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Tytuł:
The report of the Polish Universal Neonatal Hearing Screening Program in 2016
Autorzy:
Zych, Monika
Greczka, Grażyna
Dąbrowski, Piotr
Wróbel, Maciej
Szyfter-Harris, Joanna
Szyfter, Witold
Powiązania:
https://bibliotekanauki.pl/articles/1398182.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
newborn hearing screening
risk factors of hearing loss
hearing loss
Opis:
The Polish Universal Neonatal Hearing Screening Program (PUNHSP) has been carried out in Poland for 14 years. The main aim of this Program is to organize hearing screening tests and to gather the Informations about risk factors of hearing loss in almost all newborns in Poland. It consists of 496 centers at 3 referral levels. A total of 5 458 114 children had been registered in the Central Database (CDB) of PUNHSP by the 22nd of August 2017. Bilateral sensorineural hearing loss was the most frequently appearing hearing impairment in children. It was diagnosed in 260 cases in 2016. This report presents the most important results and conclusions concerning the running of the PUNHSP in 2016.
Źródło:
Polish Journal of Otolaryngology; 2018, 72, 1; 1-4
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Effect of speechreading in presbycusis: Do we have a third ear?
Autorzy:
Reis, Luis Roque
Escada, Pedro
Powiązania:
https://bibliotekanauki.pl/articles/1398498.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
Presbycusis
sensorineural hearing loss
speechreading
Opis:
Introduction: Evidence regarding the effect of speechreading is lacking in age-related hearing loss (presbycusis). Thus, in individuals with presbycusis, this study determined whether speechreading would improve word intelligibility. Moreover, the study investigated the effect of speechreading on word intelligibility depending on hearing impairment severity. Materials and methods: This analytical, cross-sectional study involved two groups of individuals aged > 65 years that were enrolled by convenience sampling: 29 individuals with bilateral sensorineural hearing loss compatible with presbycusis (n=58 ears; mean age, 74.1±9.4 years) and 10 controls with at-most-mild hearing loss (n=58 ears; mean age, 73.8±8.5 years). All participants underwent a comprehensive medical and audiological evaluation, which included speech audiometry with and without observation of the audiologist’s face, i.e. speechreading. Within each group, the effect of speechreading was determined as a change in the speech reception threshold. For all statistical analyses, p < 0.05 was considered significant. Results: Both in individuals with presbycusis and controls, speechreading significantly improved speech discrimination (p<.001<.05); however, compared to controls, this effect of speechreading on speech discrimination was more pronounced in individuals with presbycusis (p<.001). Discussion: Individuals with presbycusis or hearing impairment displayed improved spoken-word intelligibility when spoken-word recognition was coupled with speechreading. Thus, speechreading may serve as a “third ear”.
Źródło:
Polish Journal of Otolaryngology; 2017, 71, 6; 38-44
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Is the Monocyte/HDL Ratio a Prognostic Marker of Idiopathic Sudden Hearing Loss?
Autorzy:
Koçak, Hasan Emre
Acipayam, Harun
Elbistanlı, Mustafa Suphi
Yiğider, Ayşe Pelin
Alakhras, Wesam
Kıral, Mehmet Nurettin
Kayhan, Fatma Tülin
Powiązania:
https://bibliotekanauki.pl/articles/1398598.pdf
Data publikacji:
2016
Wydawca:
Index Copernicus International
Tematy:
hearing loss
HDL
Monocyte
Ratio
Opis:
Objective: In this study, our aim was to investigate whether Monocyte/HDL ratio is a marker of the prognosis of the idiopathic sudden hearing loss (ISHL). Study design: Retrospective, case-control clinical trial. Materials and Methods: 45 patients, who were diagnosed with idiopathic sudden hearing loss and were treated with the same therapy regime and 47 healthy volunteers, who applied to the hospital for routine controls and had audiological and laboratory examination between March 2014 and December 2015, were included in the study. Monocyte/HDL ratios of the patients in the study and control groups were calculated from the results of the blood counts and biochemical analysis. Additionally, the study group was divided into two sub-groups regarding their responses (responders and non-responders) to the treatment determined by the audiological examination, which was carried out after 3 months according to the Siegel criteria. The Monocyte/HDL ratios between the groups were statistically evaluated. Results: There was no statistically significant difference between the MHRs of the study and control groups (p=0.574). However, the MHR was significantly higher in the non-responders’ group compared with the responders’ group, although they were treated with the same therapy regimen (p=0.005). Conclusion: There was no difference in MHRs between study and control groups. However, as MHR was higher in the patients with good prognosis compared with the patients with bad prognosis, we believe that regarding the ISHL, MHR is not a predictive value but might have prognostic marker.
