A Quality Improvement Approach to Reduce Unplanned Extubation in the NICU While Avoiding Sedation and Restraints.

Unlabelled: The unplanned extubation (UE), a common adverse event in the neonatal intensive care unit (NICU), may result in airway trauma, cardiopulmonary resuscitation, and, in extreme cases, death. As part of the Nationwide Children's Hospital NICU's effort to optimize NICU graduates' neurodevelopmental outcomes, skin-to-skin care of intubated infants is encouraged, while sedation and restraints to prevent UE are strongly discouraged. This project aimed to decrease the UE rate from 1.

Traumatic versus Idiopathic Benign Positional Vertigo: Analysis of Disease, Treatment, and Outcome Characteristics.

Objective: To compare characteristics between traumatic and idiopathic benign paroxysmal positional vertigo (BPPV) focusing on outcomes.

Study Design: Retrospective chart review.

Setting: High-volume tertiary otology center.

Causes of Persistent Positional Vertigo Following Posterior Semicircular Canal Occlusion for Benign Paroxysmal Positional Vertigo.

Objective: To report causes of persistent recalcitrant positional vertigo (PRPV) after posterior semicircular canal occlusion (PSCO) for benign paroxysmal positional vertigo (BPPV).

Study Design: Retrospective chart review.

Setting: Single high-volume otology practice.

Patient, disease, and outcome characteristics of benign paroxysmal positional vertigo with and without Meniere's disease.

Background: Meniere's disease (MD)-associated benign paroxysmal positional vertigo (BPPV) is complex and difficult to diagnose, and reports of its prevalence, pathologic features and outcomes are sparse and conflicting.

Objective: Report disease characteristics and outcomes associated with the presence of MD in patients with BPPV.

Materials/methods: A retrospective study of patients with BPPV between 2007 and 2017 at a single, high-volume institution.

Endolymphatic Sac Decompression With Intra-Sac Dexamethasone Injection in Menière's Disease.

Objective: Endolymphatic sac decompression surgery (ELSD) may be used to treat patients who have Menière's 's disease refractory to medical therapy. In this study, we investigated whether or not the injection of steroid into the endolymphatic sac at the time of ELSD provides additional benefit to patient outcomes.

Study Design: Randomized prospective single-blinded placebo-controlled study.

Treatment of Patients With Benign Paroxysmal Positional Vertigo and Severe Immobility Using the Particle Repositioning Chair: A Retrospective Cohort Study.

Objective: To report treatment of benign paroxysmal positional vertigo (BPPV) in patients unable to undergo traditional canalith repositioning maneuvers (CRMs) using a particle repositioning chair (PRC).

Methods: A retrospective chart review was conducted at a single high-volume otology practice of patients diagnosed with BPPV from 2007 to 2017 with immobility prohibiting use of traditional CRMs. Patients were diagnosed and treated using a PRC, and outcome measures including resolution, recurrence, and number of treatment visits were recorded.

Recurrence in Benign Paroxysmal Positional Vertigo: A Large, Single-Institution Study.

Objective: To report rates of recurrence in benign paroxysmal positional vertigo (BPPV) and associated patient and disease factors.

Study Design: Retrospective chart review.

Setting: Single high-volume otology practice.

Analysis of non-posterior canal benign paroxysmal positional vertigo in patients treated using the particle repositioning chair: A large, single-institution series.

Purpose: Benign paroxysmal positional vertigo (BPPV) involving the horizontal and superior semicircular canals is difficult to study due to variability in diagnosis. We aim to compare disease, treatment, and outcome characteristics between patients with BPPV of non-posterior semicircular canals (NP-BPPV) and BPPV involving the posterior canal only (P-BPPV) using the particle repositioning chair as a diagnostic and therapeutic tool.

Methods: Retrospective review of patients diagnosed with and treated for BPPV at a high volume otology institution using the particle repositioning chair.

Comparison Study of Percutaneous Osseointegrated Bone Conduction Device Complications When Using the 9 mm Abutment Versus 6 mm Abutment at Initial Implantation.

Objectives: To assess differences in the incidence, type, and management of complications encountered with implantation of percutaneous osseointegrated bone conduction devices when using a 9 mm abutment versus 6 mm abutment at initial implantation.

Study Design: Retrospective cohort study.

Methods: One hundred thirty consecutive patients between January 2010 and December 2011 underwent single-stage percutaneous osseointegrated bone conduction device implantation using a 9 or 6 mm abutment.

