Abstract：
PURPOSE:The purpose of this work is to explore audiometry following cochlear implantation (CI) in patients with enlarged vestibular aqueduct (EVA) and to investigate the effects of inner ear morphological variation on post CI audiometry. METHODS:This was a retrospective review of both natural and cochlear-implant-aided audiometry results, using all available measurements in a mixed-effects model accounting for longitudinal change and the grouping structure of ears. Patients who visited our tertiary academic medical center between 2000 and 2016 were identified as having EVA according to Cincinnati criteria on radiological examination; patients eligible for CI were then selected for analysis. RESULTS:Multivariable modeling showed a statistically significant hearing improvement in ears with EVA undergoing CI with regards to pure tone average (-64.0 dB, p < 0.0001), speech reception threshold (-57.90 dB, p < 0.0001), and word score (34.8%, p > 0.0001). Vestibular aqueduct midpoint size and the presence of incomplete partition type II (IP II) did not have significant independent associations with audiometric findings. However, multivariable modeling revealed a statistically significant interaction between IP II and CI such that IP II ears demonstrated a decrease in WS improvement of 30.2% (p = 0.0059) compared to non-IP II ears receiving CI. CONCLUSION:There is a statistically significant audiometric benefit to ears with EVA receiving CI. Morphology, specifically the presence of IP II, may hinder CI benefit in terms of word score however this finding needs clinical validation. This data improves personalization of surgical counseling and planning for patients with EVA considering CI.
journal_name
Am J Otolaryngoljournal_title
American journal of otolaryngologyauthors
Patel ND,Ascha MS,Manzoor NF,Gupta A,Semaan M,Megerian C,Otteson TDdoi
10.1016/j.amjoto.2018.06.006subject
Has Abstractpub_date
2018-01-01 00:00:00pages
657-663issue
6eissn
0196-0709issn
1532-818Xpii
S0196-0709(18)30466-6journal_volume
39pub_type
杂志文章abstract：OBJECTIVES/HYPOTHESIS:The aim of the study was to introduce and study the role of standardized views for ultrasound of the major salivary glands in resident learning and retention. STUDY DESIGN:Methods description and prospective case series. METHODS:Five otolaryngology residents and two patient models were recruited...
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journal_title：American journal of otolaryngology
pub_type： 杂志文章,多中心研究
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abstract：:This case is a single submandibular gland mumps viral infection patient without parotid gland involvement who developed complications of meningitis and orchitis. Since spontaneous remission is common in mumps viral infection, missing opportunities for exact diagnosis is frequent. As in this case, single submandibular ...
journal_title：American journal of otolaryngology
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abstract：:The effectiveness of the auditory brainstem evoked response (ABR) test as a screening test for permanent hearing loss in neonates is examined in 32 published studies including 4,945 infants. Follow-up studies validating initial test failure were available for only 658 infants. Significant differences in methodology ex...
journal_title：American journal of otolaryngology
pub_type： 杂志文章,评审
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journal_title：American journal of otolaryngology
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journal_title：American journal of otolaryngology
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journal_title：American journal of otolaryngology
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journal_title：American journal of otolaryngology
pub_type： 杂志文章,评审
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journal_title：American journal of otolaryngology
pub_type： 杂志文章,评审
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journal_title：American journal of otolaryngology
pub_type： 杂志文章
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更新日期：1983-03-01 00:00:00
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journal_title：American journal of otolaryngology
pub_type： 杂志文章,评审
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journal_title：American journal of otolaryngology
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journal_title：American journal of otolaryngology
pub_type： 杂志文章
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journal_title：American journal of otolaryngology
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更新日期：2018-01-01 00:00:00
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journal_title：American journal of otolaryngology
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更新日期：2019-01-01 00:00:00
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journal_title：American journal of otolaryngology
pub_type： 杂志文章
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journal_title：American journal of otolaryngology
pub_type： 杂志文章
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更新日期：2018-01-01 00:00:00
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journal_title：American journal of otolaryngology
pub_type： 杂志文章
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journal_title：American journal of otolaryngology
pub_type： 杂志文章
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更新日期：1995-01-01 00:00:00
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journal_title：American journal of otolaryngology
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更新日期：2012-11-01 00:00:00
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journal_title：American journal of otolaryngology
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更新日期：2013-09-01 00:00:00
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journal_title：American journal of otolaryngology
pub_type： 杂志文章
doi：10.1053/ajot.2002.124195
更新日期：2002-09-01 00:00:00
