Diagnostic yield of MRI of the brain and IAC in patients with neurotologic complaints.

Objectives: Quantify number of MRI scans obtained in a tertiary neurotology practice and identify likelihood of pathologic findings.

Study Design: Retrospective cohort study.

Setting: Tertiary neurotology center.

Saccular cyst as a complication of medialization laryngoplasty: a case report.

We report the case of a 54-year-old woman who presented for evaluation of deterioration in her voice and swallowing function, which had begun after she had undergone a medialization laryngoplasty for unilateral vocal fold paralysis. Findings on examination and imaging revealed that a mass had developed adjacent to the Silastic implant that had been placed during the laryngoplasty. The superior extent of the implant reached above the laryngeal ventricle.

Androgen treatment and recovery of function following recurrent laryngeal nerve injury in the rat.

Purpose: To investigate the effects of the androgen testosterone propionate (TP), on regeneration of the recurrent laryngeal nerve (RLN) after unilateral crush injury using assessment of vocal fold mobility (VFM) as a measure of behavioral recovery.

Methods: 48 adult male rats underwent standardized crush injury of left RLN and received treatment in the form of 2 silastic capsules containing TP or controls receiving a blank capsule (untreated). Direct laryngoscopic assessment of vocal cord mobility was performed before, immediately following and 1, 2, 3, 4, 5 or 6 weeks post injury.

Preauricular infratemporal fossa approach for advanced malignant parotid tumors.

Objectives/hypothesis: The aims of this study were to demonstrate the surgical technique involved in the preauricular infratemporal fossa (ITF) approach, outline the clinical indications for use of this technique, and present the results in using this approach in 159 patients with malignant parotid tumors. At the conclusion of this article, the reader should be able to understand the utility of the preauricular infratemporal fossa approach in the management of patients with advanced malignant parotid tumors.

Study Design: This was a retrospective chart review of 159 patients treated at a tertiary care academic medical center following institutional review board approval.

Contemporary options for lateral skull base reconstruction following tumor extirpation.

Purpose Of Review: This review is timely and relevant for several reasons. More lateral skull base tumors are being diagnosed, as the threshold to image patients with lower cranial nerve symptoms is very low. Patients are living longer and can potentially have more comorbidities that can affect wound healing.

Osseointegrated implant applications in cosmetic and functional skull base rehabilitation.

This study discusses the indications, outcomes, and complications in patients that underwent osseointegrated implantation for skull base rehabilitation. We conducted a retrospective review of eight patients with skull base defects who had undergone implantation of a facial prosthetic retention device ± bone-anchored hearing aid at a tertiary academic referral center. Descriptive analysis of applications, techniques, outcomes, and complications were reviewed.

Inner ear effects of canal wall down mastoidectomy.

Objective: To evaluate the inner ear effects of canal wall down (CWD) mastoidectomy without ossiculoplasty in the treatment of chronic otitis media (COM) with regard to sensorineural hearing loss (SNHL) and reported tinnitus and dizziness-related disability.

Setting: Tertiary care academic medical center.

Subjects And Methods: Prospective study of 86 patients treated by CWD mastoidectomy without ossiculoplasty for COM with or without cholesteatoma.

A rat model for intracranial facial nerve crush injuries.

Objective: (1) Explain the need for an animal model to study intracranial injuries to the facial nerve. (2) Describe various techniques attempted to identify and crush the intracranial segment of the facial nerve in a rat model. (3) Describe in detail a successful rat model of intracranial facial nerve crush injury.