RESUMEN
<b>Introduction:</b> Nowadays, there are many options to treat hearing-impaired patients: tympanoplastic surgery, hearing aids and a wide range of implantable devices.</br></br> <b>Aim:</b> The aim of this study is to present the mid-term audiological and quality of life benefits after the implantation of Osia®, an active piezoelectric bone conduction hearing implant. </br></br> <b>Material and methods:</b> The state of the tissues in the implanted area, as well as audiological and quality of life results were analyzed at six, nine and twelve months after implantation in a group of four adult patients with bilateral mixed hearing loss (1 after bilateral canal-wall-down mastoidectomy, 2 with chronic simple otitis media and after myringoplasty in the opposite ear, 1 with bilateral otosclerosis and after stapedotomy in the opposite ear). </br></br> <b>Results:</b> No postoperative complications were found in any of the cases. One year after surgery the mean audiological gain in FF PTA4 (pure tone average for 0.5, 1, 2, and 4 kHz) was 52.2 ± 3.5 dB in comparison to the unaided situation, the mean speech understanding with Osia® in quiet was 90 ± 8.2% for 50 dB SPL, 98.8 ± 2.5% for 65 dB SPL and 100 ± 0% for 80 dB SPL, and the mean speech understanding with Osia® in noise was 37.5% ± 23.6 for 50 dB SPL, 93.8 ± 4.8% for 65 dB SPL and 98.8 ± 2.5% for 80 dB SPL. There was also an evident improvement in the quality of hearing as well as in the quality of life, measured by APHAB (Abbreviated Profile of Hearing Aid Benefit) and SSQ (Speech, Spatial and Qualities of Hearing Scale). </br></br> <b>Conclusions:</b> The Osia® is an effective treatment option for patients with bilateral mixed hearing loss. The mid-term audiological and quality of life results are excellent, but further observations including bigger groups of patients and a longer follow- -up are required.
Asunto(s)
Audífonos , Perdida Auditiva Conductiva-Sensorineural Mixta , Percepción del Habla , Cirugía del Estribo , Adulto , Conducción Ósea , Pérdida Auditiva Conductiva/etiología , Pérdida Auditiva Conductiva/cirugía , Perdida Auditiva Conductiva-Sensorineural Mixta/complicaciones , Perdida Auditiva Conductiva-Sensorineural Mixta/rehabilitación , Perdida Auditiva Conductiva-Sensorineural Mixta/cirugía , Humanos , Calidad de Vida , Resultado del TratamientoRESUMEN
Introducción: El envejecimiento en Cuba constituye el principal problema demográfico y la Hipoacusia es una de las condiciones crónicas más frecuentes en los adultos mayores. Objetivo: Describir las características clínico-epidemiológicas de los pacientes de la tercera edad con Hipoacusia atendidos en el Hospital Universitario General Calixto García en el período de septiembre de 2015 hasta septiembre de 2016. Material y Método: Se realizó un estudio descriptivo, transversal en el Hospital Universitario General Calixto García durante el período de septiembre de 2015 hasta septiembre de 2016. La población (N) estuvo constituida por 387 pacientes de la tercera edad, quienes asistieron a consulta en el período estudiado. Resultados: Predominó la Hipoacusia en los pacientes con edades entre 65 y 79 años (67,2 por ciento) y el sexo masculino fue el más afectado con esta discapacidad (69,5 por ciento). La Hipoacusia en el anciano se asoció con frecuencia a otras afecciones crónicas como las enfermedades cardiovasculares. La Presbiacusia o Hipoacusia asociada a la edad fue la causa más frecuente de sordera. Conclusiones: La Hipoacusia resultó ser una discapacidad frecuente en los pacientes masculinos de la tercera edad. La misma estuvo asociada a enfermedades crónicas no trasmisibles. Las perdidas auditivas neurosensoriales y mixtas, de moderada y severa intensidad, fueron las más frecuentemente encontradas en la audiometría tonal(AU)
