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Extended high-frequency audiometry in older adults: hearing thresholds.

PURPOSE: This research aimed to determine hearing thresholds in healthy older adults (≥ 60 years of age) using extended high-frequency audiometry (EHFA). METHODS: The study included 334 individuals aged ≥ 60 years with no history of hearing problems before the age of 60 and no occupational noise exposure. Inclusion criteria further required normal findings on otoscopy and tympanometry, as well as an audiometric response at at least three extended high frequencies (EHFs) in at least one ear. Participants were categorized by sex and age (60–69 years; 70–79 years; 80 + years). All underwent conve…

Таймпаническая мембрана Вовлечение Множественной Миэломы: Доклад о деле.

Эксклюзивное участие (EMI) в Multieloma (MM) является редким, но агрессивным субъектом, который обычно встречается в продвинутых или рецидивированных случаях MM. Хотя этиологические проявления нечасты, они могут имитировать обычные подстрекательские или неопластические патологии и могут быть диагностической задачей для клинического врача. Презентация дела: 65-летняя женщина с историей повторной рефрактории Multieloma (RRMMM), представленная в нашем амбулаторном отделении отоларингологии с четырехмесячной историей правосторонней атуральной полноты и небольшим эпизодом водяной оторреи. Отоскопия

Совпадение в аннотации оригинала
Extramedullary Involvement (EMI) in Multiple Myeloma (MM) is a rare but aggressive entity that usually occurs in advanced or relapsed cases … ent with a four-month history of right-sided aural fullness and a minor episode of watery otorrhea. Otoscopy revealed an abnormal tympanic membrane lesion, and audiological evaluation showed moderate conductive hearing loss. The rest of the examination was normal. A Computed Tomography (CT) scan showed a soft-tissue mass occupying the tympanic membrane wit …

Utilising tracking technology to reduce the financial and patient care impact of lost ear, nose and throat equipment.

INTRODUCTION: The effective treatment of a patient in a timely manner requires specialist equipment, including in ear, nose and throat (ENT) services, where orifices require careful inspection. Otoscopy, flexible nasendoscopy, peritonsillar abscess drainage and nasal cautery are all common practices and cannot be successfully completed without the necessary equipment. These tasks all require expensive equipment that can easily be misplaced in a busy hospital. A paucity of equipment can delay patient assessment and negatively impact treatment, as well as reduce clinician efficiency and effectiv…

[Assessment of hearing function within the sensorial domain of intrinsic capacity in the age of 60-74 years.].

The auditory function is one of the components of an eldery person's intrinsic capacity - a set of functional abilities that determine healthy aging. The aim of the study was to assess hearing function as a component of the sensory domain of intrinsic capacity and to determine reference ranges of otological parameters for the age of 60-74 years. In 2023, a cross-sectional study was conducted in Arkhangelsk using a random population sample (n=605). The examination included an assessment of hearing acuity through whisper speech (WS) perception, otoscopy, collection of data on otological history …

Paediatric chronic suppurative otitis media in rural Rwanda: Prevalence and parental practices.

BACKGROUND: Chronic suppurative otitis media (CSOM) is a common paediatric ear disease in developing countries, typically resulting from an acute otitis media (AOM) that is not promptly diagnosed or treated. Home remedies using herbal medicine in rural villages may contribute to treatment delays and complications. METHODS: A cross-sectional study of children from three rural schools was conducted. Children between 6 and 14 years of age were randomly selected and screened by the lead author for CSOM between January and February 2015 by history and physical examination, including otoscopy. Pare…

Prevalence of hearing loss and health vulnerability in children aged 25 to 36 months: an analysis of spatial distribution.

PURPOSE: To analyze the association between hearing loss and health vulnerability in children aged 25 to 36 months. METHODS: Analytical observational cross-sectional study conducted through child hearing screening in nine day-care centers. The screening consisted of anamnesis, otoscopy, tympanometry, transient otoacoustic emissions, and pure tone audiometry. For each exam performed, the 'pass' and 'fail' criteria were established. The children's residential addresses were georeferenced and a choropleth map of the spatial distribution was built, considering the Health Vulnerability Index (HVI)…

Necrotizing external otitis: diagnostic clues in the emergency department.

