Gentamicin injections for Ménière disease: comparison of subjective and objective end points.

This retrospective study reports the overall efficacy and comparative results of intratympanic gentamicin injections for disabling vertigo episodes. All patients received weekly injections for diagnosed Ménière disease. In Group 1 (81 patients), treatment end points were determined by subjective complaints of imbalance, with resolution of vertigo.

Effectiveness of treatment techniques in 923 cases of benign paroxysmal positional vertigo.

Objective: To present treatment effectiveness of 923 consecutive cases of benign paroxysmal positional vertigo (BPPV) using canalith repositioning, liberatory, and log roll maneuvers combined with redistribution exercises.

Study Design: Retrospective case review.

Methods: Patients presented with either posterior semicircular canal (P-SCC) BPPV or horizontal semicircular canal (H-SCC) BPPV.

Tinnitus reduction using transcutaneous electrical stimulation.

Electrical stimulation as a treatment for tinnitus seems to be effective in about 50% of patients with tinnitus of various causes. Electrical stimulation as a treatment for tinnitus is safe, if delivered within the parameters described in this article.

The effectiveness of neuromuscular facial retraining combined with electromyography in facial paralysis rehabilitation.

Objective: The study goal was to present the effectiveness of neuromuscular facial retraining techniques used in combination with electromyography for improving facial function even in cases of longstanding paralysis.

Study Design And Setting: We conducted a retrospective case review in a tertiary neurotology clinic.

Patients: Twenty-four patients with facial paralysis received neuromuscular facial retraining between April 1999 and April 2001.

Vertigo after cochlear implantation.

Background: Historically, vertigo after cochlear implantation has not been frequently documented. This differs from the authors' experience in reviewing all adults who underwent implantation at their center from 1995 through 1999.

Objective: To determine the incidence of vertigo after cochlear implantation and to describe appropriate intervention.

Treatment of tinnitus with electrical stimulation.

The purpose of this study was to evaluate the treatment of tinnitus with electrical stimulation. Five hundred patients with tinnitus were treated with probe electrical stimulation. Causes of tinnitus were sensorineural hearing loss (303 patients), Meniere's disease (88), infection (25), head trauma (39), acoustic trauma (25), ototoxicity (4), and chemotherapy (2).

Multichannel cochlear implantation in children with cochlear ossification.

Objective: To compare results of post-meningitic children who had cochlear implantation with partial or complete drill-out to those who had no drill-out.

Study Design: This study is a retrospective case review.

Setting: The Atlanta Cochlear Implant Group is a private, tertiary, outpatient clinic.

Comparison of the canalith repositioning procedure and vestibular habituation training in forty patients with benign paroxysmal positional vertigo.

Forty patients with benign paroxysmal positional vertigo were treated with either the canalith repositioning procedure or vestibular habituation exercises to determine which treatment approach would be most effective. Twenty additional patients with benign paroxysmal positional vertigo were not treated and served as a control group. The intensity and duration of symptoms were monitored during a 3-month period.

Hydrocephalus in the patient with acoustic neuroma.

Hydrocephalus can occur in conjunction with large acoustic neuromas. Cerebral tentorial herniation and brainstem compression can be a complication of surgical excision. Three cases of hydrocephalus and acoustic neuroma are presented and therapeutic options are discussed.

Scala vestibuli cochlear implantation for labyrinthine ossification.

Labyrinthine ossification is a common occurrence in patients with profound deafness. This may run as high as 80 percent in patients deafened by meningitis. Ossification sometimes makes cochlear implantation difficult.