Publications by authors named "J Manuel Morales-Puebla"

The use of cochlear implants (CIs) is on the rise for patients with vestibular schwannoma (VS). Besides CI following tumor resection, new scenarios such as implantation in observed and/or irradiated tumors are becoming increasingly common. A significant emerging trend is the need of intraoperative evaluation of the functionality of the cochlear nerve in order to decide if a CI would be placed.

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Purpose: Achromobacter xylosoxidans is an emerging pathogen mainly associated with resistant nosocomial infections. This bacteria had been isolated in the ear together with other pathogens in cultures from patients with chronic otitis media, but it had never been reported as a cause of osteomyelitis of the external auditory canal.

Case Presentation: We present a unique case of a healthy 81-year-old woman who presented with left chronic otorrhea refractory to topical and oral antibiotic treatment.

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Article Synopsis
  • - Vestibular schwannoma (VS), the most common tumor in the cerebellopontine angle, often leads to challenging treatment decisions among observation, surgery, or radiotherapy based on patient-specific factors including age and symptoms.
  • - A comprehensive literature review was conducted to create a clinical guide addressing frequently asked questions by clinicians regarding VS, with input from a panel of experts from the SEORL-CCC.
  • - The resulting clinical practice guideline summarizes the 13 most debated topics related to VS management, presenting answers to 50 key questions, though it notes that the levels of evidence are mostly medium or low due to a lack of sufficient prospective studies.
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Active middle ear implants (AMEI) are implantable options for patients with sensorineural, conductive, or mixed hearing loss who are not good candidates for hearing aids. The aim of this study was to compare audiological, surgical, quality of life, and sound quality outcomes in adults <60 and ≥60 years receiving an AMEI. Twenty adult patients who underwent AMEI implantation were divided into two groups, <60 and ≥60 y.

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