Prognostic Significance of Early Posttreatment Audiometry in Idiopathic Sudden Sensorineural Hearing Loss.

Objective: This study aimed to assess the prognostic value of early posttreatment initiation audiometry findings in patients with idiopathic sudden sensorineural hearing loss (ISSHL).

Study Design: A retrospective cohort study.

Setting: The study was conducted at a single tertiary medical center.

[COCHLEAR IMPLANTATION FOR PATIENTS WITH CONSERVATIVELY TREATED VESTIBULAR SCHWANNOMA].

Vestibular Schwannoma, a benign slow growing tumor on the eight cranial nerve, will eventually cause in most patients, a severe sensory neural hearing loss in the ipsilateral ear. Patients with asymmetric hearing loss experience difficulties in hearing in the presence of noise, in sound localization and an increase in listening effort, especially if contralateral hearing loss exists. Cochlear implant is the treatment of choice for hearing rehabilitation in severe to profound sensorineural hearing loss.

Intra-operative identification of a temporal bone fracture line during cochlear implant surgery: a case report.

Background: Temporal bone fractures are divided into otic capsule sparing and otic capsule involving fractures. In the latter, hearing loss, facial nerve paralysis, cerebrospinal fluid leak and meningitis have been reported to occur. The impact of hearing loss can be devastating, especially when occurring in children, with significant risk to speech development and sound localization.

The association between COVID-19 vaccination and idiopathic sudden sensorineural hearing loss, clinical manifestation and outcomes.

Purpose: Previous data demonstrated an increased incidence of Idiopathic Sensorineural Hearing Loss (ISSNHL) in 2021 compared to 2019-2020, suggesting an association with the anti-COVID-19 vaccine. We aimed to assess our center's incidence and compare the clinical manifestations and outcomes of vaccinated vs. unvaccinated patients.

Segmentation of Vestibular Schwannomas on Postoperative Gadolinium-Enhanced T1-Weighted and Noncontrast T2-Weighted Magnetic Resonance Imaging Using Deep Learning.

Objective: Surveillance of postoperative vestibular schwannomas currently relies on manual segmentation and measurement of the tumor by content experts, which is both labor intensive and time consuming. We aimed to develop and validate deep learning models for automatic segmentation of postoperative vestibular schwannomas on gadolinium-enhanced T1-weighted magnetic resonance imaging (GdT1WI) and noncontrast high-resolution T2-weighted magnetic resonance imaging (HRT2WI).

Study Design: A supervised machine learning approach using a U-Net model was applied to segment magnetic resonance imaging images into pixels representing vestibular schwannoma and background pixels.

A Cohort Study of the Surgical Risks and Prediction of Complications in Surgical Tracheostomies.

Background: Current protocols favor percutaneous tracheostomies over open procedures. We analyzed the effects of this conversion from the open approach to the percutaneous procedure in terms of relevant clinical status, complications, and mortality in surgical open tracheostomies. Relevant laboratory and clinical parameters, potentially associated with complications, were also examined.

Major head and neck surgeries in the elderly population, a match-control study.

Background And Objectives: To investigate complication rates in elderly cancer patients undergoing major head and neck surgeries.

Methods: A retrospective, matched-control, analysis. For each elderly (≥70 years) patient, a younger, (<70 years) patients were matched based on sex, tumor location, disease stage, and operation time.

Comparison of Cochlear Implant Device Fixation-Well Drilling Versus Subperiosteal Pocket. A Cost Effectiveness, Case-Control Study.

Objective: To compare surgical characteristics and complications between well drilling (WD) and subperiosteal pocket techniques (SPT) for receiver/stimulator (R/S) fixation of cochlear implant (CI), and conduct cost-effectiveness analysis.

Study Design: Retrospective clinical study, decision-analysis model.

Setting: Tertiary referral center.

Pearls and Pitfalls in Endoscopic Ear Surgery.

"Endoscopic ear surgery (EES) has become increasingly popular due to numerous visualization benefits, including angled optics that enable the surgeon to see and dissect around corners. These advantages help the surgeon overcome the visualization limitations of microscopic ear surgery, reducing the need for a post-auricular incision and bone removal. This chapter discusses useful pearls and pitfalls of EES, technical tips and ergonomic strategies, so the learner can understand and solve common obstacles faced when learning EES and incorporate it into his or her practice.

The Risks of Being Otologist, an Ergonomic and Occupational Hazard Review.

