The use of cartilage in revision stapedectomy.

Objective: To evaluate the incidence of stapedectomy patients who developed significant chronic ear disease resulting in reconstruction of the tympanic membrane with cartilage and concomitant revision stapedectomy. Audiometric results of this subgroup within revision stapedectomy are analyzed, and the salient features of the reconstruction method are discussed.

Study Design: Retrospective study of revision stapedectomy patients during the years 2003-2012.

Short- and long-term results of ossicular reconstruction using partial and total plastipore prostheses.

Objective: To evaluate the short- and long-term success of using a plastipore prosthesis for partial and total ossiculoplasty (POP and TOP). Subtechniques for optimal hearing improvement are discussed. Literature review and comparison to the recent use of titanium prostheses is made.

Total ossiculoplasty: advantages of two-point stabilization technique.

Objective. Evaluate a porous polyethylene prosthesis with two-point stabilization in total ossiculoplasty. This approach utilizes a lateral as well as a medial graft to stabilize a total ossicular prosthesis (TOP).

Is there an ototoxicity risk from Cortisporin and comparable otic suspensions? Distortion-product otoacoustic emission findings.

The purpose of this investigation was to use distortion-product otoacoustic emission (DPOAE) testing to address the issue of possible ototoxicity from the use of neomycin/polymyxin B/hydrocortisone otic suspension following tympanostomy tube placement. We retrospectively reviewed our clinical records and identified 36 children (52 ears) who had met our three study criteria: (1) unilateral or bilateral placement of transtympanic ventilation tubes, (2) treatment for 3 to 5 days with neomycin/polymyxin B/hydrocortisone drops, and (3) postoperative evaluation by DPOAE testing. We identified another set of 36 children (52 ears) who had not received these drops and who had not undergone tube placement but who had been evaluated by DPOAE testing to serve as a control group.

Hearing results in reconstructing the damaged incus with varying lengths of the modified Lippy prosthesis.

Objective: Evaluate success of reconstructing the damaged incus in otosclerotics and chronic ear disease with the use of the modified Lippy prosthesis. Maintaining ossicular continuity is critical in optimizing sound transfer particularly when there has been incus erosion of varying degrees. Our hypothesis was that the varying lengths of the Lippy modified prosthesis would allow for reconstruction of the incus with very good results.

High body mass index as a risk factor for skin overgrowth with the bone-anchored hearing aid.

Objectives: To identify whether an increased body mass index (BMI) predisposes patients to more soft tissue problems after placement of a Bone-Anchored Hearing Aid implant.

Patients: We retrospectively reviewed 88 adult patients who met criteria for inclusion in the study.

Results: Ten (11.

Topical otic antibiotics: clinical cochlear ototoxicity and cost consideration.

Objective: Determine the incidence of clinical cochlear ototoxicity in routine use of Cortisporin after ventilation tube placement. Cost differential between use of Cortisporin and fluoroquinolone agents was evaluated.

Methods: A retrospective review of 500 patients was performed.

Latent demand for the bone-anchored hearing aid: the Lippy Group experience.

Objective: The usefulness of the bone-anchored hearing aid (BAHA) for conductive and mixed hearing losses and recently for single-sided deafness has been well documented. Less clear is the number of patients who might benefit from the BAHA and how many would be interested in having the surgery. The purpose of this investigation is to examine these latter issues from the perspective of an otology practice.

Does pregnancy affect otosclerosis?

Objective: To evaluate the effect of pregnancy on the hearing of women with otosclerosis.

Study Design: A retrospective study of women who had undergone stapedectomy. The women were equally divided into two groups: one group with children and a control group without children.

Comparison of titanium and Robinson stainless steel stapes piston prostheses.

Objective: Although stainless steel stapes prostheses have generally been considered magnetic resonance imaging safe, there is concern that this may change with the development of more powerful imaging systems. The objective of the study was to determine whether a titanium piston stapes prosthesis would be audiometrically and surgically equivalent to a Robinson stainless steel piston for stapedectomy.

Study Design: Retrospective chart review.

Twenty-year review of revision stapedectomy.

Objective: To evaluate surgical findings and techniques, patient management techniques, and audiometric results of 522 revision stapedectomies.

Study Design: Retrospective chart review.

Setting: Tertiary otologic referral center.

Promontory drilling in stapedectomy.

Objective: Evaluate in stapedectomy the clinical outcome and audiometric results (particularly bone conduction) of drilling the promontory because of a narrow oval window niche.

Study Design: Retrospective.

Setting: Tertiary referral center, private otology practice.

Stapedectomy revision in elderly patients.

Objective: the objective was to determine the effectiveness of stapedectomy revision in patients 65 years of age or older. Although stapedectomy revision has been discussed in the literature, as well as primary stapedectomy surgery for elderly patients, we could find no study dedicated to stapedectomy revision in elderly patients.

Study Design: Retrospective.