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34 Results Found

  • Article
  • Open Access
4 Citations
2,440 Views
5 Pages

13 July 2022

Background: The advancement of otologic surgery in low-resource settings has been limited by the cost and transport of surgical equipment. This study compared the transportation costs of an otologic microscopic surgical setup (MSS) versus an endoscop...

  • Article
  • Open Access
4 Citations
2,334 Views
12 Pages

SARS-CoV-2 in the Middle Ear-CovEar: A Prospective Pilot Study

  • Nina Rubicz,
  • Nikolaus Poier-Fabian,
  • Christian Paar,
  • Markus Winkler-Zamani,
  • Philipp Hermann,
  • Stefan Raidl and
  • Paul Martin Zwittag

In post-mortem analyses, SARS-CoV-2 was found in the middle ear of some, but not all, patients with COVID-19. It is not clear whether SARS-CoV-2 penetrated the ear passively post mortem, or existed in the middle ear of living patients during, and per...

  • Article
  • Open Access
1 Citations
1,955 Views
14 Pages

Enhancing the Outcomes of Temporalis Fascia Tympanoplasty Using Autologous Platelet-Rich Plasma and Gel: A Randomized Controlled Trial

  • Nejc Steiner,
  • Domen Vozel,
  • Nina Bozanic Urbancic,
  • Kaja Troha,
  • Andraz Lazar,
  • Veronika Kralj-Iglic and
  • Saba Battelino

Objectives: This study aimed to investigate the impact of platelet-rich plasma (PRP) and platelet-rich gel (PRG) on tympanic membrane closure rates, hearing improvement, and quality of life following tympanoplasty. Methods: Seventy-two patients with...

  • Article
  • Open Access
1 Citations
3,502 Views
12 Pages

Long-Term Outcomes Following Cochlear Implantation: Device “Aging” and Hearing Performance

  • Davide Soloperto,
  • Gennaro Confuorto,
  • Virginia Dallari,
  • Luca Sacchetto,
  • Marco Carner,
  • Daniele Monzani and
  • Riccardo Nocini

Purpose: The purpose of this study was to evaluate the clinical and audiological outcomes in long-term cochlear implant (CI) users, focusing on hearing performance and device failures. Methods: A retrospective study was conducted on patients who unde...

  • Article
  • Open Access
15 Citations
3,871 Views
12 Pages

Evidence of SARS-CoV-2 Virus in the Middle Ear of Deceased COVID-19 Patients

  • Ionuț Isaia Jeican,
  • Maria Aluaș,
  • Mihaela Lazăr,
  • Lucian Barbu-Tudoran,
  • Dan Gheban,
  • Patricia Inișca,
  • Camelia Albu,
  • Septimiu Tripon,
  • Silviu Albu and
  • Lia Monica Junie
  • + 4 authors

The presence of SARS-CoV-2 in the middle ear reveals the etiopathogenesis of otitis media in COVID-19, as well as an epidemiological risk during otologic examination and surgical procedures in COVID-19 patients. The study included 8 deceased patients...

  • Case Report
  • Open Access
1,057 Views
8 Pages

Recurrent Conductive Hearing Loss and Malleus Fixation After Stapes Surgery

  • Pierfrancesco Bettini,
  • Edoardo Maria Valerio,
  • Alessandro Borrelli,
  • Alberto Caranti,
  • Michela Borin,
  • Nicola Malagutti,
  • Francesco Stomeo,
  • Stefano Pelucchi and
  • Luca Cerritelli

Background/Objectives: Conductive hearing loss (CHL) recurrence or persistence after stapes surgery is often due to prosthesis displacement or malfunction, with malleus fixation being a less common cause. While persistent CHL linked to malleus fixati...