Źródło:
Polish Journal of Otolaryngology; 2016, 70, 5; 26-30
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Current indications for cochlear implantation in adults and children
Autorzy:
Szyfter, Witold
Karlik, Michał
Sekula, Alicja
Harris, Simon
Gawęcki, Wojciech
Powiązania:
https://bibliotekanauki.pl/articles/1397793.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
cochlear implantation
deafness
hearing loss
residual hearing
Opis:
Introduction: Surgical treatment of deafness by cochlear implants is used for more than 40 years, and during this period permanently, gradual and significant expansion of indications for this surgery has been observed. Material and methods: In our Department in the years 1994-2018 1480 cochlear implantations were performed, both in adults (647) and in children (883). In this study current indications and the rules for eligibility of patients based on 25 years of experience are presented. Results: Indications for cochlear implantation in adults are: 1) bilateral postlingual deafness, 2) bilateral sensorineural hearing loss - in pure tone audiometry > 70 dB HL (average 500-4000 Hz) and in speech audiometry in hearing aids understanding < 50% of words for the intensity of the stimulus 65 dB, in the absence of the benefits of hearing aids, 3) bilateral profound hearing loss for high frequency with good hearing for low frequency, in the absence of the benefits of hearing aids, 4) some cases of asymmetric hearing loss with intensive tinnitus in the deaf ear. An indication in children is bilateral sensorineural hearing loss > 80dB HL confirmed by hearing tests, after about 6 months of rehabilitation with the use of hearing aids. Discussion: Although cochlear implantation is used for more than 40 years, the indications for this treatment underlies constant modifications. They concern the age of eligible patients, implantation in patients with partially preserved hearing, as well as treatment for patients with difficult anatomical conditions. In many countries, bilateral implantations are commonly performed, and more and more centers recommend this treatment in the case of unilateral deafness or asymmetric hearing loss, especially with the accompanying tinnitus in the deaf ear.
Źródło:
Polish Journal of Otolaryngology; 2019, 73, 3; 1-5
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Analysis of the changes in the Polish Universal Neonatal Hearing Screening Program over 15 years of activity
Autorzy:
Greczka, Grażyna
Zych, Monika
Szyfter, Witold
Wróbel, Maciej
Powiązania:
https://bibliotekanauki.pl/articles/1398255.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
hearing loss
newborn hearing screening
pro-health programs
Opis:
Introduction: The Polish Universal Neonatal Hearing Screening Program (PUNHSP) is one example of a nationwide pro-health program in Poland. This program is aimed at early diagnosis and intervention in children with hearing impairment, and is an example of a well-managed program. Presenting the results of the PUNHSP, particularly organisational aspects and experience, can assist institutions managing other programs to achieve high efficiency. The aim of this work was to perform a detailed analysis of the PUNHSP by identifying the changes implemented over the 15 years it has been active, as well as the consequences of their introduction in terms of improved quality and efficiency. Materials and methods: Data from the PUNHSP, registered in the central database, were evaluated, as well as organisational information related to management, IT support and infrastructure. The analysis was based on quality assessment parameters (identification of changes and the purpose of their introduction) and effectiveness (consequences of introducing the changes). The analysis includes the 15-year period in which the PUNHSP has been active, from 2002 to 2017. Results: Thirteen main modifications of the program were identified according to the definition of “change”, in addition to 11 smaller modifications resulting from the necessity to adapt to current requirements. The changes were grouped into five categories: legal, administrative, management, audit and control, and IT. Discussion: The changes implemented in the PUNHSP can be assumed to have positively influenced various aspects of the program, but do not exhaust the possibilities for further optimisation of functioning. Conclusions: The program requires constant development in order to increase the efficiency and effectiveness of its operation, and the changes and solutions implemented in this program could be applied to improve existing pro-health programs, as well as those yet to be created.