Introduction: Aging constitutes the main demographic problem in Cuba, and hearing loss is one of the most frequent chronic conditions in older adults. Objective: To describe the clinical and epidemiological characteristics of elderly patients with hearing loss, treated in Calixto Gracía University Hospital during the period from September 2015 to September 2016. Material and Method: A descriptive cross-sectional study was conducted in Calixto Garcia University Hospital during the period from September 2015 to September 2016. The population (N) was composed of 387 elderly patients, who went to the doctor´s office during the period under study. Results: Hearing loss predominated in patients aged from 65 to 79 years (67,2 percent), and the male sex was the most affected by this disability (69,5 percent). Hearing loss in the elderly was frequently associated with other chronic conditions such as cardiovascular diseases. Age-related hearing loss (Presbycusis) or hearing loss associated with age was the most frequent cause of deafness. Conclusions: Hearing loss was a frequent disability in male elderly patients. It was associated with non-communicable chronic diseases. Sensorineural and mixed hearing losses of moderate and severe intensity were the most frequent ones found in the tonal audiometry(AU)
Asunto(s)
Humanos , Anciano , Anciano de 80 o más Años , Presbiacusia/epidemiología , Perdida Auditiva Conductiva-Sensorineural Mixta/complicaciones , Perdida Auditiva Conductiva-Sensorineural Mixta/etiología , Perdida Auditiva Conductiva-Sensorineural Mixta/epidemiología , Pérdida Auditiva/epidemiología , Salud del Anciano , Epidemiología Descriptiva , Estudios Transversales , Diagnóstico Precoz , Perdida Auditiva Conductiva-Sensorineural Mixta/rehabilitaciónRESUMEN
INTRODUCTION: Epidermolysis bullosa (EB) is a spectrum of mechanobullous disorders characterized by blistering following minor trauma or traction to the skin. Hearing loss in this population is poorly described in the otolaryngology literature, and its treatment oftentimes results in external auditory canal skin irritation. CASE PRESENTATION: We present the case of a 26-year-old female with EB and mixed hearing loss unable to wear conventional hearing aids due to sequelae of the external auditory canals. An osseointegrated implant was used as other hearing aids were deemed to be too destructive of the external auditory canal skin. Management and Outcome: Our patient underwent placement of a right bone-anchored hearing aid with minimal disruption of the surrounding skin using a minimally invasive punch technique. Over 1 year of follow-up, her course was complicated by 1 simple cellulitic infection at the surgical site treated successfully with oral antibiotics. DISCUSSION: The literature regarding the otolaryngologic manifestations of EB is sparse. The otologic sequelae are particularly overlooked in the workup and management. Based on the results of this case study, it appears that an osseointegrated implant can be safely utilized to treat significant mixed or conductive hearing loss in patients with EB.
Asunto(s)
Implantación Coclear/métodos , Implantes Cocleares , Epidermólisis Ampollosa/complicaciones , Perdida Auditiva Conductiva-Sensorineural Mixta/complicaciones , Perdida Auditiva Conductiva-Sensorineural Mixta/cirugía , Adulto , Femenino , Humanos , Anclas para SuturaRESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Síndrome Antifosfolípido/complicaciones , Síndrome Antifosfolípido/terapia , Síndrome Antifosfolípido , Perdida Auditiva Conductiva-Sensorineural Mixta/complicaciones , Autoinmunidad/inmunología , Cefalea/complicaciones , Vértigo/complicaciones , Audiometría/instrumentación , Audiometría/métodos , Audiología/métodos , Espectroscopía de Resonancia Magnética/métodosRESUMEN
The primary goals of surgery of tympanomastoid paragangliomas (TMPs) are tumor eradication and hearing preservation. Though the surgical management of TMPs has been dealt with widely in the literature, the effects of TMPs themselves on preoperative hearing and the audiological outcomes after surgery have not been analyzed in detail. This article comprehensively evaluates the preoperative hearing and the long-term hearing outcomes after surgery of TMPs. This study is based on a study population of 145 patients which is the largest reported in the literature. The surgical approaches for all patients with TMPs were formulated according to an algorithm developed by the authors. Complete tumor removal with excellent hearing results can be achieved by approaching the tumor classes by the right surgical technique. TMPs could possibly induce sensorineural hearing loss in higher frequencies, and future studies could be directed towards this.