  • Article
  • Open Access
684 Views
13 Pages

Hearing Preservation and Complications of the Middle Cranial Fossa Approach for Otolaryngological Diseases: Twelve-Year Single-Center Experience

  • Toshihito Sahara,
  • Takeshi Fujita,
  • Yujiro Hoshi,
  • Hajime Koyama,
  • Anjin Mori,
  • Yasuhiro Osaki,
  • Akinori Kashio,
  • Yasuhiro Sanada and
  • Katsumi Doi

6 November 2025

Objectives: The middle cranial fossa (MCF) approach is valued for preserving hearing while accessing the internal auditory canal (IAC), petrous apex, inner ear, and related structures. This study evaluated its clinical outcomes across otolaryngologic...

  • Perspective
  • Open Access
4 Citations
3,710 Views
14 Pages

Endoscopic Ear Surgery, from the Last Ten to the Next Ten Years: A Critical Perspective

  • Matteo Alicandri-Ciufelli,
  • Giulia Molinari,
  • Edoardo D’Alessandro,
  • Riccardo Nocini,
  • Livio Presutti and
  • Daniele Marchioni

22 October 2024

Endoscopic ear surgery has gained increasing popularity starting from the early 2000s, introducing new anatomical, physiological and surgical concepts in ear and lateral skull base surgery. Its development has brought new scientific knowledge, thus i...

  • Article
  • Open Access
19 Citations
3,726 Views
13 Pages

Robot-Assisted Electrode Insertion in Cochlear Implantation Controlled by Intraoperative Electrocochleography—A Pilot Study

  • Wojciech Gawęcki,
  • Andrzej Balcerowiak,
  • Paulina Podlawska,
  • Patrycja Borowska,
  • Renata Gibasiewicz,
  • Witold Szyfter and
  • Małgorzata Wierzbicka

29 November 2022

Robotics in otology has been developing in many directions for more than two decades. Current clinical trials focus on more accurate stapes surgery, minimally invasive access to the cochlea and less traumatic insertion of cochlear implant (CI) electr...

  • Review
  • Open Access
18 Citations
3,573 Views
9 Pages

3D Printing in Otolaryngology Surgery: Descriptive Review of Literature to Define the State of the Art

  • Federica Zoccali,
  • Andrea Colizza,
  • Fabrizio Cialente,
  • Arianna Di Stadio,
  • Ignazio La Mantia,
  • Charlie Hanna,
  • Antonio Minni,
  • Massimo Ralli,
  • Antonio Greco and
  • Marco de Vincentiis

29 December 2022

Background: Three-dimensional (3D) printing has allowed great progression in the medical field. In otolaryngology practice, 3D printing can be used for planning in case of malformation/complex surgery, for surgeon training, and for recreating missing...

  • Article
  • Open Access
2 Citations
1,196 Views
4 Pages

The overall number of day-case otologic surgery cases is increasing; however, there is limited experience about performing canal wall down tympanoplasty in patients with chronic suppurative otitis media with cholesteatoma in this setting. The objecti...

  • Review
  • Open Access
11 Citations
8,214 Views
15 Pages

Anatomical Variations of the Jugular Bulb: A Critical and Comprehensive Review

  • Răzvan Costin Tudose,
  • Mugurel Constantin Rusu,
  • George Triantafyllou,
  • Maria Piagkou,
  • Corneliu Toader and
  • Petrinel Mugurel Rădoi

28 August 2024

Background and Objectives: The jugular bulb (JB) is the uppermost part of the internal jugular vein receiving the sigmoid sinus. The aim of the present research is to aid the comprehension of the JB, its abnormalities, and surrounding structures for...

  • Article
  • Open Access
1 Citations
3,441 Views
12 Pages

Effectiveness and Safety of Attic Exposition–Antrum Exclusion versus Canal Wall-Up in Patients with Acquired Stage Ib and II Cholesteatoma Affecting the Attic and Tympanic Cavity

  • Francisco Arias Marzán,
  • Esteban Reinaldo Pacheco Coronel,
  • Ayoze Lemes Robayna,
  • Maria Cecilia Salom Lucena,
  • Gemma De Lucas Carmona,
  • María Gabriela Muñoz Cordero,
  • Diego Hernando Macias Rodríguez and
  • Alejandro Jimenez Sosa

21 December 2022

This study aims to test the effectiveness and safety of exteriorization surgery comprising atticotomy and obliteration of the additus ad antrum, also referred to as attic exposition–antrum exclusion (AE-AE) surgery. This surgery combines otoend...

