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Mkrtchyan N, Alciato L, Kalamarides M, Bernardeschi D, Sterkers O, Bernat I, Smail M, Pyatigorskaya N, Lahlou G. Hearing recovery after surgical resection of non-vestibular schwannoma cerebellopontine angle tumors. Eur Arch Otorhinolaryngol 2021; 279:2373-2382. [PMID: 34175969 DOI: 10.1007/s00405-021-06956-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Accepted: 06/23/2021] [Indexed: 11/24/2022]
Abstract
PURPOSE Post-operative outcomes for hearing after resection surgery to remove cerebellopontine angle (CPA) tumors other than vestibular schwannomas (VS) are not well understood. This study presents a series of patients with significant post-operative hearing recovery, trying to define the incidence among all patients operated on for removal of non-VS CPA tumors. METHODS This is a retrospective observational case series of 8 patients among 69 operated on for removal of non-VS CPA tumors between 2012 and 2020. All patients had pre- and post-operative hearing measurement with pure-tone average (PTA) and speech discrimination score (SDS), according to the American Academy of Otolaryngology-Head and Neck Surgery recommendations, auditory brainstem response (ABR) measurements and imaging. RESULTS Six meningiomas and two lower cranial nerve schwannomas operated on with a retrosigmoid approach were included for analysis. The mean pre-operative PTA and SDS were 58 ± 20.7 dB and 13 ± 17.5%, respectively. All patients had pre-operative class D hearing and asynchronous ABRs. They all showed significant hearing recovery, with an improvement of 36 ± 22.2 dB (p = 0.0025) and 85 ± 16.9% (p = 0.0001) in PTA and SDS, respectively, with mean follow-up of 21 ± 23.5 months. Seven patients recovered to a class A hearing level and one patient to class B. The ABRs became synchronous for three patients. The incidence of auditory recovery was 13% for patients operated on with a conservative approach (n = 60). CONCLUSION A significant post-operative improvement in hearing could be a reasonable expectation in non-VS tumors extending into the CPA and a retrosigmoid approach should always be considered regardless of pre-operative hearing status.
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Affiliation(s)
- Naira Mkrtchyan
- Groupe Hospitalo-Universitaire Pitié-Salpêtrière, Département d'Oto-Rhino-Laryngologie, APHP Sorbonne Université, 47-83 boulevard de l'Hôpital, 75651, Paris Cedex 13, France
| | - Lauranne Alciato
- Groupe Hospitalo-Universitaire Pitié-Salpêtrière, Département d'Oto-Rhino-Laryngologie, APHP Sorbonne Université, 47-83 boulevard de l'Hôpital, 75651, Paris Cedex 13, France.,Institut de l'Audition/Institut Pasteur, Équipe TGTD «Technologies and Gene Therapy for Deafness», Paris, France
| | - Michel Kalamarides
- Groupe Hospitalo-Universitaire Pitié-Salpêtrière, Département de Neurochirurgie, APHP Sorbonne Université, Paris, France
| | - Daniele Bernardeschi
- Groupe Hospitalo-Universitaire Pitié-Salpêtrière, Département d'Oto-Rhino-Laryngologie, APHP Sorbonne Université, 47-83 boulevard de l'Hôpital, 75651, Paris Cedex 13, France
| | - Olivier Sterkers
- Groupe Hospitalo-Universitaire Pitié-Salpêtrière, Département d'Oto-Rhino-Laryngologie, APHP Sorbonne Université, 47-83 boulevard de l'Hôpital, 75651, Paris Cedex 13, France.,Institut de l'Audition/Institut Pasteur, Équipe TGTD «Technologies and Gene Therapy for Deafness», Paris, France
| | - Isabelle Bernat
- Groupe Hospitalo-Universitaire Pitié-Salpêtrière, Département de Neurologie, APHP Sorbonne Université, Paris, France
| | - Mustapha Smail
- Groupe Hospitalo-Universitaire Pitié-Salpêtrière, Département d'Oto-Rhino-Laryngologie, APHP Sorbonne Université, 47-83 boulevard de l'Hôpital, 75651, Paris Cedex 13, France
| | - Nadya Pyatigorskaya
- Groupe Hospitalo-Universitaire Pitié-Salpêtrière, Département de Neuroradiologie, APHP Sorbonne Université, Paris, France
| | - Ghizlene Lahlou
- Groupe Hospitalo-Universitaire Pitié-Salpêtrière, Département d'Oto-Rhino-Laryngologie, APHP Sorbonne Université, 47-83 boulevard de l'Hôpital, 75651, Paris Cedex 13, France. .,Institut de l'Audition/Institut Pasteur, Équipe TGTD «Technologies and Gene Therapy for Deafness», Paris, France.
