Labyrinthine fistula secondary to cholesteatoma: a video demonstration

2021 ◽  
Vol 14 (5) ◽  
pp. e242277
Author(s):  
Joshua Michaels ◽  
Daniel Scholfield ◽  
Ashok Adams ◽  
Reshma Ghedia
Keyword(s):  
Labyrinthine Fistula ◽  
Video Demonstration

Ataxia and Hearing Loss Secondary to Perilymphatic Fistula

PEDIATRICS ◽  
1978 ◽  
Vol 61 (2) ◽  
pp. 238-241
Author(s):  
Gerald B. Healy ◽  
Jules M. Friedman ◽  
Joseph DiTroia
Keyword(s):  
Hearing Loss ◽  
Soft Tissue ◽  
Head Trauma ◽  
Middle Ear ◽  
Vestibular System ◽  
Perilymphatic Fistula ◽  
Labyrinthine Fistula ◽  
First Case ◽  
The Absolute ◽  
Physical Findings

Ataxia is rarely attributed to lesions of the peripheral vestibular system. In 1973, the first case of ataxia and hearing loss secondary to a labyrinthine fistula was reported. Until now, this syndrome has not been reported in patients under the age of 10 years. A case is presented of a 5-year-old boy with symptoms of ataxia and hearing loss as well as vertigo and tinnitus after head trauma. Three physical findings appear to be most characterisitic of patients with perilymphatic fistulas: a positive fistula response, positive positional testing with the involved ear down, and evidence of vestibular ataxia when testing station and gait. The absolute diagnosis of perilymphatic fistula can only be established by exploration of the middle ear space. If a fistula is found, it may be sealed with soft tissue and, if this fails, actual stapedectomy may be required.

Surgical Treatment of Labyrinthine Fistula Caused by Cholesteatoma

2000 ◽  
Vol 122 (5) ◽  
pp. 739-742 ◽  
Author(s):  
Antonio Soda-Merhy ◽  
Miguel Angel Betancourt-Suárez
Keyword(s):  
Chronic Otitis Media ◽  
Safe Procedure ◽  
Canal Wall ◽  
Cochlear Function ◽  
Horizontal Semicircular Canal ◽  
Labyrinthine Fistula ◽  
The Matrix ◽  
Preoperative Ct ◽  
Canal Wall Down

In a 144-month period, 27 cases of labyrinthine fistula (LF) were seen, and 360 mastoid operations were performed; the LF prevalence was 7.5%. Primary symptoms were hypoacusis, otorrhea, vertigo, tinnitus, and otalgia. All patients underwent preoperative CT scans and preoperative audiometry. LF diagnosis was made before surgery for 93% of patients on the basis of symptoms, signs, and imaging studies. With respect to surgical technique, the canal-wall-down procedure was performed in 92%, and the canal-wall-up procedure was performed in 8%. In 88% of patients the fistula was located in the horizontal semicircular canal. In 96% of patients the cholesteatoma matrix was removed, and the fistula was sealed; in 4% of patients the matrix was left. With a follow-up of 13 years, vertigo disappeared in 96% of patients, and hearing remained unchanged in 70% of patients. Further complications of chronic otitis media existed in approximately half of the patients with LF. Open surgery with removal of the cholesteatoma matrix and sealing of the fistula with temporalis fascia in a canal-wall-down manner is a safe procedure that can make vertigo disappear and helps to preserve cochlear function.

scholarly journals Comparing Two Views Of Video Demonstration For Access Cavity Preparation: A QuasiRandomized Controlled Trial

2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Amy Liew Kia Cheen ◽  
Hazem Dabbour ◽  
Dalia Abdullah
Keyword(s):  
Controlled Trial ◽  
Dental Students ◽  
Fisher Exact Test ◽  
Test Results ◽  
Cavity Preparation ◽  
Exact Test ◽  
Baseline Group ◽  
And Performance ◽  
Video Demonstration

