Neurotology

Middle Ear Hearing Implants – An Overview

Middle ear hearing implants belongs to the group of Implantable Acoustics or Mechanical hearing devices which are used in rehabilitative management of patients with hearing loss, offering an alternative to conventional hearing aids. The first clinically available Middle ear hearing implant was designed by Drs. Suzuki and Yanagihara in Japan for patients with irreversible middle

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 counseling, 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 inquiry, she gave a history of chronic headache, mild balance difficulties and past history of tonic-clonic seizures, treated with anti-epileptics for a year. Physical examination revealed an alert and oriented patient, with

Recurrent Meningitis with Hearing loss

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

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 a reduction in auditory acuity (hearing ability) associated with long term exposure to loud sounds. It is the second most common form of a 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