Neurotology
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Winter/Spring 1992
Volume 3, Number 1
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Abstracts
of this issue appear
below. Send e-mail or call 303-788-4010 to order a printed copy.
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 Abstracts
Recent
Advances in the Management of Sensorineural Hearing Impairment
Donald W. Goin, MD
Relevant
aspects of diagnosis and management of sensorineural
hearing impairment (SHI) are reviewed. Three
representative cases are presented; the first emphasizes
the gravity of sudden onset of SHI; the second
underscores the importance of early and thorough
assessment of unilateral SHI; and the last case serves as
an example of recently discovered causes of progressive
SHI.
Diagnosis and
Management of Sensorineural Hearing Loss in Children
David C. Kelsall, MD
Hearing loss
in childhood has a major impact on speech, language, and
social development, but its influence can be lessened by
early detection, comprehensive evaluation, and
multidisciplinary management. While certain risk factors
have been identified for sensorineural hearing loss in
neonates and infants, almost half of all children with
sensorineural hearing loss have no risk factors
identified.
Cochlear Implants
Robert E. Mischke, MD
Significant
progress in cochlear implant technology and surgical
technique has been made in the last 2 decades, resulting
in the increasing acceptance of cochlear implants among
patients, physicians, and third party payors. This paper
offers a historical perspective, followed by a review of
prostheses, physiology, patient selection and evaluation,
surgery, complications, rehabilitation, results, and
future directions for cochlear implantation in both
adults and children.
Diagnosis and
Management of Meniere’s Disease
I. Kaufman Arenberg, MD
The optimal
treatment plan for Meniere’s disease, which affects
up to 7 million Americans, addresses both acute and
short-term symptomatic relief of vertigo as well as the
preservation or improvement of long-term auditory and
vestibular system function. While 80% of Meniere’s
disease patients can be successfully medically managed,
the neuro-otologist’s challenge is to enhance the
salvage rate of medical treatment failures using surgical
procedures that minimize the destruction of residual
hearing and balance function.
Vascular Loops
and Dizziness
Gary D. VanderArk, MD
Microvascular
decompression of the cranial nerves is an exciting
therapy which may have application for patients with
dizziness and balance disorders. This paper reviews the
relevant anatomy, clinical symptomatology, preoperative
tests, surgery, and results. There is presently no
consensus regarding indications for this surgery.
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