• Title/Summary/Keyword: Otology

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Clinical study of Type C in Impedance Audiometry (Type C의 연구)

  • 김동환;소진명
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1977.06a
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    • pp.5.1-5
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    • 1977
  • Since Metz first introduced the conceps of Impedance Audiometry in 1946. Many pioneers studied for the development of the acoustic Impedance bridge. It is now widely used in clinical audiology and it plays an important role in otology. Recently there was the literature stated on normal value of various test c Impedance. This paper is dealing with the clinical evaluation of type c in comparison with following subjects as; 1. Comparison with the otoscopic finding. 2. Correlation with the pure tone audiometry. 3. Correlation with the stapedial reflex. 4. Correlation between pathologic negative pressure range and middle ear fluid.

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Review of Vertigo (현훈에 관한 고찰)

  • Kim Seong-Hak;Park Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.14 no.2
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    • pp.26-31
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    • 2002
  • Appeal that when treat patient in physical therapy room, several disease person plains are dizzy. When we understand background and cause about there and treat, there may be qualitative growth of physical therapy. In field of otology Physical therapy in case receive request up to now rare misgovernment be. This treatise Introduced contents about vertigo that is not introduced in physical therapy learned society up to now Desire that examination method or rehabilitation exercise therapy of vertigo is magnified by physical therapy area, and this treatise that become smallish help in physical therapy room to patient who appeal vertigo symptoms.

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Myringoplasty Outcomes From a 5-Year Single Surgeon's Experience and Important Surgical Technical Aspects

  • Karunaratne, Dilhara;Violaris, Nick
    • Journal of Audiology & Otology
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    • v.25 no.4
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    • pp.224-229
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    • 2021
  • Background and Objectives: The United Kingdom (UK) national standard for the closure rate for myringoplasty is 89.5% (90.6% and 84.2% for primary and revision surgeries, respectively). The average hearing gains for primary and revision myringoplasty are 9.14 dB and 7.86 dB, respectively. This study compared the myringoplasty outcomes for a single surgeon over 5 years. Subjects and Methods: Data for 68 cases were analyzed retrospectively. The outcome measures were achievement of the tympanic membrane closure and the average hearing gain or loss. Results: The overall and primary closure rates were 97% and 98%, respectively and significantly higher than the UK national standard (p=0.0210 and p=0.0287, respectively). The revision closure rate was 93%; however, it was not significantly higher than the national standard (p=0.1872). The average hearing gain was 5.18 dB. The gains for primary and revision surgeries were 5.15 dB and 5.25 dB, respectively. Conclusions: We propose that these outcomes are a result of our surgical technique, including the simultaneous use of cortical mastoidectomy in ears with discharge.

Familial Otosclerosis Associated with Osteogenesis Imperfecta: A Case Report

  • Lee, Ha Neul;Jeon, Hyun Jong;Seo, Young Joon
    • Journal of Audiology & Otology
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    • v.25 no.4
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    • pp.230-234
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    • 2021
  • Otosclerosis, a hereditary disorder characterized by disordered resorption and deposition of bone, results in progressive hearing loss. Osteogenesis imperfecta (OI) is a genetic disorder characterized by recurrent fractures, blue sclera, and varying degrees of hearing impairment; and is a known risk factor for otosclerosis. After adolescence, the risk of fracture decreases, reducing the need for follow-up in OI. However, otosclerosis is a progressive disorder. In this report, we discuss two cases of familial otosclerosis with different clinical features. We hypothesize that the difference in hearing level correlates with the difference in computed tomography findings. The mother, whose case was considered severe, was prescribed hearing aids, while the daughter, who had normal hearing level, was regularly followed up.

Sensorineural Hearing Loss and Wernicke Encephalopathy: A Case Report and Literature Review

  • Ton, Angie Nu;Jethwa, Trisha;Stamper, Greta C;Yenior, Ashley
    • Journal of Audiology & Otology
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    • v.25 no.1
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    • pp.55-58
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    • 2021
  • Sensorineural hearing loss (SNHL) is seldom associated with Wernicke encephalopathy (WE) or thiamine deficiency. While thiamine deficiency and repletion are often considered prior to dextrose infusions in patients with chronic alcohol abuse to prevent WE, they are often overlooked in non-alcoholic patients who are also at risk for malnutrition. In this paper we describe a case of a non-alcoholic 28-year-old female status post-sleeve gastrectomy who developed SNHL in the setting of thiamine deficiency and WE, with ongoing hearing impairment requiring hearing aids despite thiamine repletion.

