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9. Can Electrocochleography Help Preserve Hearing After Cochlear Implantation With Full Electrode Insertion?

Author

Harris, Michael S., Koka, Kanth, Riggs, William J., Saleh, Shaza, Holder, Jourdan T., Dwyer, Robert T., Prentiss, Sandra, Lefler, Shannon, Kozlowski, Kristin, Hiss, Megan M., Ortmann, Amanda J., Nelson-Bakkum, Erin, Büchner, Andreas, Salcher, Rolf, Harvey, Steven A., Hoffer, Michael E., Bohorquez, Jorge E., Alzhrani, Farid, Alshihri, Rana, Fida, Almuhawas, Danner, Christopher J., Friedland, David R., Seidman, Michael D., Lenarz, Thomas, Telischi, Fred F., Labadie, Robert F., Buchman, Craig A., and Adunka, Oliver F.

Published
2022
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10. Clinical Practice Guideline: Age‐Related Hearing Loss.

Author

Tsai Do, Betty S., Bush, Matthew L., Weinreich, Heather M., Schwartz, Seth R., Anne, Samantha, Adunka, Oliver F., Bender, Kaye, Bold, Kristen M., Brenner, Michael J., Hashmi, Ardeshir Z., Keenan, Teresa A., Kim, Ana H., Moore, Denée J., Nieman, Carrie L., Palmer, Catherine V., Ross, Erin J., Steenerson, Kristen K., Zhan, Kevin Y., Reyes, Joe, and Dhepyasuwan, Nui

Abstract

Objective: Age‐related hearing loss (ARHL) is a prevalent but often underdiagnosed and undertreated condition among individuals aged 50 and above. It is associated with various sociodemographic factors and health risks including dementia, depression, cardiovascular disease, and falls. While the causes of ARHL and its downstream effects are well defined, there is a lack of priority placed by clinicians as well as guidance regarding the identification, education, and management of this condition. Purpose: The purpose of this clinical practice guideline is to identify quality improvement opportunities and provide clinicians trustworthy, evidence‐based recommendations regarding the identification and management of ARHL. These opportunities are communicated through clear actionable statements with explanation of the support in the literature, evaluation of the quality of the evidence, and recommendations on implementation. The target patients for the guideline are any individuals aged 50 years and older. The target audience is all clinicians in all care settings. This guideline is intended to focus on evidence‐based quality improvement opportunities judged most important by the guideline development group (GDG). It is not intended to be a comprehensive, general guide regarding the management of ARHL. The statements in this guideline are not intended to limit or restrict care provided by clinicians based on their experience and assessment of individual patients. Action Statements: The GDG made strong recommendations for the following key action statements (KASs): (KAS 4) If screening suggests hearing loss, clinicians should obtain or refer to a clinician who can obtain an audiogram. (KAS 8) Clinicians should offer, or refer to a clinician who can offer, appropriately fit amplification to patients with ARHL. (KAS 9) Clinicians should refer patients for an evaluation of cochlear implantation candidacy when patients have appropriately fit amplification and persistent hearing difficulty with poor speech understanding. The GDG made recommendations for the following KASs: (KAS 1) Clinicians should screen patients aged 50 years and older for hearing loss at the time of a health care encounter. (KAS 2) If screening suggests hearing loss, clinicians should examine the ear canal and tympanic membrane with otoscopy or refer to a clinician who can examine the ears for cerumen impaction, infection, or other abnormalities. (KAS 3) If screening suggests hearing loss, clinicians should identify sociodemographic factors and patient preferences that influence access to and utilization of hearing health care. (KAS 5) Clinicians should evaluate and treat or refer to a clinician who can evaluate and treat patients with significant asymmetric hearing loss, conductive or mixed hearing loss, or poor word recognition on diagnostic testing. (KAS 6) Clinicians should educate and counsel patients with hearing loss and their family/care partner(s) about the impact of hearing loss on their communication, safety, function, cognition, and quality of life (QOL). (KAS 7) Clinicians should counsel patients with hearing loss on communication strategies and assistive listening devices. (KAS 10) For patients with hearing loss, clinicians should assess if communication goals have been met and if there has been improvement in hearing‐related QOL at a subsequent health care encounter or within 1 year. The GDG offered the following KAS as an option: (KAS 11) Clinicians should assess hearing at least every 3 years in patients with known hearing loss or with reported concern for changes in hearing. [ABSTRACT FROM AUTHOR]

Published
2024
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16. Comparison of Postoperative Outcomes in Cystic Versus Solid Vestibular Schwannoma in a Multi-institutional Cohort

Author

Zhang, Lisa, primary, Ostrander, Benjamin T., additional, Duhon, Bailey, additional, Moshitaghi, Omid, additional, Lee, Joshua, additional, Harris, Micah, additional, Hardesty, Douglas A., additional, Prevedello, Daniel M., additional, Schwartz, Marc S., additional, Dodson, Edward E., additional, Friedman, Rick A., additional, Adunka, Oliver F., additional, and Ren, Yin, additional

Published
2023
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22. Simultaneous Vestibular Schwannoma Resection and Cochlear Implantation via a Translabyrinthine Approach.