Źródło:
Polish Journal of Otolaryngology; 2018, 72, 2; 13-20
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Contemporary noise-induced hearing loss (NIHL) prevention
Autorzy:
Sułkowski, Wiesław
Owczarek, Kalina
Olszewski, Jurek
Powiązania:
https://bibliotekanauki.pl/articles/1398517.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
noise-induced hearing loss (NIHL) prevention
hearing protectors
Opis:
Hearing impairment caused by noise, traditionally called – depending on the duration of exposure - acute or chronic acoustic trauma, includes, in addition to presbyacusis, the most common adult population of hearing impaired. In Poland - according to the report of the Central Statistical Office (GUS, 2011), the number of workers employed in NDN exceeded the noise level (85 dB) is about 200 thousand, the highest in the mining, metal and metal products production, textiles and wood production. According to the Regulation of the Council of Ministers of on June 30, 2009, on the list of occupational diseases (Journal of Laws No. 132, item 1115), it is defined as "bilateral permanent hearing loss of the cochlear or sensory-nerve type, expressed as an increase in hearing threshold of at least 45 dB in the ear better heard, calculated as an arithmetic mean for frequencies 1,2 and 3 kHz. Hearing impairments also occur in the military and police during field training and in combat where the source of acoustic injuries are firearms and pulse-inducing explosions (as in some industries) with high C peak levels (Lc peak) Time to rise to a maximum of <1 ms. The prevalence of loud music listening, particularly by personal stereo players, is also affecting children and adolescents with audiometric hearing loss, according to the World Health Organization (WHO) estimates of around 15-20%. The preventive action strategy is defined by the European Union legislation and the national implementing legislation that reduces or eliminates the risk and reduces (if not eliminated), taking into account available technical and organizational solutions to minimize the risk of hearing damage. If you can not reduce the noise levels with technical and organizational methods, you need individual hearing protectors. Ear protectors may be equipped with electronic systems with active noise reduction (which can improve low and medium frequency performance), adjustable attenuation (improves speech intelligibility and perception of warning signals), and wireless communication for verbal communication.
Źródło:
Polish Journal of Otolaryngology; 2017, 71, 4; 1-7
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Interchangeability of three different methods of calculating Pure Tone Average in patients with vestibular schwannoma to assess the risk of surgery-related hearing loss
Autorzy:
Ochal-Choińska, Aleksandra
Lachowska, Magdalena
Kurczak, Katarzyna
Niemczyk, Kazimierz
Powiązania:
https://bibliotekanauki.pl/articles/1397311.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
acoustic neuroma
audiometry
hearing loss
vestibular schwannoma
Opis:
Background: Patients with vestibular schwannoma (VS) most commonly present with hearing threshold reduction for high frequencies and a falling type of audiometric curve. However, it is doubtful whether all Pure Tone Averages described in the literature characterize patients with VS correctly, as the type of PTA which comprises higher frequencies may be more appropriate for hearing status assessment in those patients. Aim: The aim of this study was to analyze 3 common methods of calculating Pure Tone Averages (PTA1 – 500, 1000, 2000 and 3000 Hz; PTA2 – 500, 1000, 2000 and 4000 Hz; PTA3 – 500, 1000 and 2000 Hz) and to determine which of them is the most reliable for the assessment of VS patients. Material and Methods: The study group included 86 patients operated on due to vestibular schwannoma accessed via the middle cranial fossa. Results: Regarding the method of calculating Pure Tone Averages (PTA1, PTA2 and PTA3) identical or similar correlations were found between the preoperative values of Pure Tone Averages (PTA1, PTA2 and PTA3) and surgery-related hearing loss, as well as individual parameters of audiologic tests. Conclusions: Pure Tone Averages calculated according to 3 different methods (PTA1, PTA2, PTA3) may be used interchangeably in the assessment of hearing in VS patients.
