-year-follow-up study. Both techniques retained and patient satisfaction on average 6 years after surgery.Endoscopic sinus surgery (ESS) sinuplasty considered as treatment for chronic rhinosinusitis (CRS) failure conservative therapy. High cost lack studies restrain use sinuplasty.The aim this was to compare CRS patients who had undergone...

ABSTRACT Background Conductive hearing loss requires the surgeon to evaluate ossicular movement plan and execute surgery. An objective assessment of chain with laser vibrometry would likely improve results ossiculoplasty. Methods Minimally invasive intraoperative (MIVIB), a fast accurate technique, using continuous time‐domain signal that stimulates Med‐El FMT transducer attached malleus in temporal bone model, was used artificial fixation chain. Results Through this analysis method,...

Background Endoscopic sinus surgery (ESS) is considered after medical therapy failure of chronic rhinosinusitis (CRS). The balloon sinuplasty dilates the natural ostium without moving mucosa or bone. It still lacks evidence from randomized controlled trials. aim this retrospective study was to compare symptom outcomes maxillary with either ESS technique. No previous additional sinonasal operations were accepted. Methods Two hundred eight patients CRS nasal polyps underwent ESS. who met...

Objective: To investigate the microbiota of healthy external auditory canal (EAC) culture-independently and to evaluate usefulness swabbing method in collecting EAC samples. Study Design: Cohort study. Patients: Fifty asymptomatic working-age volunteers. Intervention: Samples were harvested with DNA-free swabs from volunteers’ EACs. Main Outcome Measures: Amplicon sequencing 16S rRNA gene was used characterize microbial communities Results: The is feasible for sample collection. analyzed 41...

Use of a solution bupivacaine (5 mg/ml)-epinephrine microg/ml) (BE) is beneficial in reducing intraoperative bleeding and decreasing the operation time adult (adeno)tonsillectomy patients.Pain intra- postoperative are problems associated with tonsillectomy/adenotonsillectomy. In order to make tonsillectomy/adenotonsillectomy better suited outpatient surgery, solutions these should be found. One possibility may combination local general anesthesia. The aim this study was find out if such...

Background: Our aim was to show the efficacy of naproxen and paracetamol with without pethidine on pain nausea vomiting after adenoidectomy. The primary outcome requirement rescue analgesic for post‐operative secondary (PONV). Methods: A randomized, double‐blind, placebo‐controlled study design used. Thirty minutes before anaesthesia induction, patients ( n = 180) received either a single oral dose (naproxen 10 mg/kg or 20 mg/kg) placebo. Half children 1 intravenously (i.v.) at induction...

We have evaluated whether co-administration of intravenous (i.v.) paracetamol could enhance the analgesic efficacy ketoprofen (a non-steroidal anti-inflammatory drug or NSAID) in patients undergoing a tonsillectomy.This prospective, randomized, double-blinded and placebo-controlled add-on study with three parallel groups included 114 patients, aged 16-50 years, scheduled for elective tonsillectomy. All were given 1 mg/kg i.v. after surgery, followed 5 min later by 2 g i.v., normal saline as...

Balloon dilation of the Eustachian tube is a treatment option for obstructive dysfunction. The desired balloon position in cartilaginous portion. However, catheter may slide into bony portion without surgeon's knowledge. Knowing length improve positioning, but there no published research on measuring this selectively or whether has an impact development disease outcome. To evaluate measurement obtained from CT images valuable and accurate, to standardize manner which measured, compare our...

Conclusion: In terms of operation time, anesthesia method, and low complication rate, ESS balloon sinuplasty seemed comparable. The advantages were shown to be shortness sick leave, possibility performed as an in-office procedure, lower adhesion formation.Background: Endoscopic sinus surgery (ESS) has been considered a treatment choice for persistent chronic rhinosinusitis (CRS). During the last decade introduced alternative technique dilate ostium. Although is relatively safe efficient,...

Due to the invasive nature of surgical procedures and involvement medical personnel, torture survivors may experience re-traumatization during treatment. This study aimed explore survivors' experiences treatment as well process by which trauma-related emotions responses are evoked for survivors. Eight men, aged 45 72, from four different countries, who have lived in Norway 6-40 years, were recruited. We assessed care through in-depth interviews, data analyzed using thematic analysis,...

Although the majority of early implanted, profoundly deaf children with cochlear implants (CIs), will develop correct pronunciation if they receive adequate oral language stimulation, many them have difficulties perceiving minute details speech. The main aim this study is to measure confusion consonants and vowels in well-performing adolescents CIs. also aims investigate how age at onset severe profound deafness influences perception. participants are 36 CIs (18 girls), a mean (SD) 11.6...