Benefits of unilateral cochlear implantation in adults with asymmetric hearing loss: Audiologic and patient-related outcome measures.

Purpose: To investigate the benefits of cochlear implantation in adults with single-sided deafness (SSD) and asymmetric hearing loss (AHL).

Study Design: Prospective within-subjects repeated-measures.

Setting: Two tertiary cochlear implant centers.

Long-term cognition and speech recognition outcomes after cochlear implantation in the elderly.

Objective: The purpose of this study is to investigate how cognition, as measured using the Self-Administered Gerocognitive Examination Test (SAGE), and age affect speech recognition scores in older adults (age > 65) at one year and two years after cochlear implantation.

Study Design: This is a prospective study.

Setting: This study was conducted at a single institution.

Frequency dependence of coordinated pupil and eye movements for binocular disparity tracking.

Introduction: Coordinated alignment of the eyes during gaze fixation and eye movements are an important component of normal visual function. We have previously described the coordinated behavior of convergence eye movements and pupillary responses using a 0.1  Hz binocular disparity-driven sine profile and a step profile.

Clinical performance, audiological outcomes, and quality of life of the Cochlear Osia ® system.

Objective: The Cochlear Osseointegrated Steady-State Implant Bone Anchored Hearing Device (Osia) is a surgically implanted titanium apparatus that utilizes a piezoelectric actuator under the skin to address conductive and mixed hearing loss as well as single-sided deafness. The purpose of this study is to examine the clinical, audiologic, and quality-of-life outcomes in patients who underwent Osia implantation.

Methods: This is a retrospective study analyzing 30 adult patients (age 27-86) with conductive healing loss (CHL), mixed hearing loss (MHL), or single-sided deafness (SSD) who were implanted with the Osia device from January 2020 to April 2023 at a single institution by the senior author.

Influence of Audibility and Distortion on Recognition of Reverberant Speech for Children and Adults with Hearing Aid Amplification.

Background: Adults and children with sensorineural hearing loss (SNHL) have trouble understanding speech in rooms with reverberation when using hearing aid amplification. While the use of amplitude compression signal processing in hearing aids may contribute to this difficulty, there is conflicting evidence on the effects of amplitude compression settings on speech recognition. Less clear is the effect of a fast release time for adults and children with SNHL when using compression ratios derived from a prescriptive procedure.

Predicting Speech Outcomes After Cochlear Implantation in Older Adults Using the Self-administered Gerocognitive Examination Test.

Purpose: The purpose of this study is to determine if a cognitive test, Self-administered Gerocognitive Examination (SAGE), correlates with speech recognition outcomes 1 year after cochlear implantation in adults over 65 years of age.

Methods: Retrospective study was conducted at a single institution. Surgery was performed by two surgeons on adult patients (>65 yrs) with postlingual bilateral sensorineural hearing loss meeting clinical and audiological candidacy for unilateral cochlear implantation.

Experience with key indicator cases among otolaryngology residents.

Objective: To describe the resident experience with respect to key indicator cases for each year of training.

Study Design: Multi-institution, cross-sectional assessment.

Methods: Using an electronic survey, current otolaryngology residents were solicited to complete a survey regarding their experiences with the key indicator cases to that point.

Standardization of the Punch Technique for the Implantation of Bone Anchored Auditory Devices: Evaluation of the MIPS Surgical Set.

Objective: To describe and assess intraoperative and postoperative outcomes in the insertion of osseointegrated auditory implants with a newly designed surgical instrumentation set through a punch type technique.

Study Design: Retrospective case series.

Methods: Patients who underwent bone anchored auditory implant surgery using the Minimally Invasive Ponto Surgery (Oticon Medical, Somerset, NJ) surgical set through a punch technique at nine neurotology tertiary referral based practices were identified.

Implantable Auditory Devices: Financial Considerations and Office-Based Implantation.

Hearing rehabilitation has been recognized as a crucial tool to maintain communicative and social skills. The availability of hearing aids and auditory implants ought not be limited to the wealthy and to those who can afford them. Multidisciplinary efforts in reducing costs are necessary and include reduction of the item costs, insurance coverage, and the ability to perform certain procedures in an office setting, eliminating hospital and facilities fees and anesthesia bills.

Balloon dilation of the eustachian tube for dilatory dysfunction: A randomized controlled trial.

Objectives/hypothesis: To assess balloon dilation of the Eustachian tube with Eustachian tube balloon catheter in conjunction with medical management as treatment for Eustachian tube dilatory dysfunction.

Study Design: In this prospective, multicenter, randomized, controlled trial, we assigned, in a 2:1 ratio, patients age 22 years and older with Eustachian tube dilatory dysfunction refractory to medical therapy to undergo balloon dilation of the Eustachian tube with balloon catheter in conjunction with medical management or medical management alone.

Methods: The primary endpoint was normalization of tympanogram at 6 weeks.

Three-week loading of the 4.5mm wide titanium implant in bone anchored hearing systems.