Źródło:
Polish Journal of Otolaryngology; 2020, 74, 5; 11-16
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Piezoelectric bone conduction hearing implant Osia® – audiological and quality of life benefits
Autorzy:
Marszał, Joanna
Gibasiewicz, Renata
Błaszczyk, Magdalena
Gawłowska, Maria Bratumiła
Gawęcki, Wojciech
Powiązania:
https://bibliotekanauki.pl/articles/23203231.pdf
Data publikacji:
2021-06-16
Wydawca:
Index Copernicus International
Tematy:
bone conduction
bone-anchored prosthesis
hearing aids
hearing loss
Opis:
Introduction: Nowadays, there are many options to treat hearing-impaired patients: tympanoplastic surgery, hearing aids and a wide range of implantable devices. Aim: 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. Material and methods: 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). Results: 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). Conclusions: 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.
Źródło:
Polish Journal of Otolaryngology; 2021, 75, 6; 11-22
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Short-term audiological outcomes of stapedotomy: microdrill at low revolutions versus manual perforator to perform a small footplate fenestra. A prospective observational study
Autorzy:
Palacios-Garcia, Jose
Ropero-Romero, Francisco
Aguilar-Vera, Francisco
Sanchez-Gomez, Serafin
Powiązania:
https://bibliotekanauki.pl/articles/1397252.pdf
Data publikacji:
2021
Wydawca:
Index Copernicus International
Tematy:
audiology
hearing loss
otosclerosis
stapedectomies
stapes surgery
Opis:
Introduction: Stapedotomy is currently the surgical technique of choice for treating otosclerosis. Despite this, there is no agreement about the best technique to perform a small fenestra footplate, therefore multiple procedures have been proposed. The aim of this study was to investigate the hearing outcomes of microdrill and manual perforator. Material and Methods: An observational prospective study was carried out on patients who underwent stapedotomy. We analyzed the hearing threshold in two groups of patients according to the way the fenestra footplate was realized by microdrill or manual perforator. Results: A total of 113 patients were evaluated. Postoperative hearing gain of the microdrill group was 23.29 (18.58) dB HL 95% CI (18.40–28.18), while in the manual perforator group, it was 22.67 (12.91) dB HL 95% CI (19.07–26.26). Both groups were statistically significant. Postoperative bone conductive hearing threshold at the frequencies of 0.5, 1 and 2 KHz and postoperative air conductive hearing threshold at the frequencies of 2 and 4 KHz showed statistically significant differences in the manual perforator group. The closure of air-bone gap was higher in the microdrill group with statistically significant differences. Conclusion: Both manual perforator and microdrill have good hearing outcomes at six months after surgery. The manual perforator has better audiological outcomes than microdrill. Hence, the manual perforator is a safe technique and can be used in centers that do not have other methods to make the small fenestra.
