Sudden Sensorineural Hearing Loss (SSNHL) – Clinical presentation, Diagnosis and Treatment

Sudden hearing loss (SHL) is an emergency clinical condition characterized by a rapid-onset subjective sensation of hearing impairment in one or both ears. When not recognized and managed promptly, sudden hearing loss may result in persistent hearing loss and tinnitus and reduced patient quality of life. The National Institute for Deafness and Communication Disorders (NICDC)  […]

Sudden Hearing Loss: Updated Clinical Practice Guideline

Sudden hearing loss (SHL), defined as a rapid-onset subjective sensation of hearing impairment in one or both ears is an emergency in the ear-nose-throat clinical practice. If not recognized and managed promptly, sudden hearing loss may result in persistent hearing loss and tinnitus and reduced patient quality of life. The disease affects 5 to 27 […]

Malignant Otitis Externa – Clinical presentation, Diagnosis and Treatment

Malignant otitis externa (MOE) is an aggressive and potentially life-threatening infection of the soft tissues of the external ear and its surrounding structures, which quickly spreads to involve periosteum and bone of the skull base. The most common causative organism of malignant otitis externa is Pseudomonas aeruginosa. Though this is not a neoplastic disease, it’s […]

Temporal bone cancer staging systems

Staging of cancers is essential for patient counselling, treatment planning, predict treatment outcome and survival. Most commonly followed staging system for head and neck malignancies is the Tumor, Node, Metastasis (TNM staging system) by the American Joint Committee on Cancer (AJCC). Because of the relative rarity of temporal bone cancers, a universally accepted temporal bone […]

Its all in the genes!

A 42 year old female was seen at an outside facility for progressive bilateral hearing loss and was referred to the otology clinic. On further enquiry, she gave history of chronic head ache, mild balance difficulties and past history of tonic-clonic seizures, treated with anti-epileptics for a year. Physical examination revealed an alert and oriented […]

Recurrent Meningitis with Hearing loss

A 12 year old male child was referred from pediatric department following resolution of third episode of meningitis, with complaints of left side hearing loss since childhood. Parents noticed the hearing loss on left side when the child was in fourth standard. No newborn hearing screening was done for the child at birth. Investigations Blood / […]

Noise Induced Hearing loss (NIHL)

Noise induced hearing loss (NIHL) is defined as reduction in auditory acuity (hearing ability) associated with long term exposure to loud sounds. It is the second most common form of sensorineural hearing deficit, after presbycusis (age-related hearing loss). An early term for the condition was “boilermakers’ disease,” because so many workers who made steam boilers developed hearing […]

Prestin and Otolin 1 – early biomarkers of Noise Induced Hearing Loss (NIHL)

Noise induced hearing loss (NIHL) is defined as reduction in auditory acuity (hearing ability) associated with long term exposure to loud sounds. It is the second most common form of sensorineural hearing deficit, after presbycusis (age-related hearing loss). There can be two types of hearing loss due to exposure to loud sounds. The first one is temporary […]

Sudden Sensorineural Hearing Loss is an early predictor of Cerebrovascular Accidents

Sudden sensorineural hearing loss is an acute dysfunction of the inner ear that affects men and women approximately equally, with a peak age-related incidence occurring between 50 and 60 years. The condition is defined as a documented hearing loss of 30dB or more in 3 or more sequential frequencies, occurring within a period of 3 […]

Opto-acoustic Cochlear implant to hear with light pulses

Cochlear implants are electronic prosthetic devices used in adults and children with sensory neural hearing loss, who are not benefited by the use of conventional hearing aids. They bypasses the functions of damaged hair cells inside the inner ear and directly stimulates the spiral ganglion of cochlear nerve (nerve of hearing).