Rate of Development of Venous Thromboembolism in Lateral Skull Base Surgery.

Objectives: Venous thromboembolism (VTE) is a major cause of morbidity and mortality for surgical patients. This article aims to determine factors that may have contributed to the development of VTE in patients undergoing lateral skull base surgery, to assess the validity of the Caprini Risk Assessment Model (RAM) score in this subset of patients, and to determine the efficacy of mechanical DVT prophylaxis alone in preventing VTE.

Study Design: Retrospective chart review.

Audiologic Outcomes of Footplate Drillout for Obliterative Otosclerosis.

Objective: To evaluate the audiologic outcomes of microdrill fenestration for obliterative otosclerosis compared to traditional stapedotomy technique.

Study Design: Retrospective chart review.

Setting: Tertiary referral center.

Comparison of Cranioplasty Techniques Following Translabyrinthine Surgery: Implications for Postoperative Pain and Opioid Usage.

Objective: To assess differences in postoperative pain, opioid usage, and surgical outcomes between cranioplasty using abdominal fat graft (AFG) versus hydroxyapatite cement (HAC) following translabyrinthine surgery.

Study Design: Retrospective case control.

Setting: Tertiary referral center.

Insights into the molecular mechanisms regulating mammalian hair cell regeneration.

Purpose Of Review: To give an overview of recent advances in mammalian auditory hair cell regeneration.

Recent Findings: Supporting cells act as progenitors to regenerate hair cells in the prehearing mammalian cochlea but not in the mature cochlea. To overcome this developmental obstacle, manipulation of multiple genes and intracellular pathways has been investigated, which has obtained promising data.

Risk Factors for Complications Following Lateral Skull Base Surgery and the Utility of ICU Monitoring.

Objective: To examine the role of intensive care unit (ICU) management following lateral skull base surgery for vestibular schwannoma and identify risk factors for complications warranting admission to the ICU.

Study Design: Retrospective review.

Setting: Tertiary referral center.

Surgical Outcomes After Conservative Resection of Vestibular Schwannoma in the Elderly.

Objective: To assess outcomes after surgery for vestibular schwannoma in patients over 70 years of age.

Study Design: Retrospective chart review.

Setting: Two tertiary otology and neurotology centers.

Absent pyramidal eminence and stapedial tendon associated with congenital stapes footplate fixation: Intraoperative and radiographic findings.

Objective: Report an association between congenital stapes footplate fixation (CSFF) and radiological absence of the pyramidal eminence and stapedial tendon.

Patients: Children and adults with intraoperatively confirmed CSFF and an absent stapedial tendon.

Interventions: Computed tomography (CT); exploratory tympanotomy with stapedotomy.

Effect of Surgical Start Time on Stapedotomy Outcomes.

Objective: To examine if performing stapedotomy as the first case of the day provides improved outcomes compared with those performed later in the day.

Study Design: Retrospective chart review.

Setting: Tertiary referral center.

Otologic Manifestations of Langerhans Cell Histiocytosis: A Systematic Review.

Objective: To perform a systematic review to investigate common otologic manifestations of Langerhans cell histiocytosis, the incidence of these findings, methods for diagnosis, as well as medical and surgical management.

Data Sources: PubMed/MEDLINE, Embase, and Cochrane Library.

Review Methods: A search of PubMed/MEDLINE, Embase, and Cochrane Library for all articles published between 1963 to 2020 was performed with variations and combinations of the following search terms: Langerhans cell histiocytosis, eosinophilic granuloma, Letterer-Siwe, Hand-Schüller-Christian, otitis, otologic, ear.

Early Outcomes of Simultaneous Translabyrinthine Resection and Cochlear Implantation.

Objectives/hypothesis: Hearing rehabilitation after translabyrinthine resection of a vestibular schwannoma (VS) has largely been based on the transfer of acoustic stimulus to the contralateral ear, typically through a contralateral routing of signal hearing aid or bone-anchored hearing aid (BAHA). Cochlear implant, either as a subsequent surgery or simultaneously, has become a more common treatment option; however, there is still relatively limited data available on its success. The purpose of this study is to evaluate the early outcomes of simultaneous cochlear implantation in patients with sporadic VS undergoing translabyrinthine resection.

Diagnosis and management of eosinophilic otitis media: a systematic review.

Background: Eosinophilic Otitis Media (EOM) is a relatively newly defined entity of recurrent and resistant otitis media.

Objective: To perform a systematic review of otologic manifestations, diagnosis and management of eosinophilic otitis media (EOM).

Methods: 393 patients diagnosed with EOM of 26 studies met inclusion criteria and were assessed for demographics, otologic manifestations, diagnostic criteria fulfilled, and medical and surgical treatments.

