Audiological and Vestibular Follow-Up for Children with Congenital Cytomegalovirus Infection: From Current Limitations to Future Directions.

Currently, the guidelines for audiological and vestibular follow-up in children with congenital cytomegalovirus (CMV) are not well-defined. The general recommendation is to evaluate hearing in all children with congenital CMV at the same intervals: once every 3-6 months up to 1 year of age, once every 6 months from 1 to 3 years of age, and once a year from 3 to 6 years of age. Additionally, there are no universally accepted protocols for the vestibular follow-up of children with congenital CMV, although video head impulse test (v-HIT) and cervical vestibular-evoked myogenic potentials (cVEMPs) are sometimes used.

[Noise pollution in the working environment].

NOISE POLLUTION IN THE WORKING ENVIRONMENT. Hearing damage due to exposure to noise in the workplace has been recognised as a professional disease since 1963. It first manifests itself as auditory fatigue, which can be assessed by Echoscan and which requires preventive measures, before bilateral hearing loss sets in, usually symmetrical, initially producing a very characteristic auditory scotoma centred on the 4000 Hz frequency.

Bioactive glass in canal wall reconstruction tympanoplasty.

The purpose of this Technical Note is to describe the surgical technique to transform canal wall down tympanoplasty into canal wall up tympanoplasty, that is, to rehabilitate a recess cavity by filling the mastoid and epitympanic cavities with synthetic tissue (bioactive glass) and recreating a normal-caliber external auditory canal. Mastoid cavity obliteration leads to a clinically significant improvement in health-related quality of life without increasing risk of recurrent or residual cholesteatoma, conditional upon technically impeccable surgery.

Is gelfoam sealing necessary in stapes surgery?

Background: Sealing the oval window around the piston after fenestration with Gelfoam is a common practice in stapes surgery for otosclerosis.

Objectives: To analyse the effect of using or not using Gelfoam as a sealing material.

Methods: A retrospective study was performed on 418 patients who underwent stapes surgery from 2013 until 2019.

MRI Monitoring of Residual Vestibular Schwannomas: Modeling and Predictors of Growth.

Objectives: The aim was to model residual Vestibular Schwannoma (VS) over time to identify prognostic factors of postsurgical growth.

Study Design: Multicenter retrospective study.

Setting: Tertiary referral centers.

Low-fidelity otoscopy simulation and anatomy training: A randomized controlled trial.

Objectives: To evaluate whether the use of low-fidelity otoscopy simulation improved medical students' theoretical knowledge of middle ear anatomy and pathologies compared to traditional teaching methods.

Methods: This was a randomized controlled trial. Simulation workshops were conducted in April 2019 in the Lyon Sud University medical faculty, France.

Evolution and safety of day-case major ear surgery.

Aims: To study the evolution of middle-ear surgery in 2019 in relation to the French Health Authority target of 66% day-surgery by 2020.

Material And Methods: A single-center retrospective observational study included all patients undergoing otologic surgery between January 2014 and December 2018 in a university hospital center. 1064 of the 1368 patients were scheduled for outpatient surgery: 309 for otosclerosis, 355 for tympanoplasty with or without ossiculoplasty, 376 for cholesteatoma and 24 for other procedures.

Telemedicine for ENT: Effect on quality of care during Covid-19 pandemic.

Aims: To assess the benefit of telemedicine consultation during the Covid-19 pandemic.

Material And Methods: A prospective study of patient satisfaction with telemedicine consultation was carried out in the ENT department of a university hospital center where telemedicine consultations were set up to replace scheduled out-patient consultations. Patients were divided into two groups according to overall satisfaction, in order to identify predictive factors.

Tolerance and safety of 45S5 bioactive glass used in obliteration procedures during middle ear surgery: Preliminary results.

Objective: Otologists face many disadvantages after extensive mastoid drilling and canal wall down technique in cholesteatoma surgery. Mastoid and epitympanic cavity obliterations or reconstructions after canal wall down procedure using bioactive glass seem to be an interesting solution to overcome some of these disadvantages. Bioactive glass offers many benefits including the availability when there are no sufficient autologous materials for obliteration, its antibacterial activity in chronic infected ear and decreasing the recidivism of cholesteatoma.

MRI monitoring of small and medium-sized vestibular schwannomas: predictors of growth.

Vestibular schwannomas are among the most common intracranial tumours. Their growth is difficult to predict. To study the evolution of small and medium-sized vestibular schwannomas (VSs) and identify factors predictive of growth.

Is one of these two techniques: CO laser versus microdrill assisted stapedotomy results in better post-operative hearing outcome?

Objective: To evaluate hearing results and outcome using two different surgical techniques (microdrill and CO Laser fenestration) in the treatment of conductive hearing loss in patients with otosclerosis.

Study Design: Retrospective audiometric database and chart review from January 2005 until December 2016.

Setting: Two tertiary referral hospitals MATERIALS AND METHODS: Seven-hundred forty-two primary stapedotomy have been reviewed retrospectively in two referral hospitals.

Probabilistic Tractography to Predict the Position of Cranial Nerves Displaced by Skull Base Tumors: Value for Surgical Strategy Through a Case Series of 62 Patients.