Źródło:
Polish Journal of Otolaryngology; 2021, 75, 1; 45-50
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Hearing loss in patients with extracranial complications of chronic otitis media
Autorzy:
Przewoźny, Tomasz
Kuczkowski, Jerzy
Powiązania:
https://bibliotekanauki.pl/articles/1398541.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
chronic suppurative otitis media
complications
extracranial
hearing loss
Opis:
Objective: A pure tone audiomety analysis of patients with extracranial complications of chronic suppurative otitis media (ECCSOM). Material and methods: We retrospectively analyzed audiometric data performed before treatment from 63 patients with ECCSOM (56 single, 7 multiple complications) including groups of frequencies. Results: The greatest levels of hearing loss were noted for 6 and 8 kHz (79.0 and 75.7 dBHL) and for the frequency groups high tone average (76.1 dBHL). As regards the severity of hearing impairment in pure tone average the prevalence of complications was as follows: labyrinthitis (77.8±33.6 dBHL), facial palsy (57.1±14.3 dBHL), perilymphatic fistula (53.9±19.9 dBHL) and mastoiditis (42.2±9.5 dBHL) (p=0.023). Conclusions: Hearing loss in ECCSOM is dominated by mixed, high-tone, moderate type of hearing loss, most profound in labyrinthitis. In 11% of patients the complication causes total deafness.
Źródło:
Polish Journal of Otolaryngology; 2017, 71, 3; 31-41
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Parotid gland tumors. Results of retrospective analysis of 149 patients treated at the Clinical Department of Cranio-Maxillofacial Surgery, Clinic of Otolaryngology and Oncologic Laryngology of Military Institute of Medicine in Warsaw in years 2006–2016.
Autorzy:
Chloupek, Aldona
Zarzycki, Krzysztof
Dąbrowski, Jarosław
Domański, Wojciech
Powiązania:
https://bibliotekanauki.pl/articles/1398551.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
chronic suppurative otitis media
complications extracranial
hearing loss
Opis:
Wstęp: Nowotwory mające swoją etiologię w gruczołach ślinowych występują rzadko i stanowią ok. 3–10% wszystkich guzów w obrębie głowy i szyi. Materiał i metody: W latach 2006–2016 w Klinicznym Oddziale Chirurgii Czaszkowo-Szczękowo-Twarzowej Wojskowego Instytutu Medycznego w Warszawie z powodu nowotworów ślinianek przyusznych hospitalizowano i leczono 149 pacjentów. Podstawą do analizy były historie chorób pacjentów, wyniki badań histopatologicznych oraz protokoły zabiegów operacyjnych. Wyniki: W 126 przypadkach guzy były łagodne, natomiast w 26 guzy złośliwe. Analizując wyniki można stwierdzić, że nowotwory - zarówno łagodne, jak i złośliwe – częściej występowały u mężczyzn. Średni wiek całej grupy badanych wynosił 58,3 lat, dla zmian złośliwych – 65,5 lat, a dla zmian łagodnych był nieznacznie niższy i wynosił 56,9 lat. Wśród pacjentów objętych analizą szczyt zachorowalności przypadał na przedział wiekowy 60–69 lat. Ponadto zwraca uwagę, iż przedział ten był taki sam dla ogólnej liczby guzów, jak i nowotworów łagodnych, natomiast dla nowotworów złośliwych był nieznacznie wyższy i wynosił 70–79 lat. Z analizy zebranego materiału wynika, że guzy łagodne występowały znamiennie częściej, stanowiąc 84,56% wszystkich guzów. Najczęstszymi rozpoznaniami wśród nowotworów łagodnych były gruczolak wielopostaciowy (adenoma pleomorphicum) oraz gruczolak limfatyczny (adenolymphoma), które stanowiły łącznie 93,66%. Rezultaty badań wskazują, że wśród nowotworów złośliwych dominowały: gruczolakorak polimorficzny o niskiej złośliwości (polymorphous low-grade adenocarcinoma) występujący w 26,07% przypadków, gruczolakorak inaczej nieokreślony (adenocarcinoma NOS) oraz rak zrazikowokomórkowy (acinic cell carcinoma). Każdy z nich stanowił po 13,04% rozpoznań. Jak wynika z przeprowadzonej analizy najczęstszą metodą leczenia było leczenie chirurgiczne jako metoda stosowana samodzielnie. Wnioski: Uzyskane z retrospektywnej analizy dane korelują z piśmiennictwem krajowym i światowym.