Objective: To review occupational ergonomic risks for the Otologist and Neurotologist.

Data Sources: MEDLINE, OVID, PubMed, and Google Scholar.

Study Selection: A search was conducted to identify all studies in the English language that involve ergonomic-related risks for surgeons.

Medical and surgical characteristics of fusobacterium necrophorum mastoiditis in children.

Objectives: To evaluate and compare characteristics of Fusobacterium necrophorum mastoiditis (FnM) to characteristics of acute mastoiditis (AM) caused by other bacteria in tertiary children hospital Methods : Children with FnM (N=43) and non FnM (N=88). Assess medical, microbiologic and imaging characteristics, surgical findings and postoperative recovery.

Results: Children with FnM had a positive history of otitis media, ear discharge and sub-periosteal abscess (p=0.

3D-Printed Microneedles Create Precise Perforations in Human Round Window Membrane in Situ.

Hypothesis: Three-dimensional (3D)-printed microneedles can create precise holes on the scale of micrometers in the human round window membrane (HRWM).

Background: An intact round window membrane is a barrier to delivery of therapeutic and diagnostic agents into the inner ear. Microperforation of the guinea pig round window membrane has been shown to overcome this barrier by enhancing diffusion 35-fold.

Surgical intervention for acute mastoiditis: 10 years experience in a tertiary children hospital.

Purpose: To evaluate the clinical course of children with acute mastoiditis (AM) who required surgical intervention.

Material And Methods: Clinical and biochemical characteristics at the moment of hospital admission were reviewed for patients who required surgery for AM. Children who were successfully managed conservatively during the last 3 years of study were chosen as a comparison group.

FDG-PET/CT for diagnosis and follow-up of necrotizing (malignant) external otitis.

Objective: Imaging is important for the diagnosis and follow-up of necrotizing external otitis (NEO). The best imaging modality is controversy. To suggest 2-deoxy-2-[fluorine-18] fluoro-D-glucose-positron emission tomography/computed tomography (18F-FDG-PET/CT) as an alternative to technetium-99m and gallium-67 scans for diagnosis and assessment of response to treatment for patients with NEO.

Middle meatal packing in endoscopic sinus surgery-to pack or not to pack?-a decision-analysis model.

Background: Packing of the middle meatus and ethmoid cavities is a common practice in endoscopic sinus surgery (ESS), but its necessity recently has been challenged. The aim of this study was to formulate a decision-analysis model to determine the need for packing in ESS and identify variables affecting the decision.

Methods: A systematic review of the literature was conducted for all randomized control trials comparing packing to no packing in ESS, and a decision-analysis model was generated.

Heat shock proteins HSP90, HSP70 and GRP78 expression in medullary thyroid carcinoma.

Background: Medullary thyroid carcinoma management consists mainly of surgical resection and is largely chemoresistant. There is ongoing effort to discover novel therapies for medullary thyroid carcinoma. Increased levels of heat shock proteins have been associated with multiple cancers and are being studied as potential therapeutic targets.

Malignant external otitis: Factors predicting patient outcomes.

Objective: Malignant external otitis (MEO) is an aggressive infection, primarily affecting elderly diabetic patients. It begins in the external ear canal and spreads to adjacent structures. This study investigated the clinical characteristics of patients diagnosed and treated for MEO and analyzed factors affecting patient outcomes.

Aggressive Palliation and Survival in Anaplastic Thyroid Carcinoma.

Importance: Anaplastic thyroid carcinoma is an undifferentiated aggressive tumor with a high rate of regional and distant spread and a grave prognosis (median survival, 3 months) with no standardized treatment.

Objective: To review the effect of an active treatment policy on the outcome of anaplastic thyroid carcinoma.

Design, Setting, And Participants: Retrospective comparative study of all patients diagnosed as having anaplastic thyroid carcinoma and undergoing treatment from January 1, 2008, through December 31, 2013, in a tertiary university-affiliated medical center.

Treatment decisions and adherence to guidelines in the treatment of low risk papillary carcinoma of the thyroid.

Background: Treatment guidelines for well-differentiated papillary thyroid carcinoma (PTC) are based on retrospective studies and vary among professional thyroid associations.

Objectives: To evaluate physician adherence to guidelines, overall and by specialty.

Methods: Questionnaires on the approach to low risk PTC were distributed among 51 surgeons and endocrinologists treating patients with PTC in tertiary medical centers.