Best Practices in Facial Nerve Monitoring.

Objectives/hypothesis: Facial nerve monitoring (FNM) has evolved into a widely used adjunct for many surgical procedures along the course of the facial nerve. Even though majority opinion holds that FNM reduces the incidence of iatrogenic nerve injury, there are few if any studies yielding high-level evidence and no practice guidelines on which clinicians can rely. Instead, a review of the literature and medicolegal cases reveals significant variations in methodology, training, and clinical indications.

Is Menière's Disease a Contraindication to Stapedectomy?

Objective: Review surgical outcomes of stapedectomy for otosclerosis in patients with Menierè's disease.

Study Design: Retrospective case review.

Setting: Tertiary referral center.

Audiologic Outcomes After Oval and Round Window Reinforcement Surgery.

Introduction: Oval window (OW) and round window (RW) reinforcement surgery has been used for symptomatic treatment of multiple clinical entities, most commonly perilymphatic fistula and superior semicircular canal dehiscence. Owing to the theoretical acoustically negative effect of stiffening the windows, there has been concern of an unfavorable effect on audiologic outcomes due to the procedure. The purpose of this study is to specifically evaluate audiologic outcomes after OW and RW reinforcement.

Hearing Outcomes After Surgical Manipulation of the Membranous Labyrinth During Superior Semicircular Canal Dehiscence Plugging or Posterior Semicircular Canal Occlusion.

Objective: To analyze audiometric data after surgical manipulation of the membranous labyrinth during plugging of superior semicircular canal dehiscence (SSCD) or posterior semicircular canal occlusion (PSCO) for benign paroxysmal positional vertigo.

Study Design: Retrospective chart review.

Setting: Tertiary referral center.

Pre-existing Vestibular Symptoms Are Associated With Acute Vestibular Symptoms After Gamma Knife Therapy for Vestibular Schwannoma.

Objective: To identify pretreatment variables associated with the development of acute vestibular symptoms after Gamma Knife (GK) treatment for Vestibular Schwannoma (VS).

Study Design: Retrospective case series.

Setting: Tertiary neurotology referral center.

Outcomes After Tympanic Membrane Perforation During Primary Stapes Surgery for Otosclerosis.

Objective/hypothesis: Stapes surgery is occasionally complicated by an intraoperative tympanic membrane perforation (ITMP), traditionally indicating abortion of the procedure due to concerns for postoperative infection and sensorineural hearing loss (SNHL). This work examines outcomes and complications in completed primary stapes surgeries with and without ITMP.

Study Design: Retrospective review.

Squamous Cell Proliferation as a Reactive Mechanism to Laryngeal Cryptococcus Infection: A Case Report.

 (is a ubiquitous encapsulated, obligate anaerobe, a dimorphic fungus that can be pathogenic in humans. infections arise primarily in immunocompromised individuals, such as human immunodeficiency virus (HIV) patients, as well as those who use inhaled corticosteroids regularly. Due to the wide variety of clinical findings associated with infection within the head and neck is occasionally misdiagnosed as malignancy due to its protean manifestation.

Outcomes in Revision Stapes Surgery.

Objectives: To compare audiometric outcomes and complication rates between primary and revision stapes surgical cases.

Study Design: Retrospective cohort study.

Setting: Large single-institution database.

Hearing Outcomes With a Novel Total Ossicular Replacement Prosthesis.

Introduction: A total ossicular replacement prosthesis (TORP) is used to reconstruct the ossicular chain in the absence of the stapes suprastructure. The Wildcat prosthesis is a novel TORP that eliminates the need for a separate footplate shoe prosthesis and aims to improve ease-of-use and stability. This study evaluates hearing outcomes using the Wildcat prosthesis.

Post-stapedotomy reparative granuloma following use of acellular porcine small intestinal submucosa.

Purpose: There have been multiple proposed etiologies of reparative granuloma following stapes surgery. In this report, we present the first case of post-stapedectomy reparative granuloma following the use of Biodesign (Cook Medical, Bloomington, IN) otologic graft material, an acellular matrix derived from porcine small intestinal submucosa, and review the literature of post-stapes surgery reparative granuloma.

Patient: 50-year-old woman who developed a reparative granuloma following stapedotomy with acellular porcine intestinal submucosa presenting with profound hearing loss and vertigo.

Otologic Manifestations of Eosinophilic Granulomatosis With Polyangiitis: A Systematic Review.

Objective: To perform a systematic review of the diagnosis, treatment, and management of patients with otologic manifestations of eosinophilic granulomatosis with polyangiitis.

Databases Reviewed: PubMed, Embase, Cochrane.

Methods: A systematic search for relevant published literature in PubMed, Cochrane Library, and EMBASE databases was done.