PURPOSE: The assessment of necrotizing external otitis requires a high index of suspicion by the attending physician. The purpose of the study is to determine the accuracy of parameters available at the Emergency Department for the diagnosis of this pathology. METHODS: Retrospective diagnostic accuracy study. Patients consulting at the Emergency Department for longstanding ear swelling, severe otalgia, and failure to respond to topical treatment were included. Otoscopy, physical examination, CT appearance, and analytical results were tested for the diagnosis of necrotizing external otitis, us…

Correlation between clinical characteristics and tinnitus severity in tinnitus patients of different sexes: an analytic retrospective study.

PURPOSE: This study aimed to explore whether sex is influences tinnitus severity and whether the risk factors for tinnitus severity are the same in tinnitus patients of different sexes. METHODS: This was a retrospective study of data from 1427 patients complaining of tinnitus in a local hospital otolaryngology clinic from November 2019 to January 2022. All patients were interviewed and assessed by otoscopy, pure-tone audiometry, tinnitus handicap inventory (THI), visual analogue scale (VAS), and tinnitus refinement test. RESULTS: THI values were higher in females than in males (P = 0.00). Ty…

Prevalence and causes of paediatric hearing loss in a rural province of Zimbabwe: A cross-sectional study.

BACKGROUND: Hearing loss (HL) in childhood is a significant disability with severe consequences for educational, cognitive, and social-emotional success. Nevertheless, prevalence estimates for HL in Sub-Saharan Africa (SSA) are based on scarce data. Therefore, we aimed to estimate the prevalence of HL in a sample of primary school children from a rural province of Zimbabwe. METHODS: A cross-sectional study was performed on primary school children aged 4-13 years from a rural Zimbabwean province. In the quietest room available, participants underwent audiometry, video otoscopy, and tympanometr…

Contralateral delayed endolymphatic hydrops: Clinical features and long term outcome.

BACKGROUND: Contralateral delayed endolymphatic hydrops (CDEH) is a clinical entity characterized by fluctuating low frequency hearing loss and/or vertigo, mimicking Ménière's disease (MD), that manifests after the appearance of severe non-hydropic hearing loss (NHHL) at the other ear. OBJECTIVES: to describe the clinical features and the course of 57 patients affected by CDEH. METHOD: this is a retrospective study; 57 patients affected by CDEH, out of 1065 patients seen in the same period and affected by MD, were subjected to otoscopy, PTA threshold evaluation, impedance testing, ABR, resea…

Reconstruction of the Anterior External Auditory Canal With Mastoid Cortex Autologous Bone Graft.

OBJECTIVE: To describe the surgical management of temporomandibular joint (TMJ) herniation with external auditory canal (EAC) reconstruction using autologous bone grafting from the mastoid cortex. STUDY DESIGN: Retrospective case series. SETTING: A tertiary university medical center. PATIENTS: Three patients who presented to our Otolaryngology clinic with evidence of TMJ herniation through an anterior EAC defect, both on otoscopy and computed tomography (CT) imaging. INTERVENTIONS: Reconstruction of the anterior EAC with mastoid cortex bone grafting using an endaural approach. MAIN OUTCOM…

[Analysis of hearing screening results in adult health check-up population].

Objective:To obtain incidence of hearing loss and the influence factors in adult health check-up population, and to provide supporting information for the prevention of hearing loss. Method:Hearing Handicap Inventory for the Adult-screening（HHIA-S）, electro-otoscopy and pure tone test were used to evaluate subjects'hearing health condition. SPSS 25.0 software was used to perform one-way ANOVA on the results. Result:①HHIA-S questionnaire results: 3704 subjects completed the questionnaire, 29 subjects（0.8%） were reported hearing difficulties in daily life. ②Hearing screening results: 1264 subjec…

Suppurative otitis media in Angola: clinical and demographic features.

