Publications by authors named "Yahav Oron"

Objective: To determine whether the subperiosteal abscess (SPA) volume in acute coalescent mastoiditis (ACM) as measured in imaging studies, should influence the decision-making process between performing mastoidectomy versus needle aspiration or incision and drainage (I&D) as the initial treatment of SPA.

Setting: Single tertiary referral center.

Patients And Methods: The records of all pediatric patients admitted with ACM between 1/2012 and 12/2023 were retrospectively reviewed.

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Objective: To characterize middle ear (ME) effusion still present 2 months after repair surgery for spontaneous cerebrospinal fluid (CSF) leak via the temporal bone (TB).

Study Design: A retrospective chart review (2011-2022).

Setting: Tertiary referral academic center.

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Background And Objectives: Susac syndrome (SuS) is a rare disorder characterized by encephalopathy, branch retinal artery occlusion, and sensorineural hearing loss, often accompanied by vertigo. Recent updates to diagnostic criteria and treatment guidelines have been made. This study examines clinical manifestations; disease activity; and risk factors of disability, dependency, and return to work in patients with SuS.

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Objective: To study predictors of delayed presentation, diagnosis, and treatment of idiopathic sudden sensorineural hearing loss (ISSNHL).

Study Design: Retrospective medical chart review and patient telephone survey.

Setting: Tertiary medical center.

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Article Synopsis
  • Steroids are a key treatment for acute acoustic trauma (AAT), but the overall recovery rate is not well defined.
  • A study analyzed cases from 2012 to 2022, combining original case data with a systematic review of existing literature to evaluate treatment outcomes.
  • Results showed about 70% of ears experienced some recovery with steroids, while around 30% achieved full recovery if treatment began within the first two weeks post-injury.
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Objective: To provide pooled analyses on the association between COVID-19 vaccine and the incidence of idiopathic sudden sensorineural hearing loss (ISSNHL).

Data Sources: "Medline" via "PubMed", "EMBASE", and "Google scholar".

Review Methods: Data sources were inspected from January 2020 to January 2024 using search terms relevant to vaccines for COVID-19.

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Objective: Temporal bone pneumatization (TBP) is speculated to serve as a shock absorber in temporal bone fractures (TBF), directing the fracture line away from vital structures. This study correlates TBP extent with TBF patterns and preservations of vital TB structures.

Study Design: Retrospective cohort study.

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Purpose: Temporal bone paraganglioma (TBP) are the most common tumors of the middle ear. They pose a challenge in otologic surgery due to their extensive vascularity and intricate location within the middle ear. This meta-analysis aimed to compare the safety and efficacy of two surgical approaches, microscopic middle ear surgery (MMES) and endoscopic middle ear surgery (EMES), in the resection of TBP.

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 The outbreak of COVID-19 has produced an unprecedented number of trials and articles.  To study the impact of the COVID-19 pandemic on otolaryngology-head and neck surgery (ORL-HNS) journal processing times.  Original papers search of published in selected ORL-HNS journals in terms of times from submission-to-acceptance (S-A), acceptance-to-first online publication (A-P), and submission-to-online publication (S-P).

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Unlabelled: Acceptance and commitment therapy (ACT) was found to be effective with a diverse range of clinical conditions. The aim of this study is to evaluate the efficacy of ACT-based treatment for individuals with tinnitus. Meta-analysis of the scientific literature of Medline via PubMed, EMBASE, Web of Science and Google Scholar.

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Introduction: The etiology of idiopathic sudden sensorineural hearing loss (ISSNHL) remains elusive, with vascular compromise as a proposed cause. This study aimed to explore the correlation between the vertebrobasilar vascular system laterality (VBVSL) and ISSNHL laterality.

Methods: We conducted a retrospective analysis of consecutive patients diagnosed with ISSNHL from 2015 to 2020.

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Objectives: To question the value of drilling the site of the stalk ("insertion site" or "stalk" drilling) of a pedunculated external auditory canal osteoma (EACO) in reducing recurrence.

Data Sources: A retrospective medical chart review of all patients treated for EACO in one tertiary medical center, a systematic literature review using Medline via "PubMed", "Embase", and "Google scholar" search, and a meta-analysis of the proportion for recurrence of EACO with and without drilling.

Results: The local cohort included 19 patients and the EACO origin was the anterior EAC wall in 42% and the superior EAC wall in 26%.

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Objectives: Data on the association between Bell's palsy (BP) and pregnancy is scarce and there is an ongoing debate regarding the association of BP and pregnancy.

Main Outcome Measures: We aimed to investigate the prevalence of BP among pregnant patients and determine the frequency of pregnant women in BP cohorts and vice versa, assess which term of the pregnancy and peripartum bears a higher risk for BP occurrence, and determine the prevalence of maternal comorbidities associated with BP during pregnancy.

Design: Meta analysis.

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Objective: This study aimed to characterize self-reported postoperative pain after tympanoplasty and tympanomastoidectomy and correlate pain severity with the patient's preoperative anxiety state.

Study Design: Prospective cohort study.

Setting: Tertiary referral medical center.