A Case of Fungal Ball with Cholesterol Granuloma in the Middle Ear Cavity

  • Kim, Su Geun;Lee, Eun Jung;Yoo, Ji Seob;Yeo, Cha Dong
    • Journal of Audiology & Otology
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    • v.24 no.4
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    • pp.210-213
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    • 2020
  • Fungal balls consist of rounded conglomerates of fungal mycelia, which can form within a preexisting cavity. They are mostly found in the paranasal sinuses in the head and neck regions. Cholesterol granuloma is a fibrotic lesion that develops as a tissue response to a foreign body such as cholesterol crystals or hemosiderin and is often associated with chronic otitis media. We present the unusual case of a 62-year-old male who was treated for chronic otitis media, which was histologically confirmed as a fungal ball and cholesterol granuloma in the middle ear cavity following tympanomastoidectomy. This is the first reported case of synchronous fungal ball and cholesterol granuloma in the middle ear cavity.

Non-Invasive Neuromodulation for Tinnitus

  • Langguth, Berthold
    • Journal of Audiology & Otology
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    • v.24 no.3
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    • pp.113-118
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    • 2020
  • Tinnitus is a prevalent disorder that has no cure currently. Within the last two decades, neuroscientific research has facilitated a better understanding of the pathophysiological mechanisms that underlie the generation and maintenance of tinnitus, and the brain and nerves have been identified as potential targets for its treatment using non-invasive brain stimulation methods. This article reviews studies on tinnitus patients using transcranial magnetic stimulation, transcranial electrical stimulation, such as transcranial direct current stimulation, alternating current stimulation, transcranial random noise stimulation as well as transcutaneous vagus nerve stimulation and bimodal combined auditory and somatosensory stimulation. Although none of these approaches has demonstrated effects that would justify its use in routine treatment, the studies have provided important insights into tinnitus pathophysiology. Moreover bimodal stimulation, which has only been developed recently, has shown promising results in pilot trials and is a candidate for further development into a valuable treatment procedure.

Sixth Cranial Nerve Palsy and Vertigo Caused by Vertebrobasilar Insufficiency

  • Paik, Seung Won;Yang, Hui Joon;Seo, Young Joon
    • Journal of Audiology & Otology
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    • v.24 no.3
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    • pp.157-160
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    • 2020
  • A 38-year-old woman presented with a week's history of binocular horizontal double vision and acute vertigo with gaze-induced nystagmus. We considered a diagnosis of one of the six syndromes of the sixth cranial nerve and evaluated several causes. She had history of severe anemia, vitamin B12 deficiency, and hypertension. Magnetic resonance imaging with angiography showed stenosis of the right vertebral artery and hyperintensity on both basal ganglia. As we describe here, we should consider vertebrobasilar insufficiency as a cause for sixth cranial nerve palsy if a patient has high risk for microvascular ischemia, even in the absence of acute brain hemorrhage or infarction.

Current Treatments for Congenital Aural Atresia

  • Lee, Min Young;Cho, Yang-Sun;Han, Gyu Cheol;Oh, Jeong-Hoon
    • Journal of Audiology & Otology
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    • v.24 no.4
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    • pp.161-166
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    • 2020
  • Congenital aural atresia is an ear malformation evident at birth, involving various degrees of failed external ear canal development. A true external ear canal is desirable, as devices that replace the canal are inconvenient and expensive. Therefore, an optimal surgical technique is required. Here, we review useful preoperative and operative techniques. Surgical correction is often not the preferred treatment; the hearing outcome is no better than the outcomes afforded by bone-conduction devices, and surgery may be associated with recurrence or complications such as meatal stenosis. Preoperative evaluation and appropriate management are important. Several means of preventing meatal stenosis are discussed in this review.

Umbilicated Hairy Auricular Mass Mimicking Accessory Tragus

  • Choi, Jeong Hwan
    • Journal of Audiology & Otology
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    • v.24 no.2
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    • pp.99-102
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    • 2020
  • Trichofolliculoma (TF) is a follicular hamartoma in which hairs protruding out of single orifice. To the best of my knowledge, only two auricular TF has been reported in the English literature. Moreover, clinically TF have been described to mimic malignancy. I present a case of an adult female with mass at the intertragal notch of the left auricle for several years. The clinical diagnosis was thought to be epidermoid cyst, accessory tragus, and other benign skin adnexal tumor. To prevent recurrence, the wide local excision of the mass was performed. The final diagnosis of TF was made. No recurrence was noted during the follow-up of 1 year. It is important for otologists to be familiar with the clinical and pathologic characterization of TF, to make the correct diagnosis.