OBJECTIVE: To describe the demographics and clinical findings in patients with otorrhoea in Angola. METHODS: A total of 411 patients with o … ime of the examination indicating chronic suppurative otitis media (CSOM), which was confirmed with otoscopy in 72% of patients. Acute otitis media occurred in 16% of patients and was more common in children than in adults (22% vs. 10%; P = 0.007). Median duration of otorrhoea was >12 months. Earache (67%), fever (20%), dizziness (17%), nausea and/or vomit …

Hearing impairment among chronic kidney disease patients on haemodialysis at a tertiary hospital in Ghana.

BACKGROUND: Chronic kidney disease is a major public health challenge, globally. Inadequate excretion of metabolic waste products by the kid … history of the participants. Audiological assessment was performed using a test battery comprising otoscopy, tympanometry and pure tone audiometry in a soundproof booth. RESULTS: Higher hearing thresholds were recorded across all the frequencies tested among the case group than the control group (p < 0.05) in both ears. Only sensorineural hearing loss wa …

Cervical vestibular evoked myogenic potentials and video head impulse test in Ménière disease.

INTRODUCTION: Ménière's disease is among the most frequent causes of vestibular disorders. Although it is a clinical diagnosis, a better und … prised the study group and 21 the control group. The individuals were submitted to a questionnaire, otoscopy, audiometry and vestibular function assessment through the cervical vestibular evoked myogenic potential and video head impulse test. RESULTS: For the video head impulse test, lateral canal gain values below 0.77 were considered abnormal and for th …

The Diagnosis and Treatment of Idiopathic Facial Paresis (Bell's Palsy).

BACKGROUND: Peripheral facial nerve palsy is the most com- mon functional disturbance of a cranial nerve. 60-75% of cases are idiopathic. M … diagnosis is very important; key diagnostic methods include a clinical neurological examin- ation, otoscopy, and a lumbar puncture for cerebrospinal fluid examination. High-level evidence supports corticosteroid treatment for the idiopathic form of the disorder.

[Middle ear teratoma in infant: report of three cases and review of the literatures].

Objective: To summarize the clinical characteristics and therapeutic experiences of the middle ear teratoma in infants. Methods: Three cases of middle ear teratoma, from 2012-2015 in Beijing Friendship Hospital were analyzed. Results: The three cases all developed slowly and presented unilateral otorrhea and hearing loss. Otoscopy showed the granulation tissue in the external ear canal. Audiological changes varied according to the degree of severity. Imaging features showed the pocket-like occupancy lesions in the Eustachian tube area. The temporal bone CT showed mass with soft tissue density …

Endoscopic transcanal myringoplasty for tympanic perforations: An outpatient minimally invasive procedure.

OBJECTIVE: Since the 1950s, microscopic myringoplasty has been the standard surgery for repairing a perforated tympanic membrane. In additio … ble for repairing perforations of the tympanic membrane. Visualization of the perforation margin by otoscopy did not affect the rate of graft success. However, endoscopic transcanal myringoplasty is less invasive because this technique does not require postauricular incision, canalplasty, and general anesthesia.

[Stapedo-Vestibular Ankylosis: Retrospective Study of Five Cases in São Tomé e Príncipe].

INTRODUCTION: Otosclerosis is a common form of conductive hearing loss characterized by abnormal bone remodeling exclusively in the otic cap … ve adult patients underwent stapedectomy or partial stapedectomy. All of them presented with normal otoscopy, conductive or mixed hearing loss on audiogram and normal tympanometry with absent stapedial reflexes. None of the patients had signs of infection or history of head trauma. Three cases showed improvement in the air-bone gap after surgery. The other …

Sensorineural Hearing Loss in Cholesteatoma.

OBJECTIVE: To determine whether middle ear cholesteatoma is associated with, sensorineural hearing loss, and whether patient age, cholesteatoma growth pattern, or, air bone gap size contribute to inner ear impairment. STUDY DESIGN: Cross-sectional comparative. SETTING: A tertiary hospital. PATIENTS: The subjects were 115 patients with middle ear cholesteatoma in one ear, and normal video-otoscopy in the contralateral ear (CLE). INTERVENTIONS: Otoendoscopy, pure-tone audiometry. MAIN OUTCOME MEASURES: Bone conduction (BC) threshold differences between the normal CLE and the cholesteatoma e…