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Thai-Van H, Bakhos D, Bouccara D, Loundon N, Marx M, Mom T, Mosnier I, Roman S, Villerabel C, Vincent C, Venail F. Telemedicine in Audiology. Best practice recommendations from the French Society of Audiology (SFA) and the French Society of Otorhinolaryngology-Head and Neck Surgery (SFORL). Eur Ann Otorhinolaryngol Head Neck Dis 2020; 138:363-375. [PMID: 33097467 PMCID: PMC7575454 DOI: 10.1016/j.anorl.2020.10.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
Objectives Access to diagnosis and treatments for auditory disorders and related pathologies has regressed in France during the COVID-19 pandemic, posing a risk to the patient's chance of recovery. This best practice recommendations guide aims to list the existing technological solutions for the remote examination of a patient with hearing complaint, and to outline their benefits and, where applicable, their limitations. Methods The recommendations were developed both from the clinical experience of the medical experts who drafted the guide, and from an extensive review of the literature dealing with clinical practice recommendations for tele-audiology. Tele-audiometry solutions were identified on the basis of a search engine query carried out in April 2020, prior to verification of their availability on the European market. Results Video otoscopy solutions allow for the teletransmission of images compatible with a high-quality diagnosis, either by connecting via internet to a tele-health platform or using a smartphone or a tablet with an iOS or Android operating system. Using the same telecommunication methods, it is possible to remotely conduct a pure-tone audiometry test in accordance with standard practice, a speech-in-quiet or a speech-in-noise audiometry test, as well as objective measures of hearing. Clinical and paraclinical examinations can be accessed by the physician to be interpreted on a deferred basis (asynchronous tele-audiology). Examinations can also be conducted in real time in a patient, at any age of life, as long as a caregiver can be present during the installation of the transducers or the acoumetry. Tele-audiology solutions also find application in the remote training of future healthcare professionals involved in the management of deafness and hearing impairment. Conclusion Under French law, tele-otoscopy is a medical procedure that is either a tele-expertise (asynchronous adive) or a teleconsultation act (synchronous advice). Subjective and objective evaluation of the patient's hearing functions can be done remotely provided that the listed precautions are respected.
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Affiliation(s)
- H Thai-Van
- Department of Audiology and Otoneurological Evaluation, Edouard-Herriot Hospital, HCL (hospices civils de Lyon), 69003 Lyon, France; Claude-Bernard University Lyon 1, 69100 Villeurbanne, France; Inserm (French National Institute of Health and Medical Research) U1120, Hearing Institute-Paris, Research Centre of Institut Pasteur, 75012 Paris, France.
| | - D Bakhos
- Faculty of Medicine, University of Tours, 10, boulevard Tonnellé, 37000 Tours, France; Inserm U1253, ibrain, 37044 Tours, France
| | - D Bouccara
- Department of ENT and Head & Neck Oncology, Georges-Pompidou European Hospital, Paris Ouest University Hospitals, AP-HP, 75015 Paris, France; SOFRESC (French Society of Sensory and Cognitive Research), 92130 Issy-les-Moulineaux, France
| | - N Loundon
- Department of ENT & Maxillofacial Surgery, Necker Children's University Hospital, 75015 Paris, France; Inserm U587, Genetics of Deafness Unit, IMAGINE, 75015 Paris, France
| | - M Marx
- Department of Otology, Otoneurology, and Paediatric Otorhinolaryngology, Pierre-Paul-Riquet Hospital, Toulouse Purpan University Hospital, 31000 Toulouse, France; Brain and Cognition Laboratory, UMR 5549, Toulouse III University, 31000 Toulouse, France
| | - T Mom
- Department of Otorhinolaryngology and Head & Neck Surgery, Gabriel-Montpied University Hospital, 63000 Clermont-Ferrand, France; Inserm UMR 1107, Sensorineural Biophysics Laboratory, Clermont-Auvergne University, 63000 Clermont-Ferrand, France
| | - I Mosnier
- Functional unit for auditory implants and audiovestibular testing, Department of Otorhinolaryngology, île de France reference centre for cochlear and brainstem implants in adults, Pitié-Salpêtrière Hospital Group, Sorbonne University, AP-HP, 75013 Paris, France
| | - S Roman
- Department of ENT, Timone Children's Hospital, AP-HM (Assistance publique-Hôpitaux de Marseille), 13385 Marseille cedex 5, France; La Timone Faculty of Medicine, UMR 1106, The institut de neurosciences des systèmes, 13005 Marseille, France
| | - C Villerabel
- Department of ENT & Maxillofacial Surgery, Gui-de-Chauliac University Hospital, 34000 Montpellier, France; Inserm U1051, Institute for Neurosciences of Montpellier, University of Montpellier, 34000 Montpellier, France
| | - C Vincent
- Department of Otology and Otoneurology, Salengro Hospital, University of Lille, 59000 Lille, France
| | - F Venail
- Department of ENT & Maxillofacial Surgery, Gui-de-Chauliac University Hospital, 34000 Montpellier, France; Inserm U1051, Institute for Neurosciences of Montpellier, University of Montpellier, 34000 Montpellier, France
