The potential effect of the updated national criteria on adult cochlear implantation in England and Wales.

Objectives: Following an update of 'old' TA166 guidance (March 2019), the National Institute for Health and Care Excellence (NICE) predicted a 70% increase in cochlear implantation (CI). We investigated the effect of the 'new' TA566 criteria on adult CI at our regional centre.

Methods: Adult CI assessments between 1st January 2015 and 31st December 2018 (before new criteria) and between 7th March 2019 and 31st August 2019 (after new criteria) were retrospectively examined.

Long-term Quality of Life Following Vestibular Schwannoma Excision Via the Translabyrinthine Approach.

Objective: To assess postoperative quality of life (QOL) and other patient-reported outcomes following surgery for vestibular schwannoma.

Study Design: Cross-sectional retrospective case review using postal questionnaires.

Setting: Tertiary referral center.

Self-reported symptoms and patient experience: A British Acoustic Neuroma Association survey.

Objective: To assess patient-reported outcomes and experience of vestibular schwannoma (VS) management.

Study Design: Survey of members of the British Acoustic Neuroma Association (BANA).

Methods: Members of the BANA were invited to complete an online survey.

Results of a prospective surgical audit of bilateral paediatric cochlear implantation in the UK.

Objectives: Since being approved in 2009, bilateral simultaneous cochlear implantation (CI) has been the standard treatment for children in the UK who meet the criteria for CI. The aim was to report surgical outcomes of bilateral CI in the UK.

Methods: Between January 2010 and December 2011, 14 UK CI centres collected data prospectively: demographics, aetiology, use of imaging, device type, surgery duration, use of intra-operative electrophysiology, length of stay, and post-operative complications.

Cochlear implantation in children with syndromic deafness.

Objective: To examine the outcome of cochlear implantation in children with syndromic deafness, who are increasingly being considered for cochlear implants and who represent a unique challenge to the cochlear implant team.

Method: In this retrospective case series in a tertiary referral cochlear implant centre, we describe a series of 38 children with a clinical syndrome causing deafness who have undergone cochlear implantation. The outcome measures are Bench-Kowal-Bamford (BKB) speech reception score (range 0-100%) and speech perception ability using the Geers and Moog Speech Reception Score (SRS) (range from 0; no speech perception, to 6; open set recognition of words).

Cochlear implants and magnetic resonance scans: A case report and review.

Objective And Importance: Traditionally, magnetic resonance imaging (MRI) was contraindicated for patients with cochlear implants (CIs), due to concern about device displacement, overheating of the device or tissues, or direct damage to the device electrode. In addition, image artifact from the device magnet gave poor imaging information in the cranial and upper cervical spine region. Today, MRI is increasingly required in patients who have undergone cochlear implantation, and CI design and MRI protocols have therefore changed to allow implanted patients to safely enter the MRI field, in some cases without removal of the CI internal magnet.

Cochlear implantation in children with Jervell and Lange-Nielsen syndrome - a cautionary tale.

Objective And Importance: Jervell and Lange-Nielsen (JLN) syndrome is a rare cause of congenital profound hearing loss associated with a prolonged QT interval on the electrocardiogram. Children presenting for cochlear implantation with this condition may be asymptomatic but are at risk of sudden death. SCREENING AND SUBSEQUENT: careful management is therefore required to ensure a successful outcome.

Bilateral multicystic parotid masses in primary Sjögren syndrome.

We report the case of a 48-year-old woman who presented with bilateral parotid gland enlargement as the initial manifestation of primary Sjögren syndrome. Magnetic resonance imaging demonstrated multiple areas of low-intensity signal mixed with foci of high-intensity signal, a finding suggestive of Sjögren syndrome. Autoimmune blood tests for Sjögren syndrome were positive, and a sublabial biopsy confirmed the diagnosis.

Cochlear implantation in children with cerebral palsy.

Objective: Few studies have looked at the outcomes of children with complex needs following cochlear implantation. Increasing evidence supports the case for implantation in these children. To date there is very little evidence available evaluating the role of cochlear implantation in children with cerebral palsy.

Outcome of cochlear implantation in asymptomatic congenital cytomegalovirus deafened children.

Objectives/hypothesis: Congenital cytomegalovirus (cCMV) infection is a common cause of sensorineural hearing loss (SNHL). The incidence of SNHL is higher in symptomatic cCMV infants and is usually identified early. By contrast, the incidence of SNHL is lower in children with asymptomatic cCMV, and the hearing loss can be delayed in onset and progressive.

Cochlear implantation in Donnai-Barrow syndrome.

Objective And Importance: Donnai-Barrow syndrome is a rare autosomal recessive disorder associated with severe sensorineural hearing loss (SNHL). Several ocular abnormalities have also been described in this syndrome, including hypertelorism, down-slanting palpebral fissures, myopia and retinal detachment. The condition is also associated with diaphragmatic hernia, exomphalos, absent corpus callosum and developmental delay.

Return to theatre in secondary post-tonsillectomy haemorrhage: a comparison of coblation and dissection techniques.

The aim of this study is to examine the incidence of return to theatre (RTT) for post-operative haemorrhage following coblation and dissection tonsillectomy and to investigate those that required RTT more than 10 days post-surgery. Retrospective review of post-tonsillectomy haemorrhages requiring RTT from April 2005 to March 2009 was conducted. Of 2,541 tonsillectomies performed, 81% were by coblation and 19% by dissection methods.

Displacement of the magnet of a cochlear implant receiver stimulator package following minor head trauma.

Cochlear implantation is an established and effective means of rehabilitation in selected severely and profoundly hearing-impaired children and adults. The incidence of complications is low. However, inadvertent trauma remains an important consideration in young children, perhaps more so in children with multiple handicaps.