Background: Predicting the displacement of cranial nerves by tumors could make surgery safer and the outcome better. Recent advances in imaging and processing have overcome some of the limits associated with cranial nerve tractography, such as spatial resolution and fiber crossing. Among others, probabilistic algorithms yield to a more accurate depiction of cranial nerve trajectories.

A comparative retrospective study: hypoglossofacial versus masseterofacial nerve anastomosis using Sunnybrook facial grading system.

Introduction: The aim of our study is to compare the functional results between two surgical techniques for reanimation of facial paralysis: hypoglossal-to-facial versus masseteric-to-facial nerve anastomosis.

Methods: This is a retrospective study of 13 patients treated for complete facial paralysis in two medical tertiary centers. The patients were classified into two groups.

Effect of corticosteroids on facial function after cerebellopontine angle tumor removal: a double-blind study versus placebo.

The aim of this study was to assess the effect of corticosteroids administered intra- and postoperatively on the occurrence of facial palsy after a cerebellopontine angle (CPA) tumor resection, and to investigate pre- and intraoperative prognostic factors. A multicenter, prospective, randomized, double-blind and versus-placebo study was conducted between 2006 and 2010. Three hundred and ten patients operated on for a CPA tumor (96% vestibular schwannomas, 4% miscellaneous) were included by five participating centers.

[Aspirin hypersensitivity: characteristics and diagnostic approach].

Introduction: In routine medical practice, the diagnosis of aspirin hypersensitivity (AH) remains difficult. No clinical feature or biomarker is available to reliably confirm this diagnosis and oral provocation tests (OPT) are rarely performed.

Aim: To compare asthmatics with and without AH.

Experience of multidisciplinary team meetings in vestibular schwannoma: a preliminary report.

To assess the contribution of multidisciplinary team meetings (MTM) on vestibular schwannoma management as well as to (1) compare professional compliance to national guidelines and (2) study the percentage of loss to follow-up in cases of conservative management by radiologic observation. A retrospective descriptive study of MTMs held between January 2011 and May 2013 in a tertiary referral center. Patients were classified in three groups according to the MTM decision (observation, surgery or radiotherapy).

Hearing preservation in retrosigmoid approach of small vestibular schwannomas: prognostic value of the degree of internal auditory canal filling.

Objectives: To assess the contribution of preoperative radiologic appearance of vestibular schwannoma (VS) on the magnetic resonance imaging in constructive interference in steady-state sequences and demonstrate if the degree of the internal auditory canal (IAC) filling is correlated with hearing and facial preservation.

Patients: A group of 278 patients who underwent VS surgery in a tertiary referral center.

Intervention: Retrosigmoid approach surgery.

Perioperative complications after translabyrinthine removal of large or giant vestibular schwannoma: Outcomes for 123 patients.

Conclusion: Large vestibular schwannomas are benign but dangerous tumors. The translabyrinthine approach allows the surgeon to limit vital and functional complications due to the disease itself or to its surgical removal.

Objective: Morbi-mortality study focused on large vestibular schwannoma surgically treated by translabyrinthine removal.

[Meningiomas of the posterior petrous bone: diagnostic and therapeutic aspects].

Objective: To compare the clinical and paraclinical picture and the postoperative results of meningiomas of the posterior petrous bone and to compare them with those of vestibular schwannomas (VSs) operated on by the same surgical team.

Material And Method: A retrospective study of 27 patients (23 females) operated on for meningioma of the posterior petrous bone between 1994 and 2004. These were compared with 424 patients with VS operated on between October 1994 and January 2001.

Are stage IV vestibular schwannomas preoperatively different from other stages?

Objective: The aim of this study was to focus on the clinical and paraclinical symptoms of patients suffering from Stage IV vestibular schwannomas (VSs).

Patients: In this prospective study, we included 734 patients who have VS and candidates for operation.

Main Outcome Measures: Patients were classified as having Stage I, II, III, or IV tumors according to Tos criteria as evaluated by magnetic resonance imaging.

[Traumatic luxation of the stapes: radiology and surgical outcome].

Objectives: To describe the value of high resolution computed tomography scan (HRCT scan) in post traumatic hearing loss.

Method: HRCT scan of the temporal bone in millimetric cut with axial and coronal views was performed.

Results: CT scan confirmed pneumolabyrinth with intact stapes depressed deeply into the vestibule.

[Predictive factors of facial palsy of the acoustic neurinoma after retrosigmoid surgery: 230 cases].

Objectives: To determine predictive factors influencing postoperative facial palsy during retro sigmoid approach in vestibular schwannoma surgery.

Material And Methods: Retrospective study over 230 patients with vestibular schwannoma, mostly stade I and II, operated by retro sigmoid approach, by the same oto neuro chirurgical team between 1993 and 2004. Pre and post operative parameters taken into consideration: quantitative: age and sex, audiometric parameters, duration of clinical symptoms; qualitative: tumor anatomic factors and facial nerve function according to House Brackmann classification.

Pre- and intraoperative predictive factors of facial palsy in vestibular schwannoma surgery.

Conclusion: S These results support previous ones with regard to FN risk factors in VS surgery. However, they also provide new preoperative factors that influence postoperative FN function, such as clinical symptoms, the nature of the surgical procedure (use of laser) and ABR results.

Objective: To determine pre- and perioperative factors influencing facial nerve (FN) outcome in vestibular schwannoma (VS) surgery.