What can physicians tell patients about the shelf life of antimicrobial ear drops and when bottles might become contaminated after use in the infected ear canal? Background: Little evidence exists regarding the shelf life of antimicrobial ear drops after opening or when patients should discard the bottle. Additionnally, little is known about contamination after use […]
KTP and CO2 Laser Fiber Stapedotomy Compared
What is the safety and efficacy of the OmniGuide handheld fiber for CO2 laser stapedotomy as compared to the handheld potassium titanyl phosphate (KTP) laser in patients undergoing stapedotomy for otosclerosis? Background: While both argon and KTP lasers can potentially have thermal effects on deep inner ear structures, CO2 lasers have been considered safer. However, […]
Cincinnati Criteria Identifies More Cases of Enlarged Vestibular Aqueduct
Are otolaryngologists underdiagnosing EVA? Background: Enlarged vestibular aqueduct (EVA) is the most commonly identified CT scan anomaly found in children with sensorineural hearing loss (SNHL). Current radiographic criteria for EVA (defined by Valvassori and Clemis in 1978, using hypocycloidal polytomography), is a vestibular aqueduct larger than 1.5 mm at the midpoint. A new criteria, the […]
Language Performance in Disabled Children with Cochlear Implants
What are the effects of cochlear implants (CIs) on language among children with disabilities? Background: Early implantation of a CI in children with typical development is strongly associated with improved outcomes. There are few studies, however, showing the effects of CI among children with additional disabilities, making decision-making and standards of care difficult for families […]
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