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Hu S, Anschuetz L, Hall DA, Caversaccio M, Wimmer W. Susceptibility to Residual Inhibition Is Associated With Hearing Loss and Tinnitus Chronicity. Trends Hear 2021; 25:2331216520986303. [PMID: 33663298 PMCID: PMC7940720 DOI: 10.1177/2331216520986303] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
Residual inhibition, that is, the temporary suppression of tinnitus loudness after acoustic stimulation, is a frequently observed phenomenon that may have prognostic value for clinical applications. However, it is unclear in which subjects residual inhibition is more likely and how stable the effect of inhibition is over multiple repetitions. The primary aim of this work was to evaluate the effect of hearing loss and tinnitus chronicity on residual inhibition susceptibility. The secondary aim was to investigate the short-term repeatability of residual inhibition. Residual inhibition was assessed in 74 tinnitus subjects with 60-second narrow-band noise stimuli in 10 consecutive trials. The subjects were assigned to groups according to their depth of suppression (substantial residual inhibition vs. comparator group). In addition, a categorization in normal hearing and hearing loss groups, related to the degree of hearing loss at the frequency corresponding to the tinnitus pitch, was made. Logistic regression was used to identify factors associated with susceptibility to residual inhibition. Repeatability of residual inhibition was assessed using mixed-effects ordinal regression including poststimulus time and repetitions as factors. Tinnitus chronicity was not associated with residual inhibition for subjects with hearing loss, while a statistically significant negative association between tinnitus chronicity and residual inhibition susceptibility was observed in normal hearing subjects (odds ratio: 0.63; p = .0076). Moreover, repeated states of suppression can be stably induced, reinforcing the use of residual inhibition for within-subject comparison studies.
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Affiliation(s)
- S Hu
- Department of Otolaryngology, Head and Neck Surgery, Bern University Hospital, Bern, Switzerland.,Hearing Research Laboratory, ARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland
| | - L Anschuetz
- Department of Otolaryngology, Head and Neck Surgery, Bern University Hospital, Bern, Switzerland
| | - D A Hall
- National Institute for Health Research Nottingham Biomedical Research Centre, Nottingham, United Kingdom.,Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, United Kingdom.,University of Nottingham Malaysia, Semenyih, Malaysia
| | - M Caversaccio
- Department of Otolaryngology, Head and Neck Surgery, Bern University Hospital, Bern, Switzerland
| | - W Wimmer
- Department of Otolaryngology, Head and Neck Surgery, Bern University Hospital, Bern, Switzerland.,Hearing Research Laboratory, ARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland
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Anschuetz L, Alicandri-Ciufelli M, Wimmer W, Bonali M, Caversaccio M, Presutti L. The endoscopic anatomy of the cochlear hook region and fustis: surgical implications. ACTA ACUST UNITED AC 2020; 39:353-357. [PMID: 31708582 PMCID: PMC6843579 DOI: 10.14639/0392-100x-2388] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2018] [Accepted: 06/13/2019] [Indexed: 11/23/2022]
Abstract
The cochlear hook region can be considered as the interface between the middle and inner ear. The identification of surgically-relevant endoscopic landmarks of this anatomical entity and assessment of their clinical value is still lacking in the literature. Procedures like cholesteatoma surgery and minimal invasive endoscopic approaches to the lateral skull base may particularly benefit from these considerations. We hypothesize that the spatial orientation of anatomical landmarks in the cochlear hook can be expressed in angles and are reproducibly identifiable by transcanal otoendoscopy. Therefore, endoscopic dissection of the cochlear hook region was performed in 32 temporal bone specimens. Topographic anatomy was documented and analysed. We performed computed tomography of 28 specimens to assess the region in three-dimensional reconstructions. The mean angle between the round window and the basal scala tympani was assessed 25.9° in endoscopic and 28.2° in three-dimensionally reconstructed models. The fustis was recognised as a reliable landmark for the basal turn. A mean angle of 155.4° to the basal scala tympani was assessed. A slight bulging without obstruction of the basal turn was observed in 5 cases. The utility of the revealed anatomical details was assessed in minimal invasive endoscopic lateral skull base approaches. In conclusion, we described the angles between anatomical landmarks of the cochlear hook region. Moreover, the angle as recorded through an endoscope was found to be reliable compared to three-dimensional reconstructions from computed tomography.
