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  • 1.
    Korres, S.
    et al.
    ENT Department, Hippocration Athens Hospital, University of Athens, Athens, Greece.
    Stamatiou, Georgios
    ENT Department, Hippocration Athens Hospital, University of Athens, Athens, Greece.
    Gkoritsa, E.
    ENT Department, ENT Surgeon, Private Practice, Tripoli, Greece.
    Riga, M.
    ENT Department, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece.
    Xenelis, J.
    ENT Department, Hippocration Athens Hospital, University of Athens, Athens, Greece.
    Prognosis of patients with idiopathic sudden hearing loss: role of vestibular assessment2011In: Journal of Laryngology and Otology, ISSN 0022-2151, E-ISSN 1748-5460, Vol. 125, no 3, p. 251-257Article in journal (Refereed)
    Abstract [en]

    Objective: To evaluate the correlation between caloric and vestibular evoked myogenic potential test results, initial audiogram data, and early hearing recovery, in patients with idiopathic sudden hearing loss.

    Materials and methods: One hundred and four patients with unilateral idiopathic sudden hearing loss underwent complete neurotological evaluation. Results for vestibular evoked myogenic potential and caloric testing were compared with patients' initial and final audiograms.

    Results: Overall, abnormal vestibular evoked myogenic potential responses occurred in 28.8 per cent of patients, whereas abnormal caloric test results occurred in 50 per cent. A statistically significant relationship was found between the type of inner ear lesion and the incidence of profound hearing loss. Moreover, a negative correlation was found between the extent of the inner ear lesion and the likelihood of early recovery.

    Conclusion: In patients with idiopathic sudden hearing loss, the extent of the inner ear lesion tends to correlate with the severity of cochlear damage. Vestibular assessment may be valuable in predicting the final outcome.

  • 2.
    Stamatiou, Georgios
    et al.
    ENT Department, Hippokration Athens Hospital, University of Athens, Athens, Greece.
    Gkoritsa, E.
    ENT Surgeon, Tripoli, Greece.
    Xenellis, J.
    ENT Department, Hippokration Athens Hospital, University of Athens, Athens, Greece.
    Riga, M.
    ENT Department, University Hospital of Alexandroupolis, Dimocrition University of Thrace, thrace, Greece.
    Korres, S.
    ENT Department, Hippokration Athens Hospital, University of Athens, Athens, Greece.
    Semicircular canal versus otolithic involvement in idiopathic sudden hearing loss2009In: Journal of Laryngology and Otology, ISSN 0022-2151, E-ISSN 1748-5460, Vol. 123, no 12, p. 1325-1330Article in journal (Refereed)
    Abstract [en]

    Objective: To evaluate the results of vestibular evoked myogenic potential testing in patients with idiopathic sudden hearing loss, and to correlate these results with the findings of caloric testing, the clinical appearance of vertigo and the influence of age.

    Materials and methods: Eighty-six patients with unilateral idiopathic sudden hearing loss and 35 healthy controls underwent a standard protocol of neurotological evaluation. Vestibular evoked myogenic potential responses were measured and compared with caloric responses.

    Results: On the affected side, 30.2 per cent of patients showed abnormal vestibular evoked myogenic potential responses., while 52.3 per cent had abnormal caloric responses. A statistically significant relationship was found between the results of these two tests. A statistically significant relationship was also found between the type of vestibular lesion and the occurrence of vertigo. Advancing age correlated statistically with more extensive labyrinthic lesions.

    Conclusions: A combination of vestibular evoked myogenic potential and electronystagmography testing indicated the existence of vestibular involvement in many patients with idiopathic sudden hearing loss. Both tests are necessary in order to obtain a more thorough and in-depth knowledge of the pathophysiology of idiopathic sudden hearing loss.

  • 3.
    Thunberg, Ulrica
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Department of Oto-rhino-laryngology, Örebro University Hospital, Örebro, Sweden.
    Engström, K.
    Department of Oto-rhino-laryngology, Örebro University Hospital, Örebro, Sweden.
    Olaison, S.
    Department of Oto-rhino-laryngology, Örebro University Hospital, Örebro, Sweden.
    Hugosson, Svante
    Örebro University, School of Medicine, Örebro University, Sweden. Örebro University Hospital. Department of Oto-rhino-laryngology.
    Anterior rhinoscopy and middle meatal culture in acute rhinosinusitis2013In: Journal of Laryngology and Otology, ISSN 0022-2151, E-ISSN 1748-5460, Vol. 127, no 11, p. 1088-1092Article in journal (Refereed)
    Abstract [en]

    Objective: To assess the use of bacterial culture findings for middle meatal samples obtained via anterior rhinoscopy, in the diagnosis of adults with acute rhinosinusitis.

    Materials and methods: Microbial cultures were prepared for 30 adult patients with acute rhinosinusitis and suspected bacterial involvement, using samples from the nasopharynx, and from the nasal middle meatus obtained via anterior rhinoscopy. Findings for the ipsilateral maxillary antrum were used as a reference.

    Results: Seventeen patients had a bacterial infection as verified by a positive culture from the maxillary antrum. Middle meatal samples had a similar sensitivity but a better specificity, positive predictive value and negative predictive value, compared with nasopharyngeal samples, although predictive values were not statistically significant at a 95 per cent confidence level.

    Conclusion: Anterior rhinoscopy with culture of middle meatal samples can be recommended as a diagnostic procedure for acute rhinosinusitis. The results can also guide the decision on antibiotic treatment.

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