Publications by authors named "Lawrance Lee"

Background: The gold-standard assessment of asymmetric sensorineural hearing loss (ASNHL) is contrast-enhanced MRI. Although rates of identifying a vestibular schwannoma are low (<5%), it is generally accepted as cost-effective. Yet, the impact of incidentalomas is rarely considered.

View Article and Find Full Text PDF
Article Synopsis
  • This study looked at three medications (dupilumab, omalizumab, and mepolizumab) to see how well they help patients with certain sinus problems reduce the need for surgery.
  • All three medications were successful in lowering surgery risks, but only dupilumab also helped reduce hospital visits and other health issues.
  • The results suggest that these medications can help patients feel better and have fewer health problems related to their sinus conditions.
View Article and Find Full Text PDF

Objective: To measure noise exposure present on pickleball courts and assess the risk of noise-induced hearing loss (NIHL) per guidelines put forward by the National Institute of Occupational Safety and Health (NIOSH).

Methods: Observational study measuring noise levels at multiple recreational pickleball courts in the Richmond, VA area, documenting LAeq, LASmax, and LCpeak at courtside and waiting areas of pickleball courts. Measurements were completed using the NIOSH SLM application on an iPhone 13 with iMM-6 Calibrated Measurement Microphone (equivalent to IEC 61672-1 Class II) that was calibrated using ND-9 Sound Level Calibrator (IEC942 Class I).

View Article and Find Full Text PDF

Hypothesis: The retrolabyrinthine (presigmoid) approach has been utilized in various skull base surgeries but has not been fully utilized in the management of internal auditory canal (IAC) lesions, such as vestibular schwannoma (VS). Microsurgical retrolabyrinthine approach provides limited visualization of the IAC, while endoscopic-assisted techniques allow for further lateral exposure with labyrinthine preservation.

Background: Traditional approaches to the IAC have the disadvantage of hearing sacrifice or retraction of brain tissue.

View Article and Find Full Text PDF
Article Synopsis
  • A study investigated the prevalence of vestibular disorders in patients with COVID-19 compared to those without the virus using data from the National COVID Cohort Collaborative database.
  • Results showed that individuals with COVID-19 were significantly more likely to experience vestibular disorders, with the highest risk associated with the omicron 23A variant (OR of 8.80).
  • The findings underscore the need for further research on the long-term effects of vestibular disorders in COVID-19 patients and implications for patient counseling.
View Article and Find Full Text PDF

Introduction: There is a paucity of data reporting the rate of chorda tympani nerve injury during cochlear implantation (CI) surgery. To better provide clarity to patients and surgeons regarding the risk of taste change, we performed a systematic review and meta-analysis of prospective studies examining taste change after CI.

Data Sources: PubMed, Embase, and Cochrane Library databases were queried.

View Article and Find Full Text PDF

Context: Sound levels in fitness classes often exceed safe levels despite studies that show many participants find high sound levels stressful.

Aims: The objective is to determine if lower sound levels in spinning classes significantly impact exercise intensity and to determine if class participants prefer the music played at lower levels.

Settings And Design: Observational study of 1-hour group spin classes.

View Article and Find Full Text PDF