  • Review
  • Open Access
163 Citations
15,855 Views
14 Pages

28 June 2019

Fungal infections are a subset of infectious processes that an otolaryngologist is required to be familiar with. They can be encountered in otology, rhinology and head and neck surgery. The presence of fungal rhinosinusitis is well recognised by otol...

  • Systematic Review
  • Open Access
7 Citations
2,617 Views
13 Pages

High-Definition 3D Exoscope in Pediatric Otorhinolaryngology: A Systematic Literature Review

  • Michele Gaffuri,
  • Antonella Miriam di Lullo,
  • Eleonora M. C. Trecca,
  • Gennaro Russo,
  • Giulia Molinari,
  • Francesca Yoshie Russo,
  • Andrea Albera,
  • Giuditta Mannelli,
  • Massimo Ralli and
  • Mario Turri-Zanoni

14 October 2023

This PRISMA-compliant systematic review aimed to investigate the use of and the most common procedures performed with the novel 3D 4K exoscope in surgical pediatric head and neck settings. Methods: Search criteria were applied to PubMed, EMBASE and t...

  • Article
  • Open Access
1 Citations
2,263 Views
5 Pages

Patient-Reported Postoperative Pain and Numbness: Applications for Endoscopic vs. Microscopic Ear Surgery

  • Alexander Chern,
  • Rahul K. Sharma,
  • Maeher R. Grewal and
  • Justin S. Golub

14 October 2022

Background: Transcanal endoscopic ear surgery (TEES) avoids a postauricular incision, which has been shown to minimize pain and numbness. Our objective is to assess how much patients value minimizing pain and numbness relative to other postoperative...

  • Technical Note
  • Open Access
4,296 Views
3 Pages

Learning from Anaesthetists: A Technique for Safe and Effective Facial Nerve Monitoring

  • Jayan George,
  • Anton Alatsatianos,
  • Amir Farboud and
  • Laysan Pope

11 March 2019

To develop a technique to reliably secure facial nerve monitoring electrodes, NeurosignTM facial nerve monitor electrodes were attached as per the manufacturer’s instructions. The electrodes were secured with ½ inch steristripsTM before...

  • Article
  • Open Access
5 Citations
2,856 Views
10 Pages

Sheep’s Head as an Anatomic Model for Basic Training in Endoscopic Sinus Surgery

  • Constantin Stan,
  • Laszlo Peter Ujvary,
  • Cristina Maria Blebea,
  • Doiniţa Vesa,
  • Mihai Ionuţ Tănase,
  • Mara Tănase,
  • Septimiu Sever Pop,
  • Doinel Gheorghe Rădeanu,
  • Alma Aurelia Maniu and
  • Marcel Cosgarea

9 October 2023

Background and Objectives: This study aims to establish the sheep head as a viable anatomical model for training in functional endoscopic sinus surgery through comprehensive anatomical examination and training-based assessment of participants’...

  • Feature Paper
  • Article
  • Open Access
743 Views
11 Pages

When Do We Use Alternative Methods? Examination of the Factors Affecting the Use of Alternative Methods in Cochlear Implantation Surgery

  • Enver Can Öncül,
  • Yüksel Olgun,
  • Can Apaydın,
  • Özden Savaş,
  • Erdoğan Özgür,
  • Enes Bilgin Türkmenoğlu and
  • Enis Alpin Güneri

17 September 2025

Background/Objectives: This study aimed to evaluate factors necessitating alternative techniques during cochlear implant (CI) surgery and to compare outcomes with standard procedures. Methods: Patients of all ages who underwent CI at our center betwe...