Author

Macielak, Robert J., Kaul, Vivian F., Prevedello, Daniel M., and Adunka, Oliver F.

Subjects
ACOUSTIC neuroma, COCHLEAR implants, ACOUSTIC nerve, OPERATIVE surgery
Abstract

Video Description: Aural rehabilitation via cochlear implantation (CI) in the vestibular schwannoma (VS) population is becoming increasingly commonplace in practice. When combined with microsurgical resection, alteration of tumor dissection is required to maintain integrity of the cochlear nerve for implantation. The present video highlights the surgical technique required to perform simultaneous CI and VS resection via a translabyrinthine approach.By Robert J. Macielak; Vivian F. Kaul; Daniel M. Prevedello and Oliver F. AdunkaReported by Author; Author; Author; Author [Extracted from the article]

Published
2024
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23. Intracanalicular Extension of Large Vestibular Schwannomas: Does It Affect Presentation and Outcomes?

Author

Macielak, Robert J., Zhang, Lisa, Prevedello, Daniel M., Adunka, Oliver F., Dodson, Edward E., Wu, Kyle C., and Ren, Yin

Subjects
SCHWANNOMAS, SKULL base, CRANIAL nerves, AGRICULTURAL extension work
Abstract

This article, published in the Journal of Neurological Surgery, examines the impact of intracanalicular extension on the presentation and outcomes of large vestibular schwannomas (VSs). The study compares patients with VSs that extend into the internal auditory canal (IAC) to those without IAC extension. The results show that patients with IAC extension have higher rates of facial numbness at presentation, but there are no significant differences in other symptoms or preoperative cranial nerve function. In terms of postoperative outcomes, there is a trend towards better facial nerve outcomes and less dizziness in patients without IAC extension. The study suggests that further research is needed to understand the impact of IAC extension in larger tumors and whether a distinct disease process exists. [Extracted from the article]

Published
2024
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25. International Survey of Operative Practices for Otologists and Neurotologists During the COVID-19 Crisis

Author

Ridge, Sarah E., Chari, Divya A., Kozin, Elliott D., Remenschneider, Aaron K., Adunka, Oliver F., Aristegui, Miguel, Chang, Wai Tsz, Cheng, Yen-Fu, Chung, Jong Woo, Cohen, Michael S., Crowson, Matthew G., Golub, Justin S., Handzel, Ophir, Isaacson, Brandon, Iyer, Arunachalam, Kakehata, Seiji, Marchioni, Daniele, Nogueira, João Flávio, Patel, Nirmal, Quesnel, Alicia M., Rivas, Alejandro, Saeed, Shakeel R., Salzman, Richard, Santos, Felipe, Saxby, Alexander J., Tarabichi, Muaaz, Verhaert, Nicolas, Vincent, Robert, Wanna, George, Wolpert, Stephan, and Lee, Daniel J.

Published
2021
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28. American Neurotology Society, American Otological Society, and American Academy of Otolaryngology – Head and Neck Foundation Guide to Enhance Otologic and Neurotologic Care During the COVID-19 Pandemic

Author

Kozin, Elliott D., Remenschneider, Aaron K., Blevins, Nikolas H., Jan, Taha A., Quesnel, Alicia M., Chari, Divya A., Kesser, Bradley W., Weinstein, Jaqueline E., Ahsan, Syed F., Telischi, Fred F., Adunka, Oliver F., Weber, Peter, Knoll, Renata M., Coelho, Daniel H., Anne, Samantha, Franck, Kevin H., Marchioni, Daniele, Barker, Frederick G., II, Carter, Bob S., Lustig, Lawrence R., Bojrab, Dennis I., Bhansali, Sanjay A., Westerberg, Brian D., Lundy, Larry, Jackler, Robert K., Roland, J. Thomas, Jr., Chandrasekhar, Sujana S., Antonelli, Patrick J., Carey, John P., Welling, D. Bradley, Slattery, William H., III, and Lee, Daniel J.

Published
2020
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