Asymmetric sensorineural hearing loss and vestibular schwannoma: when to image?

Abstract:

PURPOSE OF REVIEW:We review the literature on the use of audiometric protocols in the guidance of when to obtain MRI for detection of vestibular schwannoma. This discussion will focus on the sensitivity, specificity, and cost-effective analysis of audiometric criteria of asymmetric sensorineural hearing loss (ASNHL) when used to decide when MRI scans should be performed. RECENT FINDINGS:The sensitivity for detecting vestibular schwannomas when invoking published audiometric protocols for triggering MRI acquisition in ASNHL ranged from 50 to 100%. Specificity of these protocols ranged from 23 to 83%. Such audiometric protocols are efficient, achieving sensitivity and specificity at these rates while reducing the screening rate to 18 to 35%. The reduced procurement of MRI while using such audiometric protocols is associated with annual cost savings of between 23 and 82%. While no definitive recommendations can be made from this review, some audiometric protocols offer a better balance of sensitivity and specificity than others. SUMMARY:Audiometric protocols for triggering MRI acquisition in ASNHL for evaluation of vestibular schwannoma can be both sensitive and specific. These are competitive measures, and so no protocol is both 100% sensitive and specific. Such protocols become less effective in populations with increased incidence of noise-induced hearing loss. Invocation of such audiometric protocols can considerably reduce the annual cost of MRI evaluation for vestibular schwannomas.

authors

Conley M,Diaz RC

doi

10.1097/MOO.0000000000000661

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

335-339

issue

5

eissn

1068-9508

issn

1531-6998

pii

00020840-202010000-00013

journal_volume

28

pub_type

杂志文章
  • The management of neck metastases in nasopharyngeal cancer.

    abstract:PURPOSE OF REVIEW:The management of cervical lymph node metastases in nasopharyngeal carcinoma is important for a favourable outcome. The strategy of diagnosis and treatment for the lymph nodes on presentation and those that have recurred after initial therapy are different. This review presents the current concept. R...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e3280148a06

    authors: Wei WI,Mok VW

    更新日期:2007-04-01 00:00:00

  • Evaluation and management of pediatric obstructive sleep apnea beyond tonsillectomy and adenoidectomy.

    abstract:PURPOSE OF REVIEW:There is an increasing percentage of children with persistent obstructive sleep apnea (OSA) after removal of the tonsils and adenoids (T&A). Although sleep apnea has been an active area of research and treatment in the adult population, our awareness of this problem in children is still in its initial...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e32834c1728

    authors: Shott SR

    更新日期:2011-12-01 00:00:00

  • Current research in otosclerosis.

    abstract:PURPOSE OF REVIEW:The aim of this article is to summarize and put into historical perspective current advances in research in otosclerosis, a disorder of the human temporal bone with a hereditary predisposition that is among the most common causes of acquired hearing loss. RECENT FINDINGS:Genetic studies have revealed...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.moo.0000244194.97301.19

    authors: Stankovic KM,McKenna MJ

    更新日期:2006-10-01 00:00:00

  • Hypothyroidism in postradiation head and neck cancer patients: incidence, complications, and management.

    abstract:PURPOSE OF REVIEW:To describe the incidence, risk factors, prevention, and management of hypothyroidism among patients treated with radiation and other modalities for head and neck cancers. RECENT FINDINGS:Hypothyroidism may occur in up to 48% of patients treated for head and neck malignancies. It has been observed af...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/moo.0b013e328325a538

    authors: Miller MC,Agrawal A

    更新日期:2009-04-01 00:00:00

  • The role of endoscopic sinus surgery in the management of sinonasal inverted papilloma.

    abstract:PURPOSE OF REVIEW:Inverted papilloma are benign sinonasal tumors that have a propensity to recur after surgical resection and may undergo malignant transformation. For this reason, complete resection is essential for the successful management of these tumors. Advances in endoscopic techniques and experience, as well as...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e32831b9cd1

    authors: Reh DD,Lane AP

    更新日期:2009-02-01 00:00:00

  • Temporomandibular joint reconstruction.