  • Review
  • Open Access
14 Citations
2,770 Views
11 Pages

Otological Planning Software—OTOPLAN: A Narrative Literature Review

  • Annalisa Gatto,
  • Margherita Tofanelli,
  • Ludovica Costariol,
  • Serena Rizzo,
  • Daniele Borsetto,
  • Nicoletta Gardenal,
  • Francesco Uderzo,
  • Paolo Boscolo-Rizzo and
  • Giancarlo Tirelli

18 October 2023

The cochlear implant (CI) is a widely accepted option in patients with severe to profound hearing loss receiving limited benefit from traditional hearing aids. CI surgery uses a default setting for frequency allocation aiming to reproduce tonotopicit...

  • Article
  • Open Access
7 Citations
3,667 Views
8 Pages

11 July 2022

In the field of sinus and ear surgery, and more generally in microsurgery, the surgeon is faced with several challenges. The operations are traditionally carried out under binocular loupes, which allows for the surgeon to use both hands for a microin...

  • Case Report
  • Open Access
4 Citations
6,693 Views
9 Pages

We report the case of a 51-year-old woman with multiple otologic and vestibular symptoms. She presented with two different types of tinnitus in her right ear, vertigo, and fluctuating aural symptoms in the left ear. She also complained of disequilibr...

  • Review
  • Open Access
6 Citations
2,328 Views
11 Pages

27 October 2023

During the last decades, neuro-otological surgery has progressively reduced functional morbidity, including facial nerve damage. However, the occurrence of this sequela may significantly impact on patients’ quality of life. The aim of this narr...

  • Review
  • Open Access
3 Citations
4,567 Views
27 Pages

Robotic Systems for Cochlear Implant Surgeries: A Review of Robotic Design and Clinical Outcomes

  • Oneeba Ahmed,
  • Mingfeng Wang,
  • Bin Zhang,
  • Richard Irving,
  • Philip Begg and
  • Xinli Du

Sensorineural hearing loss occurs when cochlear hair cells fail to convert mechanical sound waves into electrical signals transmitted via the auditory nerve. Cochlear implants (CIs) restore hearing by directly stimulating the auditory nerve with elec...

  • Article
  • Open Access
1,246 Views
11 Pages

A French Preoperative Cholesteatoma Management: Current Preoperative Consultation and Tendencies

  • Benjamin Reliquet,
  • Mireille Folia,
  • Paul Elhomsy,
  • Serge Aho-Ludwig and
  • Caroline Guigou

23 September 2024

Objectives: This study aimed to characterize the information delivery during preoperative consultations for cholesteatoma removal surgery in 2024. The secondary objective was to identify any factors influencing the information delivered. Methods: Thi...

  • Feature Paper
  • Article
  • Open Access
5 Citations
5,897 Views
13 Pages

Initial Experiences with the Envoy Acclaim® Fully Implanted Cochlear Implant

  • James R. Dornhoffer,
  • Skye K. Lawlor,
  • Aniket A. Saoji and
  • Colin L. W. Driscoll

10 September 2023

Introduction: Cochlear implantation has become the standard of care for the treatment of moderate-to-profound bilateral sensorineural hearing loss. However, current technologies, all of which rely on an external sound processor, have intrinsic limita...

  • Review
  • Open Access
3 Citations
2,222 Views
10 Pages

22 June 2023

Background and Objectives: This narrative review of the literature explores the effect of body temperature on hearing. In particular, its focus is on extended high frequency (EHF) hearing—the range beyond the standard audiometric limit of 8 kHz...

  • Review
  • Open Access
52 Citations
9,007 Views
25 Pages

Piezoelectric Signals in Vascularized Bone Regeneration

  • Delfo D’Alessandro,
  • Claudio Ricci,
  • Mario Milazzo,
  • Giovanna Strangis,
  • Francesca Forli,
  • Gabriele Buda,
  • Mario Petrini,
  • Stefano Berrettini,
  • Mohammed Jasim Uddin and
  • Paolo Parchi
  • + 1 author

20 November 2021

The demand for bone substitutes is increasing in Western countries. Bone graft substitutes aim to provide reconstructive surgeons with off-the-shelf alternatives to the natural bone taken from humans or animal species. Under the tissue engineering pa...

