Publications by authors named "Riemann Conrad"

Introduction: Based on clinical practice guidelines, the application of corticosteroids as a first-line therapy is common. Although sudden sensorineural hearing loss (SSHL) etiology is primarily idiopathic, hearing loss can result from a perilymphatic fistula (PLF). Recent findings show evidence of a specific rate of PLF based on a cochlin-tomoprotein (CTP) detection test.

View Article and Find Full Text PDF
Article Synopsis
  • This study aimed to investigate the relationship between cochlin tomoprotein testing (CTP), MRI findings, and hearing balance functions in patients experiencing sudden hearing loss.
  • Eight patients with sudden hearing loss and possible vertigo or tinnitus were examined using CTP testing through middle ear samples and various MRI techniques.
  • Results showed that while all patients exhibited non-specific contrast enhancement in the affected ear on MRI, only some had positive CTP tests indicating a potential perilymphatic fistula, but no MRI signals specifically indicated this condition.
View Article and Find Full Text PDF

: In most cases, intralabyrinthine schwannoma (ILS) occurs in patients with unilateral hearing deterioration or neurofibromatosis type II (NF II). The pattern of localization of these tumors varies but mostly affects the cochlea. Extirpation of the cochlear schwannoma, if hidden by the cochlea modiolus, is difficult under the aspect of complete removal.

View Article and Find Full Text PDF
Article Synopsis
  • * The patient's symptoms included ear pressure and itching; imaging revealed calcified structures, leading to tympanoplasty where gout tophi were discovered.
  • * Following the removal of the tophi through surgery, significant hearing improvement was noted, highlighting that gouty tophi can lead to hearing issues even without prior systemic gout diagnosis.
View Article and Find Full Text PDF

Introduction: Surgical treatment of Ménière's disease (MD) and deafness aims to treat vertigo and hearing disabilities. Current treatment options like labyrinthectomy and cochlear implantation (CI) have shown acceptable results but are destructive. Less destructive procedures, like the occlusion of the lateral semicircular canal and endolymphatic sac surgery, have been shown to be successful in vertigo control.

View Article and Find Full Text PDF

Background: Intralabyrinthine schwannoma (ILS) is a rare, mostly unilateral disease that causes deafness. Different intralabyrinthine sites of ILS can occur and can be removed by different surgical approaches. Cochlear ILSs are frequently partially hidden by the modiolus and therefore difficult to extirpate.

View Article and Find Full Text PDF

Introduction: The approval process for MRI safety of implants includes physical observations and an experimental evaluation in artificial settings to simulate the in vivo effect. This contains the observation of temperature changes and artificial current generation by the magnetic field. From these findings, the safety of an implant and its effect on the patient can be estimated.

View Article and Find Full Text PDF

Introduction: Intracochlear pressure changes have been assumed to play a central role in hearing preservation during cochlear implantation. The pressure in different settings has been evaluated (temporal bones vs. cochlea models) and was found to have advantages and disadvantages.

View Article and Find Full Text PDF

The importance of intracochlear pressure during cochlear electrode insertion for the preservation of residual hearing has been widely discussed. Various aspects of pre-insertional, intra-insertional, and post-insertional relevant conditions affect intracochlear pressure. The fluid situation at the round window during electrode insertion has been shown to be an influential factor.

View Article and Find Full Text PDF