Źródło:
Polish Journal of Otolaryngology; 2017, 71, 3; 42-47
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Assesment effectiveness of treatment Eustachian tube dysfunction using pneumatic inhaler AMSA
Autorzy:
Zając - Ratajczak, Iwona
Szkiełkowska, Agata
Wilhelmsen, Karina
Powiązania:
https://bibliotekanauki.pl/articles/1398622.pdf
Data publikacji:
2016
Wydawca:
Index Copernicus International
Tematy:
Eustachian tube disorders
conductive hearing loss
inhaler AMSA
Opis:
Introduction: Upper respiratory tract infections are common childhood diseases. Children are more susceptible to middle ear infections because their Eustachian tube is short, straight and wide. As a consequence of these inflammatory changes while impaired patency of the Eustachian tube often arises conductive hearing. Objective: The aim of this study was to Assessment effectiveness of treatment Eustachian tube dysfunction using inhaler AMSA. Material and Methods: The study group comprised 30 patients. Same was in the control group. All patients reported conductive hearing loss. Test group was treated as an inhaler AMSA. The control group was treated pharmacologically. Patients were examined with the use of pure-tone audiometry, and impedance at baseline, after one week and four weeks. Results: Statistical analysis showed improvement in the studied parameters in patients treated with inhaler AMSA in a much shorter time than patients treated with pharmacotherapy.
Źródło:
Polish Journal of Otolaryngology; 2016, 70, 6; 6-11
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Conductive hearing loss after surgical treatment of otosclerosis – long-term observations
Autorzy:
Wierzbicka, Małgorzata
Gawęcki, Wojciech
Bartochowska, Anna
Balcerowiak, Andrzej
Pietraszek, Marta
Powiązania:
https://bibliotekanauki.pl/articles/1397253.pdf
Data publikacji:
2021
Wydawca:
Index Copernicus International
Tematy:
conductive hearing loss
otosclerosis
reoperation
restapedotomy
stapedectomy
stapedotomy
Opis:
Introduction: For many years, surgical treatment of otosclerosis has been a widely accepted approach. Hearing improvement following stapes surgery is sometimes spectacular, and good treatment results are obtained in many centers in over 90% of patients. However, in the subsequent years after the treatment, some patients develop permanent or progressive conductive hearing loss. Aim: The aim of the study is to present a group of patients with conductive hearing loss after the first otosclerosis surgery and to analyze the causes of its occurrence. Materials and Methods: The retrospective review covered patients who underwent the initial surgery in the years 2000–2009. We analyzed the patients’ medical records from before the end of 2019, which provided results of at least 10 years of postoperative follow-up. The group consisted of 1118 patients aged 14–82, including 802 women and 316 men. Results: Reoperations due to conductive hearing loss were performed on 93 patients, who accounted for 8.3% of the originally operated patients. They were much more common in patients after stapedectomies (19.7%) than in patients after stapedotomy (5.5%). Prosthesis dislocation was found to be the most frequent intraoperative observation (44.1%) and was often associated with erosion or necrosis of the long process of incus (28%). Less frequent reasons for hearing loss were: adhesions around the prosthesis (10.8%), too small hole in the stapes footplate (8.6%), too short prosthesis (8.6%), progression of otosclerosis (7.5%), too long prosthesis (6.4%), presence of a granuloma around the prosthesis (5.4 %), and displacement of incus (4.3%). Conclusions: Surgical treatment of otosclerosis is a widely accepted and good method. It allows to achieve an improvement in hearing in the vast majority of patients treated in this way. Unfortunately, over the years some patients develop recurrent conductive hearing loss. Reoperation creates an opportunity for finding the cause and improving hearing in the majority of cases.
