Quantifying the effect of shoulder size on operation duration: an analysis of stapes surgery outcomes.

Objective: To investigate the effect of body mass index on hearing outcomes, operative time and complication rates following stapes surgery.

Method: This is a five-year retrospective review of 402 charts from a single tertiary otology referral centre from 2015 to 2020.

Results: When the patient's shoulder was adjacent to the surgeon's dominant hand, the average operative time of 40 minutes increased to 70 minutes because of a significant positive association between higher body mass index and longer operative times (normal body mass index group (<25 kg/m) r = 0.

Preoperative Evaluation of Otosclerosis: A National Survey of Otologists.

Objective: Describe practice patterns in preoperative assessment for stapedectomy.

Study Design: Survey.

Setting: Tertiary referral center.

Progression of Hearing Loss in Observed Non-Growing Vestibular Schwannoma.

Objective: To assess hearing outcomes in observed vestibular schwannoma (VS) with focus on non-growing tumors.

Study Design: Retrospective review.

Setting: Two tertiary neurotology centers.

Audiologic comparison of classification systems of advanced otosclerosis.

Objective: To identify which patients with advanced otosclerosis may have the greatest audiologic improvement with stapedotomy based on different classifications of advanced otosclerosis.

Study Design: Retrospective chart review.

Setting: Single tertiary neurotology center.

Outcomes in primary and revision surgery for pediatric onset stapedial pathology.

Objectives: To analyze audiometric outcomes of surgery for pediatric onset stapedial pathology (POSP).

Study Design: Retrospective cohort study.

Setting: Single-institution database.

Outcomes of Stapedotomy in Patients With Concomitant Otosclerosis and Superior Semicircular Canal Dehiscence: Should a Radiographic Third-Window Be a Contraindication to Stapes Surgery?

Objective: Review surgical outcomes of stapedotomy in patients with concomitant otosclerosis and superior semicircular canal dehiscence.

Study Design: Retrospective case review.

Setting: Tertiary referral center.

Revision Stapes Surgery: Hearing Symptoms and Associations With Intraoperative Findings and Outcomes.

Objective: Stapes surgery for otosclerosis occasionally requires revision due to recurrent or persistent conductive hearing loss (CHL). This study examines outcomes after revision stapes surgery.

Study Design: Retrospective review.

Rate of Development of Venous Thromboembolism in Lateral Skull Base Surgery.

Objectives: Venous thromboembolism (VTE) is a major cause of morbidity and mortality for surgical patients. This article aims to determine factors that may have contributed to the development of VTE in patients undergoing lateral skull base surgery, to assess the validity of the Caprini Risk Assessment Model (RAM) score in this subset of patients, and to determine the efficacy of mechanical DVT prophylaxis alone in preventing VTE.

Study Design: Retrospective chart review.

Audiologic Outcomes of Footplate Drillout for Obliterative Otosclerosis.

Objective: To evaluate the audiologic outcomes of microdrill fenestration for obliterative otosclerosis compared to traditional stapedotomy technique.

Study Design: Retrospective chart review.

Setting: Tertiary referral center.

Comparison of Cranioplasty Techniques Following Translabyrinthine Surgery: Implications for Postoperative Pain and Opioid Usage.

Objective: To assess differences in postoperative pain, opioid usage, and surgical outcomes between cranioplasty using abdominal fat graft (AFG) versus hydroxyapatite cement (HAC) following translabyrinthine surgery.

Study Design: Retrospective case control.

Setting: Tertiary referral center.

Risk Factors for Complications Following Lateral Skull Base Surgery and the Utility of ICU Monitoring.

Objective: To examine the role of intensive care unit (ICU) management following lateral skull base surgery for vestibular schwannoma and identify risk factors for complications warranting admission to the ICU.

Study Design: Retrospective review.

Setting: Tertiary referral center.

Surgical Outcomes After Conservative Resection of Vestibular Schwannoma in the Elderly.

Objective: To assess outcomes after surgery for vestibular schwannoma in patients over 70 years of age.