Asunto(s)
Neoplasias del Oído/cirugía , Tumor del Glomo Timpánico/cirugía , Pérdida Auditiva Conductiva/fisiopatología , Perdida Auditiva Conductiva-Sensorineural Mixta/fisiopatología , Pérdida Auditiva Sensorineural/fisiopatología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Audiometría de Tonos Puros , Neoplasias del Oído/complicaciones , Femenino , Tumor del Glomo Timpánico/complicaciones , Pérdida Auditiva Conductiva/complicaciones , Perdida Auditiva Conductiva-Sensorineural Mixta/complicaciones , Pérdida Auditiva Sensorineural/complicaciones , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Resultado del Tratamiento , Adulto JovenRESUMEN
OBJECTIVE: Our previous study demonstrated that sound was effectively transmitted by attaching a transducer to the aural cartilage even without fixation pressure. This new method for sound transmission was found by Hosoi in 2004, and was termed cartilage conduction (CC). CC can be utilized even in hearing-impaired patients who cannot use air-conduction hearing aids owing to continuous otorrhea or aural atresia. A prototype hearing aid employing CC was investigated in this study. METHODS: Four patients with conditions such as continuous otorrhea and acquired aural atresia after surgery participated in this study. The CC hearing aid was fitted, and its benefits were assessed by audiometric tests and interview. RESULTS: Thresholds and speech recognition scores improved in all subjects. However, in subjects with continuous otorrhea, it was difficult to obtain the gains according to the target gains owing to their severe hearing loss and the limitation of the output level. On the other hand, unexpectedly large gains were obtained below 2kHz in the patient with acquired aural atresia. These large gains were probably caused by soft tissue filling the postoperative space. No subjects complained of pain associated with the attachment of the transducer, although such problems are usually observed for a bone-conduction (BC) hearing aid. This feature is considered one of the advantages of the CC hearing aid. CONCLUSION: The results of the audiometric tests and interview suggest that the CC hearing aid has potential as a useful amplification device for hearing disability. Unfortunately, if the soft tissue pathway is not involved, the current device is insufficient for the patients with severe hearing loss. The improvement of the output level will lead to develop a reliable CC hearing aid as an alternative to BC hearing aids or bone anchored hearing aids.
Asunto(s)
Cartílago Auricular , Audífonos , Pérdida Auditiva Conductiva/rehabilitación , Perdida Auditiva Conductiva-Sensorineural Mixta/rehabilitación , Percepción del Habla , Adulto , Anciano , Umbral Auditivo , Conducción Ósea , Constricción Patológica , Conducto Auditivo Externo/cirugía , Femenino , Pérdida Auditiva Conductiva/complicaciones , Perdida Auditiva Conductiva-Sensorineural Mixta/complicaciones , Humanos , Masculino , Otitis Media Supurativa/complicaciones , Prueba del Umbral de Recepción del HablaRESUMEN
CONTEXT: The impact of acromegaly on the auditory system remains unknown. OBJECTIVE: This study aimed to examine audiological symptoms and the structure and function of the auditory system in patients with acromegaly. DESIGN/SETTING AND PATIENTS: The study included 44 patients with acromegaly. Pure tone audiometry, speech audiometry, tympanometry, otoacoustic emissions testing, computerized tomography of the temporal bone and magnetic resonance imaging of the ear were performed in all patients. The study also included 36 age- and sex-matched healthy controls. The patients with acromegaly were divided into three subgroups, as follows: controlled disease (n=13); partially controlled disease (n=16); uncontrolled disease (n = 15). RESULTS: In all, 43% of the patients with acromegaly had hearing loss, and 20% had had an episode of otitis in at least one ear. Median pure tone average (PTA) in the patients with acromegaly was 12.5 dB (range: 2-72 dB), vs 8.3 dB (range: 0-20 dB) in the control group (P < 0.001). PTA did not differ significantly between the three patient subgroups. Audiometric tests showed various degrees of hearing loss in at least one ear in 21 patients (48%). Conductive, sensorineural and mixed type hearing loss in at least one ear was noted in 9%, 30% and 18% of the patients, respectively. Auditory imaging showed that 50% of the patients had temporomandibular joint degeneration (TMJD). CONCLUSIONS: Hearing loss is quite common in patients with acromegaly. Contrary to common belief, in this study, conductive hearing loss did not occur more frequently than other types. Based on PTA findings in the controls and patients with acromegaly, acromegaly caused hearing loss, but the level of disease activity had no effect on hearing. Middle ear pressure problems might be caused by increased perilymph because of growth hormone (GH)-related volume overload.
