Hypothesis: Resonance frequency analysis (RFA) is a reliable, noninvasive method to assess the stability of bone-anchored hearing implants (BAHIs), although surgical-, implant-, and host-related factors can affect its outcome.
Background: BAHI plays an important role in restoring hearing function. However, implant- and host-related factors contribute to premature implant extrusion.
In the skeleton, osteoblasts and osteoclasts synchronize their activities to maintain bone homeostasis and integrity. Investigating the molecular mechanisms governing bone remodeling is critical and helps understand the underlying biology of bone disorders. Initially, we have identified the ubiquitin-specific peptidase gene (Usp53) as a target of the parathyroid hormone in osteoblasts and a regulator of mesenchymal stem cell differentiation.
View Article and Find Full Text PDFPurpose: To compare intra- and postoperative outcomes between the standard linear incision technique with tissue preservation (LITT-P) and the minimally invasive star-shaped incision (SSI).
Study Design: A retrospective cohort study.
Methods: Primary outcomes evaluated operative time, implant survival, and intra-operative complications.
Objective: This study aims to assess and compare the reliability of the Holgers, the IPS, and the Tullamore scales for skin tolerability assessment of postoperative bone-anchored hearing implant images.
Study Design: A survey study and retrospective review of percutaneous osseointegrated auditory implant images for scoring using three skin classification scales.
Setting: McGill University Health Center, Montreal, Quebec, Canada.
Cochlear implants are known to significantly improve the quality of life (QoL) of implanted children. However, variability exists between self-reported outcomes and parental-reported QoL questionnaires. We evaluated the QoL agreement between children and their parents following cochlear implantation and determined which factors lead to increased agreement.
View Article and Find Full Text PDFPurpose: To compare intra- and postoperative outcomes between the standard linear incision with tissue preservation and the Minimally Invasive Ponto Surgery (MIPS).
Study Design: A non-randomized retrospective cohort series.
Methods: Medical files were reviewed of adult and pediatric bone anchored hearing implant recipients.
Background: Keloid scarring is a serious condition that mostly affects patients of African or Asian descent. Often disfiguring, this condition can have devastating psychosocial consequences. To date, no treatment modality has been proven ideal.
View Article and Find Full Text PDFObjective: To investigate factors associated with percutaneous bone anchored hearing implant (BAHI) loss.
Data Sources: Africa-Wide, Biosis, Cochrane, Embase, Global Health, LILACs, Medline, Pubmed, and Web of Science electronic databases.
Study Selection: All studies reporting on adult and/or pediatric patients with a BAHI loss were identified.
Introduction: Familial hemophagocytic lymphohistiocytosis (FHL) is an autosomal recessive disease affecting the cytotoxic pathway. Due to the recent advances in molecular diagnosis, immuno-chemo therapy, and hematopoietic stem cell transplantation treatment, FHL survival rates have drastically increased.
Case Presentation: Herein, we describe a case of FHL type 5 presenting with low-frequency sensorineural hearing loss.
Int J Pediatr Otorhinolaryngol
January 2018
Introduction: Tympanostomy tube placement is the most common surgical procedure performed in children. Medial migration of a tympanostomy tube is a rare occurrence where the tube migrates into the middle ear cavity as opposed to its normal extrusion into the external auditory canal. Whether medialized tympanostomy tubes should be surgically removed in asymptomatic patients is controversial.
View Article and Find Full Text PDFEur Arch Otorhinolaryngol
February 2018
Objective: The primary aim of this study is to conduct a systematic review in order to evaluate the use of sialendoscopy in treating pediatric salivary gland disorders.
Methods: Eligible articles were identified through a comprehensive search of electronic databases. Using predefined inclusion criteria, published articles on sialendoscopy in children were selected and reviewed.
J Otolaryngol Head Neck Surg
November 2017
Background: Chronic suppurative otitis media can be recalcitrant and difficult to treat, particularly with the increasing occurrence of antibiotic resistance. Lactobacillus plantarum is a probiotic that has been shown to decrease S. aureus and P.
