Many patients who would likely benefit from implantation are never referred due to poor regional access, and, perhaps most importantly, lack of established CIE referral guidelines.
TRIO Best Practices » Otology/Neurotology
Sterotactic radiosurgery (SRS) for the treatment of VS can be associated with increased balance symptoms, often within the first six months after treatment.
Existing evidence suggests that olfactory training is a low-risk intervention that provides clinically relevant and sustained benefit in some PISL patients.
Cost-effectiveness varies between adults and children.
There is evidence that steroid use may be beneficial to improve hearing preservation.
Betahistine is widely used in Europe and the rest of the world in the treatment of Ménière’s disease.
Literature review does not support routine use of tomography (CT) prior to planned primary stapedotomy in patients with adult-onset CHL/MHL.
Newer studies assess the effect of cochlear implants on independent risk factors for dementia associated with hearing loss, including cognition, depression, and physical activity.
CT and MRI are widely available and afford excellent anatomic resolution.