Asunto(s)
Acromegalia/fisiopatología , Oído Interno/fisiopatología , Pérdida Auditiva/fisiopatología , Pruebas de Impedancia Acústica , Acromegalia/complicaciones , Adulto , Audiometría , Audiometría de Tonos Puros , Oído Interno/diagnóstico por imagen , Femenino , Pérdida Auditiva/complicaciones , Pérdida Auditiva/diagnóstico , Pérdida Auditiva Conductiva/complicaciones , Pérdida Auditiva Conductiva/diagnóstico , Pérdida Auditiva Conductiva/fisiopatología , Perdida Auditiva Conductiva-Sensorineural Mixta/complicaciones , Perdida Auditiva Conductiva-Sensorineural Mixta/diagnóstico , Perdida Auditiva Conductiva-Sensorineural Mixta/fisiopatología , Pérdida Auditiva Sensorineural/complicaciones , Pérdida Auditiva Sensorineural/diagnóstico , Pérdida Auditiva Sensorineural/fisiopatología , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Hueso Temporal/diagnóstico por imagen , Articulación Temporomandibular/patología , Articulación Temporomandibular/fisiopatología , Tomografía Computarizada por Rayos XRESUMEN
El objetivo del estudio es presentar las extensas y severas lesiones óticas que acontecen en la forma más leve de osteogénesis imperfecta, correlacionarlas con las alteraciones audiométricas y discutir las posibilidades quirúrgicas disponibles. Se presenta a 3 pacientes afectados de osteogénesis imperfecta tipo 1 con hipoacusia en distintos estadios funcionales. Se realizó a cada paciente estudio audiológico, médico y radiológico, y se sometieron a distintos tratamientos quirúrgicos. Los pacientes presentaron hipoacusias mixtas de carácter moderado, severo y profundo, imágenes radiológicas con extensas áreas de desmineralización que afectaban la cadena osicular y con desprotección de las estructuras vitales alojadas en el peñasco temporal, desmineralización de la cápsula ótica, dehiscencias, distorsiones y destrucciones cocleares. Los tratamientos quirúrgicos realizados, e indicados según los criterios actualmente aceptados, obtuvieron escasos resultados funcionales. El presente estudio plantea la necesidad de evaluar los criterios quirúrgicos específicos para esta enfermedad(AU)
The aim of the study is to present the severe, extensive lesions in the temporal bone appearing in the mildest forms of osteogenesis imperfecta, correlate these with audiometric results and discuss the possible surgical treatments available. We present three patients suffering hearing loss due to osteogenesis imperfecta type 1 to various functional degrees. All patients underwent an audiological, medical and radiological evaluation and were then treated with different surgical procedures. The patients presented mild, severe and profound mixed hearing losses and the radiological images showed extensive areas of demineralization affecting the ossicular chain and removal of protection for the vital structures inside the temporal bone. Also, the cochlea showed otic capsule demineralization, dehiscence, distortions and even destructions. The various surgical treatments, indicated under current international criteria, obtained limited functional results. This study reviews the need to evaluate the current surgical criteria for this specific condition(AU)
Asunto(s)
Humanos , Masculino , Femenino , Adulto , Perdida Auditiva Conductiva-Sensorineural Mixta/complicaciones , Perdida Auditiva Conductiva-Sensorineural Mixta/patología , Perdida Auditiva Conductiva-Sensorineural Mixta/rehabilitación , Osteogénesis Imperfecta/patología , Implantes Cocleares , Prótesis Osicular , Colágeno Tipo I/genética , Desmineralización Ósea Patológica/congénito , Desmineralización Ósea Patológica/patología , Tomografía/métodosRESUMEN
To report a unique orientation of the internal auditory canal and possible association with congenital hearing loss. Retrospective chart review of an 8-year-old Hispanic male with a mixed hearing loss. Uniquely abnormal orientation of the internal auditory canal in a patient with apparently normal cochleovestibular structures and a mixed hearing loss. A vertically oriented IAC is a rarely described anatomical anomaly of the temporal bone that may have associations with congenital hearing loss.