  • Article
  • Open Access
1 Citations
2,497 Views
16 Pages

Background/Objectives: This study aims to evaluate factors influencing revision cochlear implant surgeries, including patient demographics, surgical techniques, and radiological findings. The main aim was to identify factors influencing surgical succ...

  • Review
  • Open Access
1 Citations
2,270 Views
20 Pages

Stapes Prostheses in Otosclerosis Surgery: Materials, Design Innovations, and Future Perspectives

  • Luana-Maria Gherasie,
  • Viorel Zainea,
  • Razvan Hainarosie,
  • Andreea Rusescu,
  • Irina-Gabriela Ionita,
  • Ruxandra-Oana Alius and
  • Catalina Voiosu

17 October 2025

Background: Stapes prostheses represent one of the earliest and most widely applied “biomedical actuators” designed to restore hearing in patients with otosclerosis. Unlike conventional actuators, which convert energy into motion, stapes...

  • Article
  • Open Access
3 Citations
4,677 Views
10 Pages

Titanium and Platinum–Fluoroplastic Stapes Prostheses Visualization on Cone Beam Computed Tomography and High-Resolution Computed Tomography

  • Valerie Dahm,
  • Ursula Schwarz–Nemec,
  • Alice B. Auinger,
  • Michael A. Arnoldner,
  • Alexandra Kaider,
  • Dominik Riss,
  • Christian Czerny and
  • Christoph Arnoldner

17 February 2021

Objective: The aim of this study was to evaluate whether stapes prostheses can be visualized with less metal artifacts and therefore more accurately on cone beam computed tomography in comparison to computed tomography imaging. Recent studies have sh...

  • Article
  • Open Access
4 Citations
1,713 Views
14 Pages

Study of Angiogenic, Pro-Apoptotic, and Pro-Inflammatory Factors in Congenital and Acquired Cholesteatomas

  • Rolando Rolesi,
  • Fabiola Paciello,
  • Gaetano Paludetti,
  • Eugenio De Corso,
  • Bruno Sergi and
  • Anna Rita Fetoni

26 July 2023

Objectives. Despite recent advances in biomolecular research that have improved our knowledge of cholesteatoma pathogenesis, the reasons behind its highly variable clinical course are still not clarified. It has been proposed that biological signalin...

  • Article
  • Open Access
4 Citations
2,294 Views
17 Pages

The Third Mobile Window Syndrome: A Clinical Spectrum of Different Anatomical Locations—Characterization, Therapeutic Response, and Implications in the Development of Endolymphatic Hydrops

  • Joan Lorente-Piera,
  • Raquel Manrique-Huarte,
  • Nicolás Pérez Fernández,
  • Diego Calavia Gil,
  • Marcos Jiménez Vázquez,
  • Pablo Domínguez and
  • Manuel Manrique

28 November 2024

Background/Objectives: Multiple dehiscences of the otic capsule can exhibit behavior similar to Ménière’s disease, not only from a clinical perspective but also in the results of audiovestibular tests. The main objective of this s...

  • Article
  • Open Access
38 Citations
4,424 Views
9 Pages

Medical, Technical and Audiological Outcomes of Hearing Rehabilitation with the Bonebridge Transcutaneous Bone-Conduction Implant: A Single-Center Experience

  • Faris F. Brkic,
  • Dominik Riss,
  • Katharina Scheuba,
  • Christoph Arnoldner,
  • Wolfgang Gstöttner,
  • Wolf-Dieter Baumgartner and
  • Erich Vyskocil

3 October 2019

Bone-conduction implants are a standard therapeutic option for patients with conductive, unilateral, or mixed hearing loss who either do not tolerate conventional hearing aids or can benefit from surgery. The aim of this study was to evaluate long-te...