Study Design: Retrospective chart review.

Setting: Two tertiary otology and neurotology centers.

Effect of Surgical Start Time on Stapedotomy Outcomes.

Objective: To examine if performing stapedotomy as the first case of the day provides improved outcomes compared with those performed later in the day.

Study Design: Retrospective chart review.

Setting: Tertiary referral center.

Early Outcomes of Simultaneous Translabyrinthine Resection and Cochlear Implantation.

Objectives/hypothesis: Hearing rehabilitation after translabyrinthine resection of a vestibular schwannoma (VS) has largely been based on the transfer of acoustic stimulus to the contralateral ear, typically through a contralateral routing of signal hearing aid or bone-anchored hearing aid (BAHA). Cochlear implant, either as a subsequent surgery or simultaneously, has become a more common treatment option; however, there is still relatively limited data available on its success. The purpose of this study is to evaluate the early outcomes of simultaneous cochlear implantation in patients with sporadic VS undergoing translabyrinthine resection.

Is Menière's Disease a Contraindication to Stapedectomy?

Objective: Review surgical outcomes of stapedectomy for otosclerosis in patients with Menierè's disease.

Study Design: Retrospective case review.

Setting: Tertiary referral center.

Pre-existing Vestibular Symptoms Are Associated With Acute Vestibular Symptoms After Gamma Knife Therapy for Vestibular Schwannoma.

Objective: To identify pretreatment variables associated with the development of acute vestibular symptoms after Gamma Knife (GK) treatment for Vestibular Schwannoma (VS).

Study Design: Retrospective case series.

Setting: Tertiary neurotology referral center.

Outcomes After Tympanic Membrane Perforation During Primary Stapes Surgery for Otosclerosis.

Objective/hypothesis: Stapes surgery is occasionally complicated by an intraoperative tympanic membrane perforation (ITMP), traditionally indicating abortion of the procedure due to concerns for postoperative infection and sensorineural hearing loss (SNHL). This work examines outcomes and complications in completed primary stapes surgeries with and without ITMP.

Study Design: Retrospective review.

Outcomes in Revision Stapes Surgery.

Objectives: To compare audiometric outcomes and complication rates between primary and revision stapes surgical cases.

Study Design: Retrospective cohort study.

Setting: Large single-institution database.

Hearing Outcomes With a Novel Total Ossicular Replacement Prosthesis.

Introduction: A total ossicular replacement prosthesis (TORP) is used to reconstruct the ossicular chain in the absence of the stapes suprastructure. The Wildcat prosthesis is a novel TORP that eliminates the need for a separate footplate shoe prosthesis and aims to improve ease-of-use and stability. This study evaluates hearing outcomes using the Wildcat prosthesis.

Evolving Role of Non-Total Resection in Management of Acoustic Neuroma in the Gamma Knife Era.

Objective: To examine patients with residual tumor after vestibular schwannoma (VS) resection with focus on need for further therapy, including stereotactic radiosurgery (SRS) and revision surgery.

Study Design And Setting: Retrospective review at two tertiary otology referral centers.

Patients And Intervention: Patients undergoing primary surgery for VS from 2007 to 2017.

A Protective Cap: Fundal Fluid Cap Facilitates a Reduction in Inner Ear Radiation Dose in the Radiosurgical Treatment of Vestibular Schwannoma.

Objective: Assess inner ear radiation dose magnitude as it relates to fundal cap length and hearing outcomes in the radiosurgical treatment of vestibular schwannoma.

Study Design: Retrospective case series.

Setting: Tertiary neurotology referral center.

Bone Cement Fixation of Stapedotomy Prostheses: Long-term Outcomes in Primary and Revision Stapes Surgery.

Objectives: To describe audiologic outcomes following hydroxyapatite bone cement fixation of stapedotomy prostheses.

Methods: A retrospective case review at a tertiary neurotology referral center was performed of patients undergoing primary or revision stapedotomy between 2010 and 2017. Patients with hydroxyapatite bone cement fixation of stapes prostheses were assessed.