Introduction to the Audiological Evaluation: Case-Based Applications to Patients with Skull Base Disease

Objectives To provide an introduction to the role of audiological evaluations with special reference to patients with skull base disease. Design Review article with case-based overview of the current state of the practice of diagnostic audiology through highlighting the multifaceted clinical toolbox and the value of mechanism-based audiological evaluations that contribute to otologic differential diagnosis. Setting Current state of the practice of diagnostic audiology. Main Outcome Measures Understanding of audiological evaluation results in clinical practice and value of contributions to interdisciplinary teams to identify and quantify dysfunction along the auditory pathway and its subsequent effects. Results Accurate auditory information is best captured with a test battery that consists of various assessment crosschecks and mechanism-driven assessments. Conclusion Audiologists utilize a comprehensive clinical toolbox to gather information for assessment, diagnosis, and management of numerous pathologies. This information, in conjunction with thorough medical review, provides mechanism-specific contributions to the otologic and lateral skull base differential diagnosis.

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The Oxford Handbook of the Auditory Brainstem

10.1093/oxfordhb/9780190849061.001.0001 ◽

2018 ◽

Cited By ~ 1

Keyword(s):

Current Knowledge ◽

Auditory Pathway ◽

Auditory Brainstem ◽

Auditory Midbrain ◽

Current State ◽

Neuronal Mechanisms ◽

Maladaptive Plasticity ◽

And Function ◽

Auditory Field

The Oxford Handbook of the Auditory Brainstem provides an in-depth reference to the organization and function of ascending and descending auditory pathways in the mammalian brainstem. Individual chapters are organized along the auditory pathway, beginning with the cochlea and ending with the auditory midbrain. Each chapter provides an introduction to the respective area and summarizes our current knowledge before discussing the disputes and challenges that the field currently faces.The handbook emphasizes the numerous forms of plasticity that are increasingly observed in many areas of the auditory brainstem. Several chapters focus on neuronal modulation of function and plasticity on the synaptic, neuronal, and circuit level, especially during development, aging, and following peripheral hearing loss. In addition, the book addresses the role of trauma-induced maladaptive plasticity with respect to its contribution in generating central hearing dysfunction, such as hyperacusis and tinnitus.The book is intended for students and postdoctoral fellows starting in the auditory field and for researchers of related fields who wish to get an authoritative and up-to-date summary of the current state of auditory brainstem research. For clinical practitioners in audiology, otolaryngology, and neurology, the book is a valuable resource of information about the neuronal mechanisms that are currently discussed as major candidates for the generation of central hearing dysfunction.

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Role of endoscopy in lateral skull base approaches to the petrous apex

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-019-05750-9 ◽

2019 ◽

Vol 277 (3) ◽

pp. 727-733 ◽

Cited By ~ 1

Author(s):

Daniele Marchioni ◽

Luca Gazzini ◽

Marco Bonali ◽

Nicola Bisi ◽

Livio Presutti ◽

...

Keyword(s):

Skull Base ◽

Petrous Apex ◽

Lateral Skull Base

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You Need Teachers

PEDIATRICS ◽

10.1542/peds.64.1.125 ◽

1979 ◽

Vol 64 (1) ◽

pp. 125-125

Author(s):

Miles Weinberger

Keyword(s):

State Of The Art ◽

Review Article ◽

Current State ◽

Children With Asthma ◽

Degree Of Control ◽

Considerable Morbidity ◽

High Degree ◽

Changing Role ◽

Excellent Review Article

The excellent review article by Leffert1 and the accompanying commentary by Bergner2 made important points regarding the changing role of the pediatric allergist and the broad requirements for knowledge of any physicians who are to provide specialty care for children with asthma. While the current state of the art allows a high degree of control for this disease,3 considerable morbidity from inadequately treated asthma persists. This situation is unlikely to change rapidly unless departments of pediatrics place a high priority on ensuring that the modern allergist described by Dr. Bergner is on their faculty to teach the current housestaff and provide continuing education for the practitioner; only then will most general pediatricians be able to assume the role envisioned by Dr. Leffert.