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Affiliation(s)
- L Anschuetz
- Department of Otolaryngology Head and Neck Surgery, University Hospital of Modena, Italy.,Department of Otolaryngology Head and Neck Surgery, Inselspital, University Hospital and University of Bern, Switzerland
| | - M Alicandri-Ciufelli
- Department of Otolaryngology Head and Neck Surgery, University Hospital of Modena, Italy.,Neurosurgery Department, New Civil Hospital Sant'Agostino-Estense, Baggiovara (MO), Italy
| | - W Wimmer
- Department of Otolaryngology Head and Neck Surgery, Inselspital, University Hospital and University of Bern, Switzerland.,Artificial Hearing Research, ARTORG Center for Biomedical Engineering, University of Bern, Switzerland
| | - M Bonali
- Department of Otolaryngology Head and Neck Surgery, University Hospital of Modena, Italy
| | - M Caversaccio
- Department of Otolaryngology Head and Neck Surgery, Inselspital, University Hospital and University of Bern, Switzerland.,Artificial Hearing Research, ARTORG Center for Biomedical Engineering, University of Bern, Switzerland
| | - L Presutti
- Department of Otolaryngology Head and Neck Surgery, University Hospital of Modena, Italy
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Affiliation(s)
- S Beckmann
- Universitätsklinik für Hals‑, Nasen- und Ohrenkrankheiten, Kopf- und Halschirurgie, Inselspital Bern, Freiburgstrasse 10, 3010, Bern, Schweiz
| | - M Caversaccio
- Universitätsklinik für Hals‑, Nasen- und Ohrenkrankheiten, Kopf- und Halschirurgie, Inselspital Bern, Freiburgstrasse 10, 3010, Bern, Schweiz
| | - L Anschuetz
- Universitätsklinik für Hals‑, Nasen- und Ohrenkrankheiten, Kopf- und Halschirurgie, Inselspital Bern, Freiburgstrasse 10, 3010, Bern, Schweiz.
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Ermis E, Anschuetz L, Leiser D, Wagner F, Raabe A, Abu-Isa J, Caversaccio M, Aebersold D, Herrmann E. Impact of Vestibule Dose on Dizziness after Radiosurgery for the Treatment of Vestibular Schwannoma. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.2411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Giger R, Anschuetz L, Shelan M, Dematté M, Elicin O. PO-143 Long-term Functional Outcome after Laryngeal Cancer Treatment. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)30309-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Presutti L, Bonali M, Marchioni D, Pavesi G, Feletti A, Anschuetz L, Alicandri-Ciufelli M. Expanded transcanal transpromontorial approach to the internal auditory canal and cerebellopontine angle: a cadaveric study. Acta Otorhinolaryngol Ital 2018; 37:224-230. [PMID: 28516966 PMCID: PMC5463513 DOI: 10.14639/0392-100x-1258] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/31/2016] [Accepted: 11/23/2016] [Indexed: 11/23/2022]
Abstract
The aim of this paper is to describe and evaluate the feasibility of an expanded endoscopic transcanal transpromotorial approach (ExpTTA) to the internal auditory canal and the cerebellopontine angle. To this end, we performed a cadaveric dissection study in September 2015. In total, 2 heads (4 sides) were dissected focusing on anatomical landmarks and surgical feasibility. Data from dissections were reviewed and analysed for further consideration. In all 4 sides of the cadavers the procedure was feasible. In all cadavers, it was necessary to extensively drill the temporo-mandibular joint and to calibrate the external ear canal to allow adequate room to manoeuver the instruments and optics and to comfortably access the cerebellopontine angle. In addition, thorough skeletonisation of the carotid artery and the jugular bulb were necessary for the same purpose. In conclusion, ExpTTA appeared to be successful to access the internal auditory canal and cerebellopontine angle region. Potential extensive and routine application of this type of approach in lateral skull base surgery will depend on the development of technology and surgical refinements and on the diffusion of skull base endoscopic skills among otolaryngologists and neurosurgical community.
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Affiliation(s)
- L Presutti
- Otolaryngology-Head and Neck Surgery Department, University Hospital of Modena, Italy
| | - M Bonali
- Otolaryngology-Head and Neck Surgery Department, University Hospital of Modena, Italy
| | - D Marchioni
- Otolaryngology-Head and Neck Surgery Department, University Hospital of Verona, Italy
| | - G Pavesi
- Neurosurgery Department, New Civil Hospital Sant'Agostino-Estense, Baggiovara (MO), Italy
| | - A Feletti
- Neurosurgery Department, New Civil Hospital Sant'Agostino-Estense, Baggiovara (MO), Italy
| | - L Anschuetz
- Otolaryngology-Head and Neck Surgery Department, University Hospital of Modena, Italy.,Otolaryngology-Head and Neck Surgery Department, Inselspital, University Hospital and University of Bern, Switzerland
| | - M Alicandri-Ciufelli
- Otolaryngology-Head and Neck Surgery Department, University Hospital of Modena, Italy.,Neurosurgery Department, New Civil Hospital Sant'Agostino-Estense, Baggiovara (MO), Italy
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