Facial Nerve Schwannomas Mimicking as Vestibular Schwannomas.

 The objective of this study was to identify preoperative and intraoperative findings that may aid in distinguishing facial nerve schwannomas (FNS) from vestibular schwannomas (VSs), particularly in cases limited to the internal auditory canal (IAC) and cerebellopontine angle (CPA).  This was a retrospective study.  This study was set at a Tertiary Referral Center.

Fully Endoscopic Retrosigmoid Vestibular Nerve Section for Refractory Meniere Disease.

Objective: This study aims to report our results and technical details of fully endoscopic retrosigmoid vestibular nerve section.

Design: A prospective observational study was conducted.

Setting: A single academic, tertiary institution involving neurosurgery and neurotology.

Acoustic Reflex Screening of Conductive Hearing Loss for Third Window Disorders.

Objective: This study examines the effectiveness of acoustic reflexes in screening for third window disorders (eg, superior semicircular canal dehiscence) prior to middle ear exploration for conductive hearing loss.

Study Design: Case series with chart review.

Setting: Outpatient tertiary otology center.

Improved facial nerve outcomes using an evolving treatment method for large acoustic neuromas.

Objective: To describe a successful paradigm for the treatment of large acoustic neuromas (vestibular schwannomas).

Study Design: Retrospective case review.

Setting: Tertiary referral center.

Endoscopic vascular decompression.

Objective: This article describes the technique and reports the results of endoscopic vascular decompression (EVD) in patients with trigeminal neuralgia (TGN), hemifacial spasm (HFS), and cochleovestibular nerve compressive syndrome.

Study Design: Retrospective case review.

Subjects And Methods: This study evaluates the outcome and length of stay (LOS) of 20 patients who underwent EVD for vascular compressive disorders from 2005 to 2007.

Tumors and pseudotumors of the endolymphatic sac.

This article reports on the presentation, diagnosis, management, and treatment outcomes of lesions of the endolymphatic sac in patients treated at a tertiary neurotology referral center. It summarizes survival results in the largest series groups and presents a new diagnostic entity of pseudotumor of the endolymphatic sac. The study includes retrospective review of all patients diagnosed with lesions of the endolymphatic sac within our practice between 1994 and 2005 as well as review of the literature.

Quality-of-life assessment of Ménière's disease patients after surgical labyrinthectomy.

Objective: To examine the impact of surgical labyrinthectomy on quality of life of Ménière's disease patients.

Study Design: Cross-sectional survey.

Setting: Otology subspecialty referral center.

Success of posterior semicircular canal occlusion and application of the dizziness handicap inventory.

Objectives: To determine the long-term efficacy and patient satisfaction of posterior semicircular canal occlusion (PSCO) as a treatment for intractable benign paroxysmal positional vertigo (BPPV).

Study Design And Setting: Retrospective analysis of patients with BPPV who underwent PSCO was conducted in a tertiary referral center. Demographic data, clinical records, and audiometric data were reviewed.

Operative management of skull base malignancies: choosing the appropriate approach.

Malignant tumors of the skull base are complex lesions. Identifying the indications and contraindications for resection is essential for the successful treatment of these lesions. This requires an understanding of the pathology, principles of resection, and nonsurgical therapeutic modalities.

Ambulatory tympanomastoid surgery in children: factors affecting hospital admission.

Objective: To identify clinical factors associated with postoperative nausea and vomiting (PONV) and failure to discharge from the hospital on the day of surgery in children undergoing tympanomastoid surgery.

Design: Records of 144 children undergoing 152 tympanomastoid surgical procedures from July 1, 2001, through June 30, 2002, were retrospectively reviewed and the data analyzed.

Setting: A tertiary care university-affiliated hospital.

Evaluating quality of life after endolymphatic sac surgery: The Ménière's Disease Outcomes Questionnaire.

Objective: To develop a disease-specific instrument to measure the quality of life in patients with Ménière's disease and to assess quality-of-life outcomes after endolymphatic sac decompression.

Study Design: Retrospective survey.

Patients: Patients with Ménière's disease who underwent endolymphatic sac decompression from June 1996 to June 2001, after failing a course of medical management.

Round window gentamicin absorption: an in vivo human model.

Objective/hypothesis: Using a novel human labyrinthine sampling model, in vivo gentamicin absorption through the round window can be measured.

Study Design: A prospective study.

Methods: Gentamicin was delivered either transtympanically (preoperative) or through a facial recess approach (intraoperative).