Long-Term Results of Incus Vibroplasty in Patients with Moderate-to-Severe Sensorineural Hearing Loss

2015 ◽  
Vol 20 (2) ◽  
pp. 136-146 ◽  
Author(s):  
Hannes Maier ◽  
Anna-Lena Hinze ◽  
Timo Gerdes ◽  
Susan Busch ◽  
Rolf Salcher ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Middle Ear ◽  
Speech Intelligibility ◽  
Bone Conduction ◽  
Sensorineural Hearing ◽  
Long Term Results ◽  
Single Subject ◽  
Over Time

Objectives: The principal aim of this study was to assess the safety and effectiveness of the middle ear implant Vibrant Soundbridge (VSB) in patients with moderate-to-severe sensorineural hearing loss up to a mean (± standard deviation) duration of 11.1 ± 2.1 years (min. = 8.2, max. = 13.9, n = 16) after the intervention. Design: This was a retrospective, single-subject repeated-measurements study over a long-term period. A total of 104 German-speaking adults (for 122 implants) were included in this study (54 male, 50 female). The mean age at implantation was 54.5 years (min. = 19.0, max. = 80.4). Audiological outcome and speech intelligibility were assessed in all VSB patients at different time points in non-overlapping groups. Results: Bone conduction (BC) thresholds were preserved after the implantation and no indication was found of an increase over time of the small air-bone gaps introduced by the implantation. BC and air conduction thresholds worsened similarly in both implanted and non-implanted ears over time. The decrease in audiological benefit provided by the VSB was moderate and the Word Recognition Score in quiet conditions at 65 dB SPL was still largely improved with the VSB in the longest observed group. Conclusions: These results confirm that the VSB does not affect the integrity of the inner/middle ear and is still beneficial in long-term follow-up.

Long-term results of intratympanic prednisolone injection in patients with idiopathic sudden sensorineural hearing loss

2013 ◽  
Vol 133 (9) ◽  
pp. 900-904 ◽  
Author(s):  
Roberto Filipo ◽  
Giuseppe Attanasio ◽  
Laura Cagnoni ◽  
Eleonora Masci ◽  
Francesca Y. Russo ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Sudden Sensorineural Hearing Loss ◽  
Sensorineural Hearing ◽  
Long Term Results

scholarly journals Pulsed magnetic stimulation in combination with pneumomassage in the therapy of patients with professional sensorineural hearing loss

2021 ◽  
Vol 100 (12) ◽  
pp. 1417-1422
Author(s):  
Inna V. Tikhonova ◽  
Dina V. Rusanova ◽  
Marina V. Kuleshova ◽  
Elena V. Katamanova ◽  
Oleg L. Lakhman ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Evoked Potentials ◽  
Sensorineural Hearing Loss ◽  
Verbal Memory ◽  
Speech Intelligibility ◽  
Magnetic Stimulation ◽  
Auditory Evoked Potentials ◽  
Sensorineural Hearing ◽  
Advanced Therapy

Introduction. There are many methods for treating sensorineural hearing loss (SHL) of the occupational origin, which indicates insufficient effectiveness and an active search for more advanced therapy methods. Objective of the study: to evaluate changes in the state of the central nervous system pathways under the influence of a magnetic field and the long-term period. Materials and Methods. There were treated fifty two aviation workers with SHL of the occupational origin with moderate hearing loss. Pulsed magnetic stimulation (MS) and pneumatic massage of the tympanic membrane were used. Before and after treatment, electroencephalography was performed with the registration of visual and auditory evoked potentials (EP), somatosensory evoked potentials (SSEP), psychological testing, and the study of higher mental functions in terms of short-term and delayed verbal memory, attention function. Results. After treatment, there was an improvement in speech intelligibility in 62% of cases, a decrease in the intensity of the tinnitus and head noise in 44% of cases, there was an improvement in the indicators of audiometric research and acumetry data from both sides. There was a statistically significant increase in the α-rhythm, the time of the pulse passing through the central afferent structures increased, the indicators of operative verbal memory, and the productivity of long-term memorization, the volume and stability of attention increased. Conclusion. The effectiveness of pulse MS in treating patients with occupational SHL has been proven. The prospects of using pulsed MS in combination with pneumatic massage in occupational pathology were shown, which was confirmed by positive changes in objective and subjective indicators characterizing the condition of patients immediately after the therapy sessions and a year after treatment.

The Fate of the Non-Operated Ear in Otosclerosis

1989 ◽  
Vol 100 (3) ◽  
pp. 224-226 ◽  
Author(s):  
Rory Willis
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Hearing Aids ◽  
Bone Conduction ◽  
Sensorineural Hearing ◽  
The Other ◽  
High Tone ◽  
Term Benefit ◽  
Sensorineural Loss

Records of 300 consecutive patients who had only one ear operated on by stapedectomy and who received long-term followup were studied. These cases came from 3036 stapedectomy operations performed between January 1961 and April 1969. In general, the two ears behaved the same: If a “flat” sensorineural loss occurred in one ear, it was likely to develop in the other. Similarly, if one ear developed a high-tone loss, the other would do likewise. With the exception of acute fistula, there is no suggestion that the operation of stapedectomy predisposes an ear to late sensorineural problems. Patients with bone-conduction thresholds that are depressed at all frequencies when first examined should be advised that progressive sensorineural hearing loss may occur later in both ears. Accordingly, the benefit gained by stapedectomy may ultimately need to be supplemented by hearing aids. This study also revealed that a patient with clinical conductive otosclerosis in only one ear at first presentation had only a 50% chance of long-term benefit from stapedectomy.

