Otology

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

Ultrasound Otoscopes For Aiding Diagnosis Of Middle Ear Infections

Middle ear infections are one of the most common problems for a clinical visit to an otolaryngologist. The disease is more prevalent in pediatric populations but can affect any age group. The most common presentation is Otitis Media with Effusion/OME (i.e fluid collecting in the middle ear behind an intact tympanic membrane /eardrum). This fluid

FDA Approves Cochlear Implants for Asymmetric, Single-Sided Deafness

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. Unlike hearing aids, which make sounds louder, cochlear implants work by turning sound into electrical signals and then directly stimulate the hearing nerves. Single-sided deafness (SSD) or asymmetric hearing

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

What’s the molecules telling?

A 65-year-old male presented with a nonhealing ulcer over the pinna of the right ear for 5 months. A biopsy from the lesion was done and the following is the report. Carcinoma with basaloid features and pigmentation – biopsy right pinna. Immunostaining: P63 – diffuse strong positivity. P40 – diffuse moderate positivity. BerEP4 – negative.

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

NICE guidelines for Cochlear implantation in children and adults

The National Institute for Health and Care Excellence (NICE) is a non-departmental public body in England, that provides national guidance and advice to improve health and social care. On 7th March 2019, NICE released an update for the 2009 cochlear implantation guidelines in children and adults with hearing loss. Cochlear implants are electronic prosthetic devices

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