    abstract:PURPOSE OF REVIEW:Temporomandibular joint (TMJ) reconstruction represents one of the more challenging clinical problems that a head and neck surgeon encounters. Fortunately, the problem is fairly uncommon; however, at the same time, clear clinical guidelines have not been formulated. The goal of this review is to prese...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000282

    authors: Imola MJ,Liddell A

    更新日期:2016-08-01 00:00:00

  • The adjunctive role of toluidine blue in detection of oral premalignant and malignant lesions.

    abstract:PURPOSE OF REVIEW:To review the literature on toluidine blue (TBlue) and to discuss the utility of TBlue in assessing and in clinical management of patients with oral mucosal lesions. The literature search was conducted using key word search including oral cancer, oral premalignant lesions, and TBlue and by selecting r...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/moo.0b013e32832771da

    authors: Epstein JB,Güneri P

    更新日期:2009-04-01 00:00:00

  • Skeletal volume enhancement: implants and osteotomies.

    abstract:PURPOSE OF REVIEW:Facial plastic surgeons are concerned with improving or restoring function and form. Most surgeons perform primarily soft tissue procedures, which alone are often sufficient. However, deficiencies in the underlying craniomaxillofacial skeleton must also be addressed. Facial skeletal augmentation remai...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.moo.0000130576.04818.55

    authors: Zim S

    更新日期:2004-08-01 00:00:00

  • Diagnosis and management of laryngopharyngeal reflux disease.

    abstract:PURPOSE OF REVIEW:Laryngopharyngeal reflux should no longer be underestimated because of its negative impact on the lives of patients and its potentially dangerous long-term complications. RECENT FINDINGS:Both laryngopharyngeal reflux and gastroesophageal reflux disease are caused by mucosal injury from acid and pepsi...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.moo.0000193189.17225.91

    authors: Remacle M,Lawson G

    更新日期:2006-06-01 00:00:00

  • Medical malpractice and head and neck cancer.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to evaluate medical malpractice involving patients with head and neck cancer. In the United States, problems associated with the medical malpractice environment are reaching proportions that threaten the delivery of health care. RECENT FINDINGS:Several methods to learn m...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00020840-200404000-00003

    authors: Lydiatt DD

    更新日期:2004-04-01 00:00:00

  • Long-term results of the Lothrop operation.

    abstract::With continued surgical instrument advancement, endoscopic sinus surgery techniques continue to evolve with an overall improvement of our ability to offer surgical treatment for a variety of surgical disorders of the sinuses and anterior skull base. Frontal sinusitis and the extent of surgery performed in the frontal ...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00020840-200302000-00008

    authors: Kountakis SE,Gross CW

    更新日期:2003-02-01 00:00:00

  • Advantages and limitations of free and pedicled flaps in reconstruction of pharyngoesophageal defects.

    abstract:PURPOSE OF REVIEW:The current review will focus on head and neck reconstructive techniques for the pharyngoesophagus. This article reviews the changing patterns of flap usage and will evaluate the advantages and disadvantages of selected pedicled and free flaps for pharyngoesophageal reconstruction. A number of flaps a...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000081

    authors: Nagel TH,Hayden RE

    更新日期:2014-10-01 00:00:00

  • How does sinus surgery affect topical irrigation distribution?

    abstract:PURPOSE OF REVIEW:The current article reviews the literature on the distribution of nasal irrigation in the treatment of chronic sinusitis, especially in how sinus surgery and irrigation techniques affect its delivery to the nasal cavity and paranasal sinuses. RECENT FINDINGS:Nasal irrigation has become a useful tool ...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000429

    authors: de Paiva Leite SH,Douglas RG

    更新日期:2018-02-01 00:00:00

  • Vitamin D: immunomodulation of asthma, allergic rhinitis, and chronic rhinosinusitis.

