Clinical Diagnosis and Surgical Strategies Update on Ear Disorders

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Otolaryngology".

Deadline for manuscript submissions: 20 December 2024 | Viewed by 581

Special Issue Editors


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Guest Editor
Division of Otorhinolaryngology, Department of Surgical Sciences, University of Turin, 10126 Turin, Italy
Interests: otology; otoneurology; middle ear surgery; cochlear implants; bone-conduction hearing aids

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Guest Editor
Department of Otolaryngology, University Hospital of Foggia, 71100 Foggia, Italy
Interests: otorhinolaryngologic diseases; regenerative medicine; rhinology; otology; otolaryngology

Special Issue Information

Dear Colleagues,

Recent advances in neurosciences, technology and imaging techniques have greatly improved our understanding and treatment of ear disorders. Electrophysiology and neuroscientific approaches are crucial for improving our understanding of the mechanisms underlying pathologies, such as congenital or acquired sensorineural hearing loss, autoimmune or metabolic hearing loss, otogenic facial palsy, Menière's disease, tinnitus, etc.

We are now in an era of "minimally invasive surgery": chronic otitis media, cholesteatoma, otosclerosis, profound deafness and acoustic neuroma can now be treated both microscopically and endoscopically, furthermore, other interventions are starting to consider lasers, robotic surgery, and image-guided navigation as other viable options.

The aim of this Special Issue is to present original studies and state-of-the-art systematic reviews related to clinical updates on middle and inner ear diseases, as well as cutting-edge original research on innovative surgical techniques, both in children and adults.

Dr. Andrea Albera
Dr. Eleonora M.C. Trecca
Guest Editors

Manuscript Submission Information

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Keywords

  • middle ear
  • inner ear
  • endoscopic ear surgery
  • cholesteatoma
  • Menière’s disease
  • hearing loss
  • robotic surgery
  • otosclerosis

Published Papers (1 paper)

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Research

12 pages, 1007 KiB  
Article
Client Oriented Scale of Improvement in First-Time and Experienced Hearing Aid Users: An Analysis of Five Predetermined Predictability Categories through Audiometric and Speech Testing
by Pietro Salvago, Davide Vaccaro, Fulvio Plescia, Rossana Vitale, Luigi Cirrincione, Lucrezia Evola and Francesco Martines
J. Clin. Med. 2024, 13(13), 3956; https://doi.org/10.3390/jcm13133956 - 5 Jul 2024
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Abstract
Objectives: The aim of our investigation was to explore the relationship between unaided pure-tone and speech audiometry and self-reported aided performance measured according to five predetermined COSI categories among first-time hearing aid users and experienced hearing aid users. Methods: Data from 286 patients [...] Read more.
Objectives: The aim of our investigation was to explore the relationship between unaided pure-tone and speech audiometry and self-reported aided performance measured according to five predetermined COSI categories among first-time hearing aid users and experienced hearing aid users. Methods: Data from 286 patients were retrospectively evaluated. We divided the sample into first-time hearing aid users (G1) and experienced hearing aid users (G2). The correlation between unaided tonal and speech audiometry and five preliminary selected client-oriented scale of improvement (COSI) categories was studied. Results: A greater percentage of hearing aid users aged >80 years and a higher prevalence of severe-to-profound hearing loss in G2 group were observed (p < 0.05). For the total cohort, a mean hearing threshold of 60.37 ± 18.77 db HL emerged in the right ear, and 59.97 ± 18.76 db HL was detected in the left ear (p > 0.05). A significant statistical difference was observed in the group of first-time hearing aid users for the “Television/Radio at normal volume” item, where patients with a lower speech intellection threshold (SIT) were associated with higher COSI scores (p = 0.019). Studying the relationship between the speech reception threshold (SRT) and the COSI item “conversation with 1 or 2 in noise” evidenced worse speech audiometry in patients who scored ≤2 among experienced hearing aid users (p = 0.00012); a higher mean 4–8 kHz frequencies threshold for the better ear was found within the G2 group among those who scored ≤2 in the COSI item “conversation with 1 or 2 in quiet” (p = 0.043). Conclusions: Our study confirms a poor correlation between unaided tonal and speech audiometry and self-reported patient assessment. Although we included only five COSI categories in this study, it is clear that unaided audiometric tests may drive the choice of proper hearing rehabilitation, but their value in predicting the benefit of hearing aids remains limited. Full article
(This article belongs to the Special Issue Clinical Diagnosis and Surgical Strategies Update on Ear Disorders)
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