Introduction: Demonstration of the access cavity preparation procedures to dental students is challenging due to the limited operating field and detailed nature of the procedures. It is especially difficult to visualize how instruments are functioning inside the pulp space. The aim of this study was to develop and compare two different views of video demonstration in teaching access cavity preparation. Materials and Methods: Two videos of access cavity preparation were filmed, showing occlusal view of a whole tooth (WT) and sagittal view of a sectioned tooth (ST). Using quasirandomization, third year dental students (n=57) were divided into two groups to watch either one of the videos. The perception and performance of both groups were compared using Mann-Whitney U test and Fisher exact test. Results: At baseline, group WT (n=29) and group ST (n=28) were not significantly different in terms of operative scores (p=0.330). After watching the videos, the basic understanding of the theories were similar between both groups. However, ST responded more positively towards the helpfulness of the video in visualizing the inner anatomy of the tooth and in implementing the procedures (p<0.05). ST also completed the exercise within a shorter time (p<0.001). Nevertheless, the quality of the prepared access cavities was not significantly different between groups. Conclusion(s): Using sagittal view of sectioned tooth in video demonstration of access cavity preparation can improve students learning and performance speed. We highly recommend showing the sagittal view of sectioned tooth in video demonstration of access cavity preparation. 

scholarly journals Demand characteristics confound the rubber hand illusion

2020 ◽  
Author(s):  
Peter Lush
Keyword(s):  
Rubber Hand Illusion ◽  
Control Methods ◽  
Rubber Hand ◽  
Demand Characteristics ◽  
Psychological Science ◽  
Fit For Purpose ◽  
Procedure Text ◽  
And Control ◽  
Video Demonstration ◽  
Crucial Assumption

Reports of experiences of ownership over a fake hand following simple multisensory stimulation (the ‘rubber hand illusion’) have generated an expansive literature. Because such reports might reflect suggestion effects, demand characteristics are routinely controlled for by contrasting agreement ratings for ‘illusion’ and ‘control’ conditions. However, these methods have never been validated, and recent evidence that response to imaginative suggestion (‘phenomenological control’) predicts illusion report prompts reconsideration of their efficacy. A crucial assumption of the standard approach is that demand characteristics are matched across conditions. Here, a quasi-experiment design was employed to test demand characteristics in rubber hand illusion reports. Participants were provided with information about the rubber hand illusion procedure (text description and video demonstration) and recorded expectancies for standard ‘illusion’ and ‘control’ statements. Expectancies for control and illusion statements in synchronous and asynchronous conditions were found to differ similarly to published illusion reports. Therefore, rubber hand illusion control methods which have been in use for 22 years are not fit for purpose. Because demand characteristics have not been controlled in illusion report in existing studies, the illusion may be, partially or entirely, a suggestion effect. Methods to develop robust controls are proposed. That confounding demand characteristics have been overlooked for decades may be attributable to a lack of awareness that demand characteristics can drive experience in psychological science.

scholarly journals OV18 ENDOSCOPIC RETRO-MUSCULAR REPAIR OF PARASTOMAL HERNIA - A TANTALIZING NEW TECHNIQUE

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Jan Roland Lambrecht
Keyword(s):  
Hernia Repair ◽  
Parastomal Hernia ◽  
Abdominal Wall Hernia ◽  
Transversus Abdominis ◽  
Prophylactic Mesh ◽  
Parastomal Hernia Repair ◽  
Abdominal Wall Hernia Repair ◽  
Video Demonstration ◽  
Mesh Technique

Abstract Development of retro muscular space with transversus abdominis release has reached maturity in endoscopic surgery. Next-level reconstruction is adaptation to parastomal hernia repair alone or in conjunction with another abdominal wall hernia repair. We aim to present this extraperitoneal modified mesh technique based on the Sugarbaker principle with video demonstration and share clinical data and results from twenty-four patients operated with this technique within two years from the spring of 2019 to the spring of 2021. 77% patients had para-colostomy hernia and 41% of the patients had accessory repairs for midline or opposite flank hernia. 18% had prophylactic mesh at index operation, 27% were recurrent parastomal hernia and ostomies were formed median 32 months prior to parastomal hernia repair. 72% of the patients were operated robotically and 28% laparoscopically. Median follow up at time for presentation will be 17 months.

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