View Article and Find Full Text PDFObjective: To delineate the auditory functional improvement and peri-operative outcomes of the Sophono™ transcutaneous bone conduction device.
Methods: Eligible articles presenting patients implanted with the Sophono™ were identified through a comprehensive search of PubMed and Embase electronic databases. All relevant articles were reviewed to justify inclusion independently by 2 authors.
Objectives: International guidelines indicate that children with profound hearing loss should receive a cochlear implant (CI) soon after diagnosis in order to optimize speech and language rehabilitation. Although prompt rehabilitation is encouraged by current guidelines, delays in cochlear implantation are still present. This study investigated whether European countries establish timely pediatric CI care based on epidemiological, commercial, and clinical data.
View Article and Find Full Text PDFResearch involving animal models is crucial for the advancement of science, provided that experiments are designed, performed, interpreted, and reported well. In order to investigate the quality of reporting of articles in otorhinolaryngology research using animal models, a PubMed database search was conducted to retrieve eligible articles. The checklist of the ARRIVE (Animal Research: Reporting of In Vivo Experiments) guidelines was used to assess the quality of reporting of articles published in ear, nose and throat (ENT) and multidisciplinary journals.
View Article and Find Full Text PDFJ Otolaryngol Head Neck Surg
March 2017
Background: In otologic surgery good visualization is paramount, and patients with bleeding diatheses or who need to be anti-coagulated can present a significant challenge. Here, we determine whether Floseal™, a hemostatic matrix, is ototoxic in a validated animal model.
Methods: Nine chinchillas housed in the animal care facilities of the Montreal Children's Hospital Research Institute were used for the study.
Animal studies have evidenced protection of the auditory nerve by exogenous neurotrophic factors. In order to assess clinical applicability of neurotrophic treatment of the auditory nerve, the safety and efficacy of neurotrophic therapies in various human disorders were systematically reviewed. Outcomes of our literature search included disorder, neurotrophic factor, administration route, therapeutic outcome, and adverse event.
View Article and Find Full Text PDFObjective: Systemic dexamethasone has demonstrated conclusive benefits in reversing sudden sensorineural hearing loss (SSNHL) despite considerable number of potential side effects. In contrast, the intratympanic route of steroid administration averts several possible complications. This study aims to examine the literature to delineate the efficacy and side effect of intratympanic dexamethasone (ITD) injection for the treatment of SSNHL.
View Article and Find Full Text PDFIn mammals, hair cell loss is irreversible and leads to hearing loss. To develop and test the functioning of different strategies aiming at hair cell regeneration, animal models of sensorineural hearing loss are essential. Although cochleae of these animals should lack hair cells, supporting cells should be preserved forming an environment for the regenerated hair cells.
View Article and Find Full Text PDFObjective: To investigate skin-related postoperative complications from tissue preservation approaches in percutaneous bone conduction device (BCD) implantations.
Data Sources: PubMed, Embase, and Cochrane Library.
Study Selection: We identified studies on BCDs including the opted surgical technique and derived complications.
JAMA Otolaryngol Head Neck Surg
April 2016
Importance: Noise-induced hearing loss is an increasingly worrisome problem. Although caffeine intake is common in people involved in noise-related environments, the effect of caffeine on the recovery of hearing after a temporary threshold shift requires further understanding.
Objectives: To determine whether caffeine impairs hearing recovery in a guinea pig model exposed to acoustic overstimulation.
Int J Pediatr Otorhinolaryngol
November 2015
Objective: Few cases of medial migration of tympanostomy tubes have been reported and its optimal management has not been well delineated especially in asymptomatic patients. The aim of this review is to present all cases of medialized tympanostomy tubes reported in the literature in order to provide the most beneficial management option.
Methods: Eligible articles were identified through a comprehensive search in Cochrane, Embase and Medline electronic databases.