In this article, we present four patients who underwent cochlear implantation due to far advanced otosclerosis. Preoperative evaluations, intraoperative findings, complications, and postoperative benefits were analyzed. Cochlear implantation is a treatment option providing excellent audiological results for rehabilitation of patients with far advanced otosclerosis. However, facial nerve stimulation after cochlear implantation is observed more frequently in patients with otosclerosis. Also, caution should be paid in patients with otosclerosis in terms of cochlear ossification and inconsistent results.
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http://dx.doi.org/10.5606/kbbihtisas.2016.37541 | DOI Listing |
Laryngoscope Investig Otolaryngol
December 2024
Department of Otolaryngology-Head & Neck Surgery University of Minnesota Minneapolis Minnesota USA.
Objective: To explore the historical evolution of surgical techniques for otosclerosis treatment, viewed through the lens of human temporal bone pathology to aid in understanding the disease and refining surgical interventions.
Data Sources: A review of historical literature on otosclerosis, surgical techniques, and otopathological findings was conducted. Eight temporal bone specimens from the Paparella Otopathology & Pathogenesis Laboratory, University of Minnesota, and one from the University of California, Los Angeles, were analyzed.
J Acoust Soc Am
September 2024
School of Mechatronic Engineering, China University of Mining and Technology, Xuzhou 221116, China.
A speech intelligibility (SI) prediction model is proposed that includes an auditory preprocessing component based on the physiological anatomy and activity of the human ear, a hierarchical spiking neural network, and a decision back-end processing based on correlation analysis. The auditory preprocessing component effectively captures advanced physiological details of the auditory system, such as retrograde traveling waves, longitudinal coupling, and cochlear nonlinearity. The ability of the model to predict data from normal-hearing listeners under various additive noise conditions was considered.
View Article and Find Full Text PDFJ Int Adv Otol
March 2024
Otorhinolaryngosurgery Clinic, World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw, Poland.
Background:: The aim was to assess the hearing outcomes in cochlear implant patients with far-advanced otosclerosis who had previously undergone stapes surgery.
Methods:: We studied 17 implanted patients with far-advanced otosclerosis who had previously undergone stapes surgery. They comprised 15 women and 2 men, aged 37-73 years; the duration of hearing impairment was 9-42 years.
J Chin Med Assoc
July 2024
Department of Otolaryngology, Cheng Hsin General Hospital, Taipei, Taiwan, ROC.
Background: The senior author Shiao, had introduced a modified version of the traditional stapes surgery, called minimally traumatic stapes surgery (MTSS), and explored its effectiveness in reducing postoperative vertigo. However, MTSS exhibited no significant breakthrough in terms of audiometric results. Building upon the original MTSS through slight modifications and the use of the Medtronic Big Easy ® Piston as the prosthesis, this study evaluates a refined version of the original MTSS technique.
View Article and Find Full Text PDFOtol Neurotol
June 2024
Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Objectives: To evaluate the effectiveness of cochlear implantation (CI) in case of far advanced otosclerosis and to evaluate the value of using intraoperative otoendoscopy to facilitate the identification of the round window membrane and the scala tympani without the need to remove the posterior canal wall or to perform a subtotal petrosectomy.
Study Design: Retrospective case-series study.
Setting: Tertiary academic CI center.
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