Źródło:
Polish Journal of Otolaryngology; 2021, 75, 1; 1-6
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Hearing loss in mild OSAS and simple snoring patients
Autorzy:
Spinosi, Maria Carla
D'Amico, Francesca
Passali, Giulio
Cingi, Cemal
Rodriguez, Hugo
Passali, Desiderio
Powiązania:
https://bibliotekanauki.pl/articles/1398309.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
hearing loss
OSAS
snoring
chronic noise
auditory damage
Opis:
Introduction Obstructive Sleep Apnea Syndrome (OSAS) is characterized by recurrent episodes of prolonged partial or complete obstruction of the upper airways. Several study groups studied the effect of snoring and OSAS on auditory function, showing an increase in the incidence of hearing loss in apneic patients, an earlier onset and/or a degree of hearing loss deeper than in peers. The aim of our study is to evaluate the audiological performance of a population of simple-snoring patients and patients suffering from mild OSAS, and the impact that such pathological condition can have on the auditory function, considering the significant levels of chronic noise. Materials and Methods Data was collected by analyzing audiometric exams on snoring patients and a control group of non-snoring patients. Our study included simple snoring patients without OSAS (AHI < 5) or with low level of OSAS (5< AHI < 15). Possible hearing loss was classified in a crescent scale (A-B-C-D-E), from greater to minor auditory performance, according to the indications of the national protocol of occupational medicine for evaluation of hearing loss in patients exposed to chronic noise. Results We have found independence between simple snorers, mild-OSAS snorers and non-snoring patients compared to the scale of hearing performance classification. Conclusions Our results show a distribution of hearing loss in the different groups that appear independent of the presence or absence of snoring, complicated or uncomplicated by mild OSAS.
Źródło:
Polish Journal of Otolaryngology; 2017, 71, 2; 12-16
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Evaluation of quality of life in patients after cochlear implantation surgery in 2014-2017
Autorzy:
Czerniejewska-Wolska, Hanna
Kałos, Magdalena
Gawłowska, Maria
Sekula, Alicja
Mickiewicz, Patrycja
Wiskirska-Woźnica, Bożena
Karlik, Michał
Powiązania:
https://bibliotekanauki.pl/articles/1397826.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
quality of life
quality of hearing
profound hearing loss
cochlear implant
Opis:
Introduction: Profound hearing loss significantly affects the quality of life of deaf people as well as their families. Observation of the benefit from the use of cochlear implants in deaf patients allows to assess the success of treatment with this method and its impact on the quality of life of these patients. The aim of this study was to determine the quality of life in patient after the cochlear implantation in the material of Department of Phoniatrics and Audiology of the Medical University in Poznań. Material and methods: The study involved implanted patients who voluntarily joined to the project entitled "Observational study of the implanted patient (Cochlear-IROS)". It has a prospective character, it is an international and long-term study, covering the observation of patients up to three years after implantation. Standardized HUI and SSQ questionnaires were used. 70 patients were included in the analysis, the mean age at the time of the cochlear implantation was 47.6 years. In the research group there were 33 men and 37 women. In the whole group, the patients' age at implantation was at least 18 years, max. 80 years. Results: The results of the SSQ questionnaire, which deals with the self-assessment of hearing ability in everyday situations, indicate that in the subjective assessment of patients one year after surgery the speech hearing improved by 77%, spatial hearing by 84%, and the quality of hearing by 49%. The general quality of life before the first connection of the sound processor according to the HUI questionnaire, the patients rated at 0.49 (0-1 scale, where 0 - corresponds to the death condition and 1 - full health). After one year from the implantation, this rating increased to 0.56. Conclusions: The implantation of the cochlear implant significantly increases the patient's quality of life, its physical and emotional functioning. Statistically significant better self-assessment of patients mainly concerned hearing speech and spatial hearing - especially after 1 year of connecting the speech processor.
Źródło:
Polish Journal of Otolaryngology; 2019, 73, 2; 11-17
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
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