Purpose: The purpose of this study is to assess implant stability, implant loss, adverse skin reactions and quality of life benefit following surgical implantation and early processor loading (3-weeks post-implantation) of the Oticon Ponto 4.5 mm osseointegrated auditory implant. This study also investigates the relationship between the type of post-operative skin reactions and the gender, BMI and medical co-morbidities of participants.

Three week loading for the Baha BI-300® implant system.

Purpose: The timing of loading of titanium craniofacial implants is dependent upon implant characteristics, host factors, and the bonding of titanium oxide and bone referred to as osseointegration. The purpose of this feasibility study seeks to determine the safety of early loading of the Baha BI-300 implant system (Cochlear Limited, Englewood, CO), which has been modified with novel surface texture and geometric design.

Subjects And Methods: This prospective study measures implant stability as determined by clinical evaluation and resonance frequency analysis at implantation and at 1, 3, 6, 12, 24 and 52weeks post-op in 20 patients who underwent single-stage implantation and exteriorization of the BI-300.

Round window reinforcement for superior semicircular canal dehiscence: a retrospective multi-center case series.

Purpose: To evaluate the outcome of round window (RW) tissue reinforcement in the management of superior semicircular canal dehiscence (SSCD).

Materials And Methods: Twenty-two patients with confirmed diagnosis of SSCD by clinical presentation, imaging, and/or testing were included in the study. Six surgeons at four institutions conducted a multicenter chart review of patients treated for symptomatic superior canal dehiscence using RW tissue reinforcement or complete RW occlusion.

Laser stapedotomy minus prosthesis: long-term follow-up.

Objective: To evaluate long-term hearing results following laser stapedotomy minus prosthesis (laser STAMP).

Study Design: Case series with chart review.

Setting: Otologic referral center.

Evaluation of a customized acoustical stimulus system in the treatment of chronic tinnitus.

Objective: The purpose of this study is to evaluate the efficacy of a customized acoustical stimulus (Neuromonics) system in the treatment of chronic tinnitus.

Study Design: Multi-institutional prospective.

Setting: Nine U.

Intratympanic gentamicin treatment of patients with Ménière's disease with normal hearing.

Objective: Understand the safety and outcomes of intratympanic gentamicin treatment in patients with Ménière's disease with normal hearing.

Study Design: Case series with chart review.

Setting: Tertiary referral center.

Complete round window niche occlusion for superior semicircular canal dehiscence syndrome: a minimally invasive approach.

Superior semicircular canal dehiscence (SCD) syndrome is a recognized condition associated with varying degrees of vestibular and auditory dysfunction. The authors present a case study of disabling SCD syndrome in a 37-year-old man who was successfully treated with a complete round window niche occlusion via a transcanal approach. This case represents the first report of a transcanal complete round window niche occlusion for the treatment of SCD syndrome.

Dexamethasone inner ear perfusion for subclinical endolymphatic hydrops.

We suggest that the term subclinical cochlear hydrops be used to describe patients presenting with aural fullness, stuffiness, or ear pressure when all other diagnoses have been excluded. We reviewed the charts of 20 patients who had presented with a chief complaint of aural fullness, stuffiness, or pressure and who underwent perfusion of the inner ear for 1 month with dexamethasone 4 or 10 mg/ml. The symptoms improved in 13 (68.

Successes and complications of the Baha system.

Objective: To determine the incidence and type of complications, as well as patient satisfaction, associated with the Baha system.

Study Design: Retrospective case review.

Setting: The Silverstein Institute, Sarasota, Florida, and the Columbia University Medical Center, New York, New York.

The latest buzz on tinnitus.

Although often benign, tinnitus can cause significant psychological distress and may be a symptom of a life-threatening disease. Prompt diagnosis and knowledge of current treatment options are essential.

Long-term follow-up after gentamicin application via the Silverstein MicroWick in the treatment of Ménière's disease.

We conducted a retrospective study to evaluate the long-term effectiveness of gentamicin applied directly to the round window membrane via the Silverstein MicroWick system in patients with definite or probable Ménière's disease. The study population was made up of 69 patients who had received 3 drops of gentamicin 10 mg/ml three times daily; the duration of treatment was guided by objective data obtained from weekly electronystagmography and audiometry. Relief of vertigo was assessed by chart review and telephone interviews.

Assessment of patient satisfaction with various configurations of digital CROS and BiCROS hearing aids.

We conducted a study of 91 patients with severe-to-profound asymmetric hearing loss to assess their satisfaction with digital contralateral routing of signal (CROS) or bilateral contralateral routing of signal (BiCROS) hearing aids, Satisfaction was evaluated on the basis of the number of patients who elected to purchase their hearing aid following a free 30-day trial and on the results of a subsequent 8-question survey. We found that overall patient satisfaction was generally high. At the end of the 30-day trial, 66 of the 91 patients (72.

Experience with the SOUNDTEC implantable hearing aid.

Objective: To assess the efficacy, morbidity, and patient satisfaction of the SOUNDTEC semi-implantable hearing aid.

Study Design: Retrospective case review.

Setting: Two tertiary referral centers (the Silverstein Institute and the Atkins Institute).