OBJECTIVES/HYPOTHESIS Medulloblastoma is the most common pediatric malignant tumor of the central nervous system in children. Treatment includes surgical excision, external beam radiation, and multiagent chemotherapy. Otologic sequelae are common and may result from radiation and/or chemotherapy. Profound sensorineural hearing loss (SNHL) is a known complication of neuro-oncologic treatment and...

OBJECTIVE A new, minimally invasive registration method was developed for image-guided otologic surgery. We utilized laser-sintered template of the patient's bone surface to transfer the virtual markers to the patient's bone intraoperatively and eliminated the necessity for preoperative marker positioning or additional CT scan. STUDY DESIGN Simulation surgeries and clinical application. SUB...

BACKGROUND During middle ear surgery manipulations like burring, cooling with water, suction or even screwing cause changes of temperature which should be known to the surgeon. METHOD An infrared thermovision device was introduced for registration. RESULTS Thermography is an easy way for continuously recording thermic effects during surgery. If sufficient cooling is guaranteed, no temperatu...

Endoscopic ear surgery (EES) is gaining more popularity and applications since late 90’s. Little was published about the complications and their endoscopic management including major intra-operative bleeding. We are reporting a case of management of bleeding from a high jugular bulb during an endoscopic transcanaltympanoplastywithout the need to a microscopic conversion to the best of our knowl...

BACKGROUND Post-operative nausea and vomiting is one of the most frequently occurring side effects affecting one third of the cases. Objective of the study was to compare the efficacy of ondansetron alone and ondansetron plus dexamethasone in preventing postoperative nausea and vomiting after middle ear surgery. METHODS This randomized controlled trial was conducted at the Anaesthesia and ENT...

Abstract Purpose of Review To review the role imaging in otosclerosis with an emphasis on pre- and post-operative evaluation. Recent Findings Pre-operative CT can help define extent bone involvement may avoid surgical complications due to variant anatomy or unsuspected alternative causes conductive hearing loss. In patients recurrent loss after surgery, clarify prosthesis position re-assess ana...

OBJECTIVES/HYPOTHESIS To determine the procedure-specific incidence, risk factors, and injury patterns in patients with iatrogenic facial nerve injury as seen at a tertiary care facial nerve center. STUDY DESIGN Retrospective chart review. METHODS Facial Nerve Center patient records from 2002 to 2012 were reviewed for cases of iatrogenic facial nerve injury. These were analyzed by type of i...

AIM  To describe to the new generation of otologists the origins of mastoidectomy as well as the difficulties our predecessors encountered and the solutions they devised to improve otologic surgery. METHOD  Retrospective literature review-based study. RESULTS  Before the mid-19th century, mastoidectomy was performed only sporadically and in most cases as a desperate attempt to save the live...

OBJECTIVES The aim of this study was to investigate the effects of CO2 insufflation on the pressure of the middle ear cavity (PMEC) during laparoscopic surgery under total intravenous anesthesia (TIVA) with propofol or sevoflurane as an inhalational anesthetic maintenance. MATERIAL AND METHODS Sixty patients who underwent laparoscopic/or non-laparoscopic surgery under general anesthesia were ...

videos was 13.1 (SE = .18) out of a possible 26. The videos found under the search “nose reshaping” had the lowest mean score (10.24 SE = .74) while “eyelid surgery” and “buttock lift” had the highest (14.36 SE = .83, 14.36 SE = .70). Videos with physician authorship, (59% of included videos), were found to have a higher mean EQIP score and video views than those posted by patients.. Whether th...