    abstract:PURPOSE OF REVIEW:To discuss the role of vitamin D in asthma, allergic rhinitis, and chronic rhinosinusitis (CRS). RECENT FINDINGS:Over the last several years, the role of vitamin D in immunomodulation has been studied and shown to have a significant impact on immune function. A causal relationship exists between vita...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e3283465687

    authors: Akbar NA,Zacharek MA

    更新日期:2011-06-01 00:00:00

  • Adenoid cystic carcinoma of the head and neck: a review.

    abstract:PURPOSE OF REVIEW:This purpose of this article is to review and provide an update of current publications on the evaluation and management of adenoid cystic carcinoma. RECENT FINDINGS:Adenoid cystic carcinoma is an uncommon salivary gland malignancy that presents insidiously and is generally advanced when diagnosed. C...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00020840-200404000-00013

    authors: Bradley PJ

    更新日期:2004-04-01 00:00:00

  • The transmanubrial osteomuscular-sparing approach: a valuable adjunct to the head and neck surgical armamentarium.

    abstract:PURPOSE OF REVIEW:To describe and popularize the transmanubrial osteomuscular-sparing approach (TOSA) outside its original thoracic surgical field of application, based on the consideration that it could be of interest for the management of a number of head and neck cases in both elective and emergent scenarios. RECEN...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000605

    authors: Piazza C,Duranti L,Giannini L

    更新日期:2020-04-01 00:00:00

  • Significance of extracapsular lymph node metastases in patients with head and neck squamous cell carcinoma.

    abstract::The presence of cervical lymph node metastasis remains the most significant prognostic indicator of survival and disease recurrence in patients with squamous cell carcinoma of the head and neck. An approximately 50% reduction in 5-year survival rate is seen with the development of lymph node metastasis in patients wit...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00020840-200304000-00010

    authors: Puri SK,Fan CY,Hanna E

    更新日期:2003-04-01 00:00:00

  • Returning to work after head and neck cancer.

    abstract:PURPOSE OF REVIEW:There is a lack of evidence worldwide on return to work (RTW) in head and neck cancer (HNC), possibly because traditionally those suffering with it were typically at retirement age and survival rates were low. However, in the last 30 years, HNC survival rates have increased, resulting in more people l...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章

    doi:10.1097/MOO.0000000000000628

    authors: Miller A

    更新日期:2020-06-01 00:00:00

  • The evidence for olfactory training in treating patients with olfactory loss.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to go over the only therapy for olfactory loss supported by level 1a evidence that is currently available, which is olfactory training. This therapy is widely underutilized and has the potential to help many patients with olfactory dysfunction who are otherwise offered no...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000328

    authors: Patel ZM

    更新日期:2017-02-01 00:00:00

  • Laryngeal pacing for bilateral vocal fold immobility.

    abstract:PURPOSE OF REVIEW:This article reviews literature on the scientific background of functional electric stimulation of the immobile larynx, the status of animal pacing trials, and first clinical attempts to establish laryngeal pacing. RECENT FINDINGS:Impaired vocal fold motion is seen following recurrent laryngeal nerve...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e32834cb7ba

    authors: Mueller AH

    更新日期:2011-12-01 00:00:00

  • Management of advanced premalignant laryngeal lesions.

    abstract:PURPOSE OF REVIEW:Laryngeal carcinogenesis is a multistep process with premalignant lesions progressing to invasive carcinoma over a period of years. The approach to these advanced premalignant lesions has always been early diagnosis and treatment to prevent further progression. Unfortunately, with the current means of...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00020840-200312000-00010

    authors: Johnson FL

    更新日期:2003-12-01 00:00:00

  • Laryngopharyngeal reflux: current concepts and questions.

