Daytime Somnolence and Sleep Apnea Are Associated With Dizziness in the Elderly.

Objective: Dizziness is a debilitating multifactorial disorder commonly affecting the elderly. Daytime somnolence and sleep apnea have been linked to dizziness, but previous studies were limited by small sample sizes. The purpose of this study was to examine the relationship between dizziness and daytime somnolence and sleep-disordered breathing, in a nationally representative sample of elderly adults, while adjusting for possible confounders and mediators.

Flow Analysis of Central Venous Outflow Tract: A New Approach to Understanding Pulse-Synchronous Tinnitus.

Objective: Pulse-synchronous tinnitus (PST) has been linked to multiple anatomical variants of the central venous outflow tract (CVOT) including sigmoid sinus (SS) dehiscence and diverticulum. This study investigates flow turbulence, pressure, and wall shear stress along the CVOT and proposes a mechanism that results in SS dehiscence and PST.

Study Design: Case series.

BPPV Information on Google Versus AI (ChatGPT).

Objective: To quantitatively compare online patient education materials found using traditional search engines (Google) versus conversational Artificial Intelligence (AI) models (ChatGPT) for benign paroxysmal positional vertigo (BPPV).

Study Design: The top 30 Google search results for "benign paroxysmal positional vertigo" were compared to the OpenAI conversational AI language model, ChatGPT, responses for 5 common patient questions posed about BPPV in February 2023. Metrics included readability, quality, understandability, and actionability.

Congenital Anomalies of the Ear Canal.

Congenital anomalies of the external auditory canal (EAC) are classically divided into congenital aural atresia (CAA) and congenital aural stenosis (CAS). CAA can present as an isolated anomaly, unilateral or bilateral, or in the setting of a craniofacial syndrome. Hearing testing (ABR with air and bone conduction thresholds for both ears) early in the perinatal period is important to document hearing thresholds.

Public Perception of Ménière's Disease: A Social Media Analysis.

Objective: To analyze tweets associated with Ménière's disease (MD), including type of users who engage, change in usage patterns, and temporal associations, and to compare the perceptions of the general public with healthcare providers.

Methods: An R-program code, academictwitterR API, was used to query Twitter. All tweets mentioning MD from 2007 to 2021 were retrieved and analyzed.

Audiometric Outcomes After Surgical Repair of Congenital Aural Atresia: Does Age Matter?

Objective: To determine if there is an age-based difference in audiometric outcomes for patients undergoing primary congenital aural atresia (CAA) repair.

Study Design: Retrospective chart review.

Setting: Single academic, high-volume, tertiary care hospital.

Are children with unilateral hearing loss more tired?

Objective: To determine whether children with unilateral sensorineural hearing loss (USNHL) and unilateral conductive hearing loss (UCHL) have higher levels of fatigue than literature reported normal hearing (LRNH) children.

Methods: This was a cross-sectional survey utilizing the PedsQL™ Multidimensional Fatigue Scale administered to children with unilateral hearing loss (UHL) and their parents at two tertiary care academic medical centers and a nationwide microtia/atresia conference. The PedsQL™ Multidimensional Fatigue Scale was used to compare child and parental proxy reports of fatigue among USNHL, UCHL, and LRNH children.

Congenital Aural Stenosis With Cholesteatoma.

Objective: Compare surgical and audiological outcomes of patients with congenital aural stenosis (CAS) with cholesteatoma to patients with CAS without cholesteatoma and patients with complete congenital aural atresia (CCAA).

Study Design: Retrospective case series.

Setting: Tertiary care hospital.

Otology-Neurotology 2020 US Workforce Distribution.

Objective: Determine the geographic and per capita distribution of otology-neurotology physician-surgeons within the United States.

Study Design: National database review.

Setting: United States.

When to Say When-Reasons to Abort Surgery for Congenital Aural Atresia.

Objective: To determine reasons for premature termination in surgery for congenital aural atresia (CAA).

Study Design: Retrospective chart review.

Setting: High-volume tertiary care center.

Acoustic Reflexes in Aural Atresia Patients: Evidence of an Intact Efferent System?

Objective: To record crossed acoustic reflex thresholds (xART's) postoperatively from patients after surgical repair of unilateral congenital aural atresia (CAA). To seek explanations for when xARTs can and cannot be recorded. We hope to understand the implications for this central auditory reflex despite early afferent deprivation.

American Neurotology Society, American Otological Society, and American Academy of Otolaryngology - Head and Neck Foundation Guide to Enhance Otologic and Neurotologic Care During the COVID-19 Pandemic.

: This combined American Neurotology Society, American Otological Society, and American Academy of Otolaryngology - Head and Neck Surgery Foundation document aims to provide guidance during the coronavirus disease of 2019 (COVID-19) on 1) "priority" of care for otologic and neurotologic patients in the office and operating room, and 2) optimal utilization of personal protective equipment. Given the paucity of evidence to inform otologic and neurotologic best practices during COVID-19, the recommendations herein are based on relevant peer-reviewed articles, the Centers for Disease Control and Prevention COVID-19 guidelines, United States and international hospital policies, and expert opinion. The suggestions presented here are not meant to be definitive, and best practices will undoubtedly change with increasing knowledge and high-quality data related to COVID-19.

Long-term Audiometric Outcomes After Atresiaplasty for Congenital Aural Atresia.

Objective: Describe long-term trends and stability of hearing outcomes for patients undergoing primary congenital aural atresia (CAA) repair.

Study Design: Retrospective chart review.

Setting: Single academic, tertiary referral center.

International Consensus Recommendations on Microtia, Aural Atresia and Functional Ear Reconstruction.

The aim of this report is to provide international recommendations for functional ear reconstruction in patients with microtia and aural atresia. All patients with microtia and external auditory atresia should be seen in the setting of a multidisciplinary team and agreed treatment outcomes should be measured, so that techniques, approaches, and results can be compared. The methods are expert opinion from the members of the International Microtia and Atresia Workgroup (IMAW).

Correlation between hearing loss and middle ear volume in patients with a tympanic membrane perforation.

Objective: To investigate a possible correlation between the degree of conductive hearing loss (CHL) caused by an isolated tympanic membrane (TM) perforation and mastoid-middle ear volume.

Study Design: Retrospective chart, audiometry, and computed tomography (CT) imaging review.

Methods: Adult patients with a diagnosis of isolated TM perforation between 2010 and 2018 were identified and their audiometric data collected.

Relationship Between Middle Ear Volume and Long-term Audiological Outcomes in Congenital Aural Atresia Repair.

Objective: To assess the association of middle ear volume with long-term hearing outcomes in congenital aural atresia (CAA) repair.

Study Design: Retrospective chart and radiological review.

Setting: Single academic tertiary referral center.

Case Report: Facial Nerve Bifurcation Noted During Resection of Vestibular Schwannoma.

Background And Importance: Resection of cerebellopontine angle tumors is challenging because the proximity of the facial nerve puts it at risk of inadvertent injury and subsequent dysfunction. It is critical to consider variations in anatomy and be aware of the potential deviations in the course of the nerve in order to avoid damage.

Clinical Presentation: We present a case of a facial nerve bifurcation identified during resection of a vestibular schwannoma.