- Hearing, Cochlea, Tinnitus, Genetics
- Hearing Loss and Rehabilitation
- Noise Effects and Management
- Vestibular and auditory disorders
- Ear Surgery and Otitis Media
- Delphi Technique in Research
- Ophthalmology and Eye Disorders
- Health Systems, Economic Evaluations, Quality of Life
- Voice and Speech Disorders
- Infectious Diseases and Tuberculosis
- Facial Nerve Paralysis Treatment and Research
- Mycobacterium research and diagnosis
- Tuberculosis Research and Epidemiology
- Tracheal and airway disorders
- Medical Practices and Rehabilitation
University Medical Center Utrecht
2009-2019
Beatrix Kinderziekenhuis
2019
Treant Zorggroep
2017-2018
Sir Charles Gairdner Hospital
2017-2018
The University of Western Australia
2017-2018
Ear Science Institute Australia
2017-2018
Utrecht University
2017
Leiden University Medical Center
2015
Maastricht University
2008-2015
Radboud University Medical Center
2015
If a patient, who is lying supine and looking upward, given bone-conducted vibration (BCV) of the forehead at hairline in midline (Fz) with clinical reflex hammer or powerful bone conduction vibrator, short-latency surface potentials called ocular vestibular evoked myogenic (oVEMP) can be recorded from just beneath eyes. The early negative (excitatory) component (n10) approximately equal amplitude for both eyes healthy subjects, but patients unilateral loss, n10 significantly asymmetrical...
<h3>Importance</h3> The cost of bilateral cochlear implantation (BCI) is usually not reimbursed by insurance companies because a lack well-designed studies reporting the benefits second implant. <h3>Objective</h3> To determine simultaneous BCI compared with unilateral (UCI) in adults postlingual deafness. <h3>Design, Setting, and Participants</h3> A multicenter randomized clinical trial was performed. study took place 5 Dutch tertiary referral centers: University Medical Centers Utrecht,...
Objectives/Hypothesis To investigate hearing capabilities and self‐reported benefits of simultaneous bilateral cochlear implantation (BiCI) compared with unilateral (UCI) after a 2‐year follow‐up to evaluate the learning effect implantees over time. Study Design Multicenter randomized controlled trial. Methods Thirty‐eight postlingually deafened adults were included in this study randomly allocated either UCI or BiCI. Our primary outcome was speech intelligibility noise, noise coming from...
Objective: To study the cost–utility of simultaneous bilateral cochlear implantation (CI) versus unilateral CI. Study Design: Randomized controlled trial (RCT). Setting: Five tertiary referral centers. Patients: Thirty-eight postlingually deafened adults eligible for implantation. Interventions: A analysis was performed from a health insurance perspective. Main Outcome Measures: Utility assessed using HUI3, TTO, VAS on hearing, general and EQ-5D. We modeled incremental cost per...
Objectives/Hypothesis To determine the effect of cochlear implantation on tinnitus perception in patients with severe bilateral postlingual sensorineural hearing loss and to demonstrate possible differences between unilateral implantation. Study Design Prospective study. Methods Thirty‐eight adult were included this prospective study, as part a multicenter randomized controlled trial investigating benefits versus Pre‐ postoperative scores evaluated, before 1 year after three questionnaires;...
Laryngeal tuberculosis used to be a common complication in advanced pulmonary tuberculosis. However, it has become rare occurrence developed countries since the introduction of antituberculous agents. Moreover, pattern disease changed over years. Nowadays, more closely resembles laryngeal carcinoma than any other illness.We describe case 50-year-old Caucasian man who presented with clinical picture cancer, but which turned out We illustrate difficulty recognizing both clinically and even...
There are many methods for assessing hearing performance after cochlear implantation. Standard evaluations often encompass objective tests only, while patients' subjective experiences gain importance in today's healthcare. The aim of the current study was to analyze correlation between (self-reported questionnaires) and (speech perception localization) test results adult implant (CI) users. Secondary, compared bilateral unilateral CI patients.Data this were prospectively collected as part a...
The objectives of our study were threefold: to compare health utility scores measured with different instruments in adult patients bilateral deafness, the change after unilateral or cochlear implantation using and assess which instrument would be most appropriate for future studies on implantation.A prospective study.The data this article collected as part a multicentre randomised controlled trial Netherlands benefits simultaneous compared implantation.The included 38 severe profound...
To date, no randomized clinical trial on the comparison between simultaneous and sequential bilateral cochlear implants (BiCIs) has been performed.To investigate hearing capabilities self-reported benefits of BiCIs compared with those BiCIs.A multicenter was conducted January 12, 2010, September 2, 2012, at 5 tertiary referral centers among 40 participants eligible for BiCIs. Main inclusion criteria were postlingual severe to profound loss, age 18 70 years, a maximum duration 10 years...
There is an ongoing global discussion on whether or not bilateral cochlear implantation should be standard care for deafness. Contrary to unilateral implantation, however, little known about the effect of tinnitus.To investigate tinnitus outcomes 1 year after implantation. Secondarily, compare between simultaneous and sequential long-term follow-up (3 years).This study a secondary analysis as part multicenter randomized controlled trial.Thirty-eight postlingually deafened adults were...
Objectives: To investigate whether a squelch effect occurs in the first 3 years after simultaneous bilateral cochlear implantation and to this increases during follow-up. Study Design: Prospective study as part of multicenter randomized controlled trial that compares sequential unilateral implantation. Setting: Tertiary referral center. Patients: Nineteen postlingually deafened adults. Intervention: Simultaneous Main Outcome Measure: The effect, measured yearly with...
Bone‐conducted vibration of the forehead, in midline at hairline (Fz) causes linear acceleration stimulation both mastoids and results an ocular vestibular‐evoked myogenic potential (oVEMP), recorded by surface electromyogram (EMG) electrodes just beneath eyes. The early n10 component oVEMP is symmetrical healthy subjects, absent patients with bilateral vestibular loss, after unilateral loss (uVL) small or on side contralateral to uVL, but normal amplitude ear. probably reflects mainly...
Objective: The primary aim of this study was to longitudinally compare the behavioral and self-reported outcomes simultaneous bilateral cochlear implantation (simBiCI) sequential BiCI (seqBiCI) in adults with severe-to-profound postlingual sensorineural hearing loss. Design: This is a multicenter randomized controlled trial 4-year follow-up period after first moment implantation. Participants were allocated by randomization receive implants (CIs) either, simultaneously (simBiCI group) or...
The Advanced Bionics® (AB)-York crescent of sound is a new test setup that comprises speech intelligibility in noise and localization tests represent everyday listening situations. One its the Sentence Test with Adaptive Randomized Roving levels (STARR) sentences both presented from straight ahead. For Dutch population, we adopted AB-York replaced English validated set sentences. version STARR called Utrecht-STARR (U-STARR). This study primarily assesses validity reliability U-STARR compared...
To identify which preoperative patient characteristics influence sequential bilateral cochlear implantation performance and to create a statistical model that predicts benefit.Multicentre retrospective cohort study.All patients were operated in four academic teaching hospitals Perth, Australia, followed up by audiologists of the Ear Science Institute Australia.A total 92 postlingually deafened adult who had undergone implantations between 19 June 1990 14 March 2016 included. Patients...
Introduction: Previous studies have proven the effectiveness of bilateral cochlear implantation compared to unilateral implantation. In many these hearing situation was simulated by switching off one implants in implant users. current study we assess accuracy this test method. Does (switching implant) result same outcomes as real life with and a non-implanted contralateral ear? Study design: We assessed arm multicenter randomized controlled trial. Methods: original trial, 38 postlingually...