http://sfaki.blogspot.com/2016/11/asphyxia-due-to-laryngeal-spasm-as.html
Alexandros Sfakianakis
Anapafseos 5 . Agios Nikolaos
Crete.Greece.72100
2841026182
Anapafseos 5 . Agios Nikolaos
Crete.Greece.72100
2841026182
6948891480
Τρίτη 8 Νοεμβρίου 2016
The importance of early onset hoarseness and absent of laryngeal crepitus
Alexandros Sfakianakis
Anapafseos 5 . Agios Nikolaos
Crete.Greece.72100
2841026182
Anapafseos 5 . Agios Nikolaos
Crete.Greece.72100
2841026182
6948891480
Vestibular dehiscence syndrome caused by a labyrinthine congenital cholesteatoma.
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Vestibular dehiscence syndrome caused by a labyrinthine congenital cholesteatoma.
Ear Nose Throat J. 2015 Feb;94(2):E1-5
Authors: Fiorino F, Pizzini FB, Mattellini B, Barbieri F
Abstract
A 40-year-old man presented with conductive hearing loss and pressure- and sound-related vestibular symptoms. Computed tomography and diffusion-weighted magnetic resonance imaging revealed the presence of a cholesteatoma involving the vestibular labyrinth. The patient underwent a canal-wall-up tympanoplasty, which revealed evidence of a disruption of the vestibular labyrinth and a wide dehiscence of the vestibule, which was immediately resurfaced. At the 2-month follow-up, the patient's pressure- and sound-related vestibular symptoms had disappeared. Pure-tone audiometry showed a reduction in the air-bone gap with a slight deterioration of bone conduction and an improvement in the air-conduction threshold. Fistulization of the otic capsule produces a "third window," which can lead to a dehiscence syndrome. One possible cause is a cholesteatoma of the middle ear or petrous bone. When the vestibule is invaded by a cholesteatoma, hearing is almost invariably lost, either pre- or postoperatively. However, in our case, wide opening of the vestibule resulted in hearing preservation.
PMID: 25651351 [PubMed - indexed for MEDLINE]
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Vestibular dehiscence syndrome caused by a labyrinthine congenital cholesteatoma.
| Related Articles |
Vestibular dehiscence syndrome caused by a labyrinthine congenital cholesteatoma.
Ear Nose Throat J. 2015 Feb;94(2):E1-5
Authors: Fiorino F, Pizzini FB, Mattellini B, Barbieri F
Abstract
A 40-year-old man presented with conductive hearing loss and pressure- and sound-related vestibular symptoms. Computed tomography and diffusion-weighted magnetic resonance imaging revealed the presence of a cholesteatoma involving the vestibular labyrinth. The patient underwent a canal-wall-up tympanoplasty, which revealed evidence of a disruption of the vestibular labyrinth and a wide dehiscence of the vestibule, which was immediately resurfaced. At the 2-month follow-up, the patient's pressure- and sound-related vestibular symptoms had disappeared. Pure-tone audiometry showed a reduction in the air-bone gap with a slight deterioration of bone conduction and an improvement in the air-conduction threshold. Fistulization of the otic capsule produces a "third window," which can lead to a dehiscence syndrome. One possible cause is a cholesteatoma of the middle ear or petrous bone. When the vestibule is invaded by a cholesteatoma, hearing is almost invariably lost, either pre- or postoperatively. However, in our case, wide opening of the vestibule resulted in hearing preservation.
PMID: 25651351 [PubMed - indexed for MEDLINE]
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Early Identification of Infants and Toddlers With Deafblindness.
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Early Identification of Infants and Toddlers With Deafblindness.
Am Ann Deaf. 2016;161(4):412-423
Authors: Anthony TL
Abstract
Data from the 2014 National Center on Deaf-Blindness Count show that fewer than 100 infants and toddlers are currently identified with deaf-blindness across the United States and that identification rates for this population vary greatly from state to state. The author presents a key rationale for timely and accurate identification of early-onset deafblindness and of the challenges involved in current early identification practices. Health and educational providers play a vital role in efforts to understand the impact of deafblindness on early development, high-risk conditions, and diagnoses associated with pediatric deafblindness, as well as the warning signs of early-onset hearing and vision loss. Subsequent to diagnosis, medical treatments may be available to restore or augment sensory functioning. Therefore, early detection and identification of deafblindness should serve as a catalyst for prompt referral to appropriate early intervention services for both child and family.
PMID: 27818398 [PubMed - in process]
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Diabetes mellitus and the incidence of hearing loss: a cohort study.
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Diabetes mellitus and the incidence of hearing loss: a cohort study.
Int J Epidemiol. 2016 Nov 6;:
Authors: Kim MB, Zhang Y, Chang Y, Ryu S, Choi Y, Kwon MJ, Moon IJ, Deal JA, Lin FR, Guallar E, Chung EC, Hong SH, Ban JH, Shin H, Cho J
Abstract
BACKGROUND: To evaluate the association between diabetes mellitus (DM) and the development of incident hearing loss.
METHODS: Prospective cohort study was performed in 253 301 adults with normal hearing tests who participated in a regular health-screening exam between 2002 and 2014. The main exposure was the presence of DM at baseline, defined as a fasting serum glucose ≥ 126 mg/dL, a self-reported history of DM or current use of anti-diabetic medications. Pre-diabetes was defined as a fasting glucose 100-125 mg/dL and no history of DM or anti-diabetic medication use. Incident hearing loss was defined as a pure-tone average of thresholds at 0.5, 1.0 and 2.0 kHz > 25 dB in both right and left ears.
RESULTS: During 1 285 704 person-years of follow-up (median follow-up of four years), 2817 participants developed incident hearing loss. The rate of hearing loss in participants with normal glucose levels, pre-diabetes and DM were 1.8, 3.1 and 9.2 per 1000 person-years, respectively (P < 0.001). The multivariable-adjusted hazard ratios for incident hearing loss for participants with pre-diabetes and DM compared with those with normal glucose levels were 1.04 (95% confidence interval 0.95-1.14) and 1.36 (1.19-1.56), respectively. In spline regression analyses, the risk of incident hearing loss increased progressively with HbA1c levels above 5%.
CONCLUSIONS: In this large cohort study of young and middle-aged men and women, DM was associated with the development of bilateral hearing loss. DM patients have a moderately increased risk of future hearing loss.
PMID: 27818377 [PubMed - as supplied by publisher]
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Language and hearing outcomes of preterm infants.
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Language and hearing outcomes of preterm infants.
Semin Perinatol. 2016 Nov 3;:
Authors: Vohr BR
Abstract
Multiple factors including degree of prematurity, neonatal morbidities, illness severity, hearing status, gender, language environment in the neonatal intensive care unit and in the home, maternal education level, social and environmental status of the family, and access to early intervention all contribute to the language outcomes of extremely preterm infants with and without hearing loss. Early screening, early diagnosis, and early intervention services by 6 months of age are necessary to optimize the language outcomes of preterm infants with permanent hearing loss. There is increasing evidence of the potential for improved language skills with increasing age of extreme preterm infants and infants with hearing loss.
PMID: 27817912 [PubMed - as supplied by publisher]
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