    abstract:PURPOSE OF REVIEW:Laryngopharyngeal reflux is a widely recognized disorder. Yet, decades after its initial description, debate persists regarding pathophysiology, diagnosis, and treatment. This review addresses current literature on laryngopharyngeal reflux and identifies areas of controversy and future opportunities f...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e32832b2581

    authors: Gupta R,Sataloff RT

    更新日期:2009-06-01 00:00:00

  • Biofilms in chronic rhinosinusitis.

    abstract:PURPOSE OF REVIEW:Rhinosinusitis is one of the most common medical complaints in the United States, affecting up to 16% of the population. It is associated with over 13 million physician visits per year and an estimated aggregated cost of over $6 billion annually. Patients with chronic rhinosinusitis (CRS) demonstrate ...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e328334f670

    authors: Suh JD,Cohen NA,Palmer JN

    更新日期:2010-02-01 00:00:00

  • Evaluation and management of syndromic congenital hearing loss.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to review the evaluation and management of children with syndromic hearing loss. Specific syndromes and the impact of those syndromes on managing hearing loss will be discussed. RECENT FINDINGS:Improved molecular testing has increased the ability to identify syndromes-as...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000397

    authors: Casazza G,Meier JD

    更新日期:2017-10-01 00:00:00

  • Who should have Mohs micrographic surgery?

    abstract:PURPOSE OF REVIEW:To review the indications for Mohs micrographic surgery in skin cancer particularly with relationship to tumours of the head and neck and any recent developments which may influence those indications in the near future. RECENT FINDINGS:There is increasing evidence to support the use of Mohs micrograp...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e32833b6f19

    authors: Perkins W

    更新日期:2010-08-01 00:00:00

  • Reconstructive techniques in skull base surgery after resection of malignant lesions: a wide array of choices.

    abstract:PURPOSE OF REVIEW:In this manuscript, we will provide a panorama of the current status of skull base reconstruction following endoscopic endonasal or open resection of malignant lesions, focusing on novel options and recent modifications of previously described techniques. RECENT FINDINGS:New developments in skull bas...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000233

    authors: Hachem RA,Elkhatib A,Beer-Furlan A,Prevedello D,Carrau R

    更新日期:2016-04-01 00:00:00

  • Latest trends in craniomaxillofacial surgical instrumentation.

    abstract:PURPOSE OF REVIEW:To review the past year's literature regarding recent innovations in surgical instrumentation for craniomaxillofacial surgery. RECENT FINDINGS:Current advances in surgical instrumentation have led to many improvements in the field, allowing greater visualization and precision both before and during p...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e328355a906

    authors: Yim M,Demke J

    更新日期:2012-08-01 00:00:00

  • In-office transnasal esophagoscope-guided botulinum toxin injection of the lower esophageal sphincter.

    abstract:PURPOSE OF REVIEW:Thin caliber transnasal esophagoscopes allow for a rapidly expanding array of office-based esophageal procedures, including botulinum toxin injections, in unsedated patients. RECENT FINDINGS:While botulinum toxin has been used in the esophagus and lower esophageal sphincter for many years, there is n...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e3282f1bf39

    authors: Rees CJ

    更新日期:2007-12-01 00:00:00

  • Clinical implications of respiratory-swallowing interactions.

    abstract:PURPOSE OF REVIEW:Swallowing disorders impact the health and quality of millions of lives of patients across the age spectrum. The broad scope of the problem is in contrast to the volume of methods that we have to treat the problem. Investigators are testing interventions that go beyond the swallowing system and are ta...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e3282febd4b

    authors: Martin-Harris B

    更新日期:2008-06-01 00:00:00

  • Safety in endoscopic sinus surgery.

    abstract:PURPOSE OF REVIEW:Endoscopic sinus surgery techniques and technologies have undergone rapid development over the past two decades. Recently, image guided systems have been implemented in endoscopic sinus surgery, carrying the promise of increased safety during surgery. This review compiles available data regarding the ...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e3282fdccad

    authors: McMains KC

    更新日期:2008-06-01 00:00:00