Text Box: Abstract:   Objective: Meniere's disease in an only hearing ear is rare. Our objective is to define the current practice patterns for this problem. Subjects: Clinically active members of the American Otological Society and the American Neurotology Society. Main Outcome Measure: Survey responses. Results: Three hundred fifty-four surveys were sent out, and 165 were returned (48%). Ninety-nine percent recommended dietary modification as first line. Only 39% recommended oralcorticosteroids. Second-line treatments were, in order of significance, the Meniett device (Medtronic ENT, Jacksonville, FL, U.S.A.), intratympanic corticosteroids, endolymphatic mastoid shunt, intratympanic gentamicin, and endolymphatic sac vein decompression. Interestingly, 71.5% of respondents would operate on an only hearing ear provided the appropriate circumstances. Conclusion: We have documented current practice patterns for treatment. Second-line treatments vary, but the Meniett is recommended most frequently, and further recommendations may not logically progress from least to most invasive. Many respondents eventually offer surgery.  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Text Box: May  5 2007

Text Box: Otorhinolaryngology News

Text Box: Inside This Issue · LigStep-ladder Care in Unilateral MD in only hearing ear · IMUtricular Macula Ace in MD? · TinViral Etiology for Cholesteatoma? *     Case of the Week

Case Review Clinical Photograph of The Week
 

A 56-year-old female developed sudden right sided hearing loss associated with visual loss on the ipsilateral side of 4 years duration. She had no significant medical of trauma history preceding the symptoms. Audiological examination revealed profound right sensorineural hearing loss.  Clinical examination revealed the feature displayed on this picture.  >>>>

 

 

 

What is the diagnosis?

 

1.    The 9th International Symposium on Recent Advances in Otitis Media on June 3-7, 2007 in St. Pete Beach, Florida. Website address : www.otitis2007.org ;email address for information and questions: otitis2007@hei.org ; Abstract site is open for submission until March 1, 2007. Click HERE to Register, and Click Here To Submit Abstract.

2   16th Annual general meeting and scientific conference of otorhinolaryngological society of Nigeria (ORLSON), November 21 - 24, 2007. See Here For details.

3. . Further Conference Announcement? Click Reed our Feed

 

 
 

Text Box: Is Utricular Macula the Ace in Failed Medical Labyrinthectomy MD...?

This paper from Germany (P. Franz et al, ORL, Vol. 69, No. 4, 2007) re-examined the issue of possibility of human papilloma virus infection in the aetiology of cholesteatoma and found very low prevalence
Abstract:
Cholesteatomas show histomorphological features like papillary growth and koilocytosis, which are characteristic of lesions induced by human papillomaviruses (HPV). Two previous studies investigating the possible role of HPV in the development of cholesteatoma had detected HPV-6 and HPV-11 DNA with a prevalence differing from 3 to 36%. The aim of the presented study was to evaluate the prevalence of different HPV types in cholesteatomas using a sensitive detection system for HPV DNA. Twenty-nine biopsies from cholesteatomas were screened for HPV DNA with a 2-step broad-spectrum PCR (PCR and nested PCR). HPV-positive products were directly sequenced by means of a cycle sequencing approach. Sensitivity of the applied broad-spectrum PCR was 0.1 copy/genome. One out of 29 biopsies showed a positive signal on the nested PCR level. Considering the low prevalence (1/29 biopsies) of detected HPV DNA in cholesteatomas, infections with common HPV types are unlikely to be a causative factor.

 

     Journal Watch : Indirect fluorescence laryngoscopy in the diagnosis of precancerous and cancerous laryngeal lesions, C. Arens et al, 2007
 

 1.   The otolaryngologyinafrica.net resident's page has been re-designed. The current forum page is now separated from the archive page. FEEL FREE  to view the new design and recommend to your residents

 2.  From  http://www.otolaryngologyinafrica.net/grandround/  is a new addition - a recent conference poster presentation. This presentation is available at http://www.otolaryngologyinafrica.net/grandround/archive.htm .

 3.   DODA has been redesigned. Take time to view the new look of this program at the DODA Images Page... You may also download DODA Video, mobile devices edition, which can be installed on your cell phone (Note:  a multimedia cell phone is required).

 4.   otolaryngologyinafrica.net website is being re-organized to enable multi-language access. Take time to review the new HomePage. When Completed, it might be possible to assess the contents of the site in the six major languages widely spoken all over Africa

 5.  Otolaryngologyinafrica.net is experimenting with use of SMS notification of newsletter release. Feel free to air your view on this issue by emailing orl-mailer@otolaryngologyinafrica.net .

 Till Next Week, Welcome to 2007!

 Biodun

 
 

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