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He ZH, Li M, Zou SY, Liao FL, Ding YY, Su HG, Wei XF, Wei CJ, Mu YR, Kong WJ. Protection and Prevention of Age-Related Hearing Loss. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2019; 1130:59-71. [PMID: 30915701 DOI: 10.1007/978-981-13-6123-4_4] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Presbycusis is a sensorineural hearing loss caused by hearing system aging and degeneration. The clinical manifestations are progressive bilateral symmetrical hearing loss, and the hearing curve is mostly slope-shaped with high-frequency reduction, sometimes flat. The results of the second national sample survey of disabled persons (2006) showed that the total number of hearing and speech disability in China was 27.8 million, accounting for 34% of the total number of disabled people in China. Among them are people over 60 years old. There are 20.4541 million people with hearing disabilities. There are 9.49 million senile deaf patients, accounting for 34.1% of the total number of hearing disabilities. As society gradually becomes aging, the incidence of presbycusis is getting higher and higher. The study of its pathogenesis is of great significance for the diagnosis, treatment, and prevention of presbycusis. The rapid progress of molecular biology experimental technology has provided us with a new opportunity to fully understand and reveal the presbycusis. In the near future, early diagnosis of presbycusis-related genes and early prevention or delay of the occurrence and development of presbycusis will become a reality.
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Affiliation(s)
- Zu-Hong He
- Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Ming Li
- Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Sheng-Yu Zou
- Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Fu-Ling Liao
- Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Yan-Yan Ding
- Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Hong-Guo Su
- Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Xin-Feng Wei
- Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Chun-Jiang Wei
- Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Yu-Rong Mu
- Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Wei-Jia Kong
- Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
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Favier V, Vincent C, Bizaguet É, Bouccara D, Dauman R, Frachet B, Le Her F, Meyer-Bisch C, Tronche S, Sterkers-Artières F, Venail F. French Society of ENT (SFORL) guidelines (short version): Audiometry in adults and children. Eur Ann Otorhinolaryngol Head Neck Dis 2018; 135:341-347. [PMID: 29929777 DOI: 10.1016/j.anorl.2018.05.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
INTRODUCTION French Society of ENT (SFORL) good practice guidelines for audiometric examination in adults and children. METHODS A multidisciplinary working group performed a review of the scientific literature. Guidelines were drawn up, reviewed by an independent reading group, and finalized in a consensus meeting. RESULTS Audiometry should be performed in an acoustically controlled environment (<30dBA); audiometer calibration should be regularly checked; and patient-specific masking rules should be systematically applied. It should be ensured that masking is not overmasking. Adult pure-tone audiometry data should be interpreted taking account of clinical data, speech audiometry and impedancemetry. In case of discrepancies between clinical and pure-tone and speech audiometry data, objective auditory tests should be perform. In children aged 2 years or younger, subjective audiometry should be associated to behavioral audiometry adapted to the child's age. In suspected hearing impairment, behavioral audiometry should be systematically supplemented by objective hearing tests to determine and confirm the level and type of hearing impairment.
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Affiliation(s)
- V Favier
- ORL et chirurgie cervico-faciale, CHU de Montpellier, 34090 Montpellier, France.
| | - C Vincent
- Service d'otologie et otoneurologie, CHU de Lille, 59037 Lille cedex, France
| | - É Bizaguet
- Laboratoire de correction auditive, 75001 Paris, France
| | - D Bouccara
- Groupe hospitalier Pitié-Salpêtrière, 75013 Paris, France
| | - R Dauman
- Unité d'audiologie, université et CHU de Bordeaux, 33000 Bordeaux, France
| | - B Frachet
- Hôpital Rothschild, centre de réglage des implants cochléaires, Association agir pour l'audition/association France Presbyacousie, AP-HP, 75012 Paris, France
| | - F Le Her
- 41, rue de la Tour-de-Beurre, 76000 Rouen, France
| | | | | | - F Sterkers-Artières
- Service d'audiophologie, d'otologie et otoneurologie, institut Saint-Pierre, Palavas, CHU de Montpellier, 34090 Montpellier, France
| | - F Venail
- Inserm 1051, service otologie-otoneurologie, plateforme d'audiologie I-PaudioM, CHU de Montpellier, 34090 Montpellier, France
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L’ischémie cochléaire : des données fondamentales aux espoirs cliniques. ACTA ACUST UNITED AC 2008; 125:301-8. [DOI: 10.1016/j.aorl.2008.08.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2008] [Accepted: 08/28/2008] [Indexed: 11/23/2022]
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