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The role of a virtual telephone clinic in the follow-up management of lateral skull base tumours

The Journal of Laryngology & Otology ◽

10.1017/s0022215120002546 ◽

2020 ◽

pp. 1-4

Author(s):

S Hogan ◽

J Hintze ◽

C Fitzgerald ◽

M Javadpour ◽

D Rawluk ◽

...

Keyword(s):

Skull Base ◽

Travel Distance ◽

Face To Face ◽

Skull Base Tumours ◽

Lateral Skull Base ◽

The Face ◽

The Impact ◽

Mean Time

Abstract Objective The purpose of this article was to determine the impact of employing a telephone clinic for follow-up of patients with stable lateral skull-base tumours. Method An analysis of 1515 patients in the national lateral skull-base service was performed, and 148 patients enrolled in the telephone clinic to date were identified. The length of time that patients waited for results of their follow-up scans and the travel distance saved by patients not having to attend the hospital for their results was determined. Results The mean time from scan to receiving results was 30.5 ± 32 days, 14 days sooner than in the face-to-face group (p = 0.0016). The average round-trip distance travelled by patients to the hospital for results of their scans was 256 ± 131 km. Conclusion The telephone clinic led to a significant reduction in time until patients received their scan results and helped reduce travel distance and clinic numbers in traditional face-to-face clinics.

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The blurring border between the police and the military

Cooperation and Conflict ◽

10.1177/0010836711416961 ◽

2011 ◽

Vol 46 (3) ◽

pp. 396-405 ◽

Cited By ~ 21

Author(s):

Tomáš Weiss

Keyword(s):

Case Studies ◽

State Of The Art ◽

Review Article ◽

Current Debate ◽

Current State ◽

Art And Literature ◽

The Military ◽

Conceptual Underpinning ◽

Future Case

This review article reviews the current ‘state of the art’ and literature on the role of the police and military within the changing nature of internal and external security. Some scholars believe that the border between these two forces has recently begun to blur, whereas others strongly disagree. This article argues that the current debate lacks comprehensiveness and conceptual underpinning. It is suggested that definitional differences between the two forces should serve as the basis for detailed and comprehensive future case studies.

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Letter to the Editor Regarding “The Role of Endoscope in Lateral Skull Base Surgery: Fact Versus Fiction”

Annals of Otology Rhinology & Laryngology ◽

10.1177/0003489415573218 ◽

2015 ◽

Vol 124 (8) ◽

pp. 671-672 ◽

Cited By ~ 1

Author(s):

Sampath Chandra Prasad ◽

Mario Sanna

Keyword(s):

Skull Base ◽

Skull Base Surgery ◽

Letter To The Editor ◽

Lateral Skull Base

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MRI of Lateral Skull Base Lesions

Otorhinolaryngology Clinics - An International Journal ◽

10.5005/jp-journals-10003-1053 ◽

2011 ◽

Vol 3 (1) ◽

pp. 43-55 ◽

Cited By ~ 1

Author(s):

Deepak P Patkar ◽

Rama Yanamandala ◽

Mukesh Pardhi ◽

Sona A Pungavkar ◽

Vishal Gaikwad ◽

...

Keyword(s):

Skull Base ◽

Pulse Sequences ◽

Clinical Problem ◽

Accurate Information ◽

Mri Findings ◽

Lateral Skull Base ◽

Skull Base Lesions ◽

Magnetic Resonance Imaging Mri ◽

Mr Pulse Sequences

ABSTRACT This article reviews the role of magnetic resonance imaging (MRI) in the evaluation of lateral skull base lesions. Due to superior soft tissue resolution and multiplanar capability, MRI provides accurate information and exquisite anatomical detail. Thus, it guides the surgeon in proper preoperative planning regarding the approach of a lesion. MRI is also useful in post-treatment follow-up to assess the therapeutic response and to identify potential complications. We discuss the relevant anatomy, indications of MRI and MR pulse sequences used in the diagnosis of lesions of lateral skull base. Characteristic MRI findings of various lesions which help to arrive at a specific diagnosis as well as pitfalls of MRI which may confound the diagnosis are described. Newer MR pulse sequences enable image-guided surgery, which assist the surgeon intraoperatively, are briefly discussed. In summary, this article emphasizes the role of MRI in providing a specific answer to a clinical problem and its ability to guide the clinician for better management of patients.

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