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Objective: To study the association between neurovascular conflict (NVC) of the 8th cranial nerve (CN8) and unilateral sudden sensorineural hearing loss SSNHL (SSNHL).

Methods: A systematic literature search of "MEDLINE" via "PubMed," "Embase," and "Google-Scholar" was conducted. Meta-analysis of pooled data was performed for NVC prevalence of SSNHL affected ears versus controls.

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Article Synopsis
  • The study examines the urgent need to classify unilateral idiopathic sudden sensorineural hearing loss (ISSNHL) as an otologic emergency and aims to determine the best timing for treatment initiation to improve outcomes.
  • Researchers conducted a systematic review of literature and original case series, analyzing data from a total of 1,623 affected ears to assess the impact of treatment delays on recovery rates.
  • Findings suggest that initiating steroid treatment within 3 days of sudden hearing loss significantly increases the likelihood of recovery, establishing a strong recommendation for timely intervention in ISSNHL cases.
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Purpose: Steroids comprise the mainstay of treatment for idiopathic sudden sensorineural hearing loss (ISSNHL). Since steroidal treatment was integrated to clinical practice guidelines, newly published no-treatment or placebo arms in clinical trials are scarce. To evaluate the effectiveness of steroidal treatment ± hyperbaric oxygen therapy, the data should be compared to spontaneous recovery.

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Objectives: To assess the correlation between inflammatory markers (IM) and hearing loss (HL) in a large cohort of apparently healthy individuals.

Design: A cross sectional study.

Setting: Tel-Aviv Medical Center (a tertiary referral center) Inflammatory Survey Participants Individuals who attended the Tel-Aviv Medical Center Inflammatory Survey (TAMCIS) for a routine annual health check.

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To study the impact of the COVID-19 pandemic on journal processing times before publication in the field of otolaryngology-head and neck surgery (ORL-HNS). Online search of original papers published in selected ORL-HNS journals in terms of times from submission to acceptance (S-A), acceptance to first online publication (A-P), and submission to online publication (S-P). Papers were divided into those published in the pre-COVID-19 era and those during the COVID-19 era.

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Article Synopsis
  • The study aimed to identify the early signs and spread patterns of bone erosion in skull base osteomyelitis (SBOM) through high-resolution CT scans and link these findings with clinical data for better diagnosis.
  • Researchers analyzed medical records of patients with SBOM from 2015 to 2022, focusing on the radiological assessments done by experienced neuro-radiologists without clinical bias.
  • Results showed that the most common indicators of SBOM included irregularities in the walls of the external auditory canal and temporomandibular joint, and early CT findings are critical for timely diagnosis to prevent severe complications.
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Article Synopsis
  • The study aimed to explore seasonal patterns in the occurrence of idiopathic sudden sensorineural hearing loss (ISSNHL) by analyzing patient records and existing literature from 2012 to 2020.
  • Results indicated that the incidence of ISSNHL was highest in spring and lowest in winter, with a significant difference observed during winter months.
  • However, data from Google Trends showed no significant link between the month of the year and the incidence of ISSNHL across different countries.
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Article Synopsis
  • - The study aimed to examine how tympanostomy tubes (TT) affect the accuracy of infrared tympanic membrane thermometer (ITMT) readings and to review existing research on ITMT results in ears that have received treatment.
  • - Conducted at a university medical center, the research involved comparing temperature measurements from ears with TT to those without, while controlling for factors like earwax removal, using a blinded methodology.
  • - Results indicated a statistically significant difference in ITMT readings between ventilated (TT) and non-ventilated (naïve) ears, confirming that ITMT is a reliable tool for measuring temperatures in ears with TT.
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Objective: To investigate the likelihood of missing a vestibular schwannoma (VS) diagnosis in patients who present with a sudden hearing loss (SHL) that does not meet the most accepted audiometric criteria for sudden sensorineural hearing loss (SSNHL) (a decrease of ≥30 dB at three consecutive frequencies).

Methods: All adult patients (>18 years) diagnosed with SHL of any severity in a tertiary care referral medical center between 2015 and 2020 and who underwent an MRI scan to rule out VS were included. Statistical analyses were conducted to evaluate the difference between the rate of VS among patients with an initial audiogram, which met the abovementioned criteria, and those who did not.

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Background: Tinnitus may be a disabling, distressing disorder whereby patients report of sounds, in the absence of external stimulus. Recent evidence supports the effectiveness of psychological interventions, particularly, cognitive behavioral therapy (CBT) based intervention for the reduction of tinnitus-related distress and disability. This study assessed the effectiveness of mobile delivered cognitive training exercises to reduce tinnitus-related distress.

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Article Synopsis
  • The study focused on documenting adverse events (AEs) related to systemic steroid treatment in patients with idiopathic sudden sensorineural hearing loss (ISSNHL) over a four-year period.
  • Out of 143 patients, 37% experienced AEs, with a significant correlation found between having diabetes mellitus (DM) and hypertension (HTN) and the likelihood of experiencing these events.
  • The study concluded that AEs are common during treatment, and neither pre-existing blood pressure nor glucose levels can reliably predict AEs, highlighting the importance of close monitoring of blood pressure and glucose during the treatment process.
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