Long-Term Patient Satisfaction With Different Middle Ear Hearing Implants in Sensorineural Hearing Loss

2010 ◽  
Vol 31 (6) ◽  
pp. 883-892 ◽  
Author(s):  
Charbel Rameh ◽  
Renaud Meller ◽  
Jean-Pierre Lavieille ◽  
Arnaud Deveze ◽  
Jacques Magnan
Keyword(s):  
Hearing Loss ◽  
Patient Satisfaction ◽  
Sensorineural Hearing Loss ◽  
Middle Ear ◽  
Sensorineural Hearing

scholarly journals A study of occurrence of postoperative sensorineural hearing loss after middle ear surgeries

2017 ◽  
Vol 3 (3) ◽  
pp. 510
Author(s):  
Md. Shafiuddin Mazhar ◽  
Shrikrishna B. H.
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Middle Ear ◽  
Pure Tone ◽  
Bone Conduction ◽  
Hearing Threshold ◽  
Sensorineural Hearing ◽  
Middle Ear Surgery ◽  
Post Surgery ◽  
Duration Of Surgery

<p class="abstract"><strong>Background:</strong> Chronic otitis media is the most common middle ear disease that is encountered in our hospital. There are various surgical procedures that are performed in cases of COM and other similar conditions of the middle ear. Any type of otosurgical procedure involves the risk of inner ear damage. As middle ear surgery is also performed for functional reasons this risk should be taken into consideration. There have been some studies mentioning many insults to the cochlea during middle ear surgeries. Some studies claim that sensorineural hearing loss post-surgery is not significant at all. In view of these contradictory studies, further study is essential on this subject<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> All patients undergoing middle ear surgeries are subjected to pure tone audiometry pre-operatively and tenth day, one month and three months postoperatively. Hearing assessment done with pure tone audiometer. The hearing threshold for pure tone audiometer was determined in a sound treated room at frequencies ranging from 125-8000 Hz for air conduction and 250-4000 Hz for bone conduction<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Results:</strong> Sensorineural hearing loss was not found in any of the patients postoperatively on 10th day 1st month and 3rd month<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> There was no significant variation between preoperative and postoperative bone conduction levels.  Therefore middle ear surgeries have not resulted in any SNHL. Duration of ear discharge, duration of surgery, type of surgery had no bearing on postoperative sensory neural hearing levels<span lang="EN-IN">.</span></p>

scholarly journals A CASE OF MID-FREQUENCY SENSORINEURAL HEARING LOSS

2020 ◽  
Vol 18 (Suppl.1) ◽  
pp. 89-92
Author(s):  
At. Vlaykov ◽  
V. Stoyanov
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Clinical Case ◽  
Genetic Mutation ◽  
Sensorineural Hearing ◽  
Phone Call ◽  
Long Term Results ◽  
Genetic Origin ◽  
Hereditary Nature

Introduction: Mid-frequency sensorineural hearing loss (MFSNHL) is an unusual audiometric finding with a debatable etiology with unclear long-term results. In general, the middle frequencies are affected first, and the process progresses slowly to include all frequencies. There are also some cases where provocative factors have been reported. Purpose: The aim of the work is to present a clinical case in our practice of the rare occurrence of mid-frequency acoustic hearing loss and its diagnostic approach. Material and methods: The patient has undergone a number of manual and instrumental tests to confirm or reject a specific cause of the hearing loss condition. Results: A 52-year-old man was hospitalised with complaints of hearing loss for about a year, judging by the growing difficulty in making a phone call. Conclusions: Generally, a U-shaped audiogram is thought to indicate hearing loss of genetic origin. However, this type of deafness is not unique to one particular type of genetic mutation. There are also numerous descriptions of non-genetic mid-frequency hearing loss in the literature. In the particular clinical case presented by us, it was concluded that this was a hearing loss, possibly of hereditary nature, after excluding another provocative cause, as well as due to anamnestic data on premature hearing loss in one of the parents.

scholarly journals Congenital Anomalies of the Ossicular Chain: Surgical and Audiological Outcomes

2021 ◽  
pp. 000348942110254
Author(s):  
Sara E. Henkemans ◽  
Adriana L. Smit ◽  
Robert J. Stokroos ◽  
Hans G.X.M. Thomeer
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Middle Ear ◽  
Sensorineural Hearing ◽  
Middle Ear Surgery ◽  
Ear Surgery ◽  
Ear Anomalies ◽  
Air Conduction

Objectives: In this study, we aim to analyze audiometric outcomes of middle ear surgery in patients with congenital middle ear anomalies. Methods: In this single center retrospective cohort study, audiological outcomes were extracted from patient files. Patients with a congenital middle ear anomaly treated surgically in a tertiary referral center between June 2015 and December 2020 were included. Pre- and postoperative short- and long-term audiometric data (at ≥3 and ≥10 months respectively) were compared to analyze hearing outcomes. Results: Eighteen ears (15 patients) were treated surgically with an exploratory tympanotomy. At short term follow up statistically significant improvements in air conduction thresholds and air-bone gaps were found. Hearing improved in 94.4% (17/18) of operated ears. Successful outcome, defined as an air-bone gap closure to within 20 dB after surgery, was reached in 44.4% (8/18). Serviceable hearing (air conduction ≤30 dB) was reached in 55.6% (10/18). Negative outcome (any significant deterioration in hearing) occurred in 1 patient: in this ear otitis media occurred during the postoperative course. At long term follow up, available for 50% of the cohort, hearing remained stable in 5 ears, improved in 1 ear and deteriorated in 3, all of which underwent revision surgery. Sensorineural hearing loss due to surgery, or other complications, were not encountered. Conclusion: middle ear surgery was found to be an effective treatment option to improve hearing in this cohort of patients with congenital middle ear anomalies. Surgical goals of obtained gain in air conduction thresholds and serviceable hearing levels were met by most patients without the occurrence of any iatrogenic sensorineural hearing loss.

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