S. Šikolová, M. Urík, J. Jančíková, Dagmar Hošnová, Rami Katra
Summary Congenital malformations of the inner ear consist of many different anomalies of the labyrinth. They often cause hearing loss, mostly of the sensorineural type. Eighty percent of hearing loss is caused by an anomaly of the membranous labyrinth, and 20% by an anomaly of the bone labyrinth. The role in pathogenesis is played by hereditary factors and influence of the environment. The treatment depends on the severity of the hearing loss, abnormalities of the external and middle ear, associated defects, and presence and function of the auditory nerve. We have modern hearing aids or implantable systems. Another options include a sign language and mouth-reading. The article includes a retrospective analysis of patients with congenital inner ear malformations at our tertiary center in 2010–2020. In conclusion, our patients clearly prove that even children with profound hearing loss are successfully implanted and restored hearing can be achieved in most of them. Key words congenital ear malformation – inner ear – hearing loss – anomalies of bony labyrinth – anomalies of membranous labyrinth – rehabilitation
{"title":"Congenital malformations of the inner ear","authors":"S. Šikolová, M. Urík, J. Jančíková, Dagmar Hošnová, Rami Katra","doi":"10.48095/ccorl2021167","DOIUrl":"https://doi.org/10.48095/ccorl2021167","url":null,"abstract":"Summary Congenital malformations of the inner ear consist of many different anomalies of the labyrinth. They often cause hearing loss, mostly of the sensorineural type. Eighty percent of hearing loss is caused by an anomaly of the membranous labyrinth, and 20% by an anomaly of the bone labyrinth. The role in pathogenesis is played by hereditary factors and influence of the environment. The treatment depends on the severity of the hearing loss, abnormalities of the external and middle ear, associated defects, and presence and function of the auditory nerve. We have modern hearing aids or implantable systems. Another options include a sign language and mouth-reading. The article includes a retrospective analysis of patients with congenital inner ear malformations at our tertiary center in 2010–2020. In conclusion, our patients clearly prove that even children with profound hearing loss are successfully implanted and restored hearing can be achieved in most of them. Key words congenital ear malformation – inner ear – hearing loss – anomalies of bony labyrinth – anomalies of membranous labyrinth – rehabilitation","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131034184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nikola Pastorková, R. Holý, Klára Procházková, K. Mayerová, L. Vašina, J. Lacman, Š. Musilová, J. Astl
Summary Introduction: Multiple sclerosis (MS) is a chronic multifocal inflammatory disease affecting the CNS, with autoimmune and neurodegenerative processes involved in its pathogenesis. Otoneurology outpatient clinic patients presenting with hearing loss, tinnitus, and vertigo may eventually be newly diagnosed MS patients. An otoneurologist specialist may be the first physician to suspect MS and refer the patient for an MRI and neurological examination. Early diagnosis and subsequent treatment of MS can delay permanent disability. Aim: Analysis of the incidence of MS patients in an otoneurological outpatient clinic during a twenty-year period. To increase the otoneurologists’ awareness of MS diagnosis. Methods and materials: Of 6,000 patients, who were newly examined in an otoneurology outpatient clinic between 2000 and 2021, data of 11 patients (0,18%) (5 male/6 female, aged 25–58 years) with MS or suspected of MS were retrospectively evaluated. Results: In 11 patients, MS was suspected or ongoing. In 4 of those patients, otoneurological examination contributed to the first detection of MS by an otoneurologist. The first MS symptoms included hearing loss, tinnitus, instability, and post-infection visual disorder. Conclusion: The otoneurologist must consider that sudden hearing loss, tinnitus, and vertigo may be the first manifestations of MS. Early diagnosis of MS increases the likelihood that with treatment, the progression of the disease will be slowed. Interdisciplinary cooperation between the otoneurologists and neurologists is very important for the diagnosis of MS. Key words multiple sclerosis – sensorineural hearing loss – tinnitus – vertigo – otoneurology
{"title":"Multiple sclerosis in the otoneurology outpatient clinic: interdisciplinary cooperation between otoneurologist and neurologist","authors":"Nikola Pastorková, R. Holý, Klára Procházková, K. Mayerová, L. Vašina, J. Lacman, Š. Musilová, J. Astl","doi":"10.48095/ccorl2021161","DOIUrl":"https://doi.org/10.48095/ccorl2021161","url":null,"abstract":"Summary Introduction: Multiple sclerosis (MS) is a chronic multifocal inflammatory disease affecting the CNS, with autoimmune and neurodegenerative processes involved in its pathogenesis. Otoneurology outpatient clinic patients presenting with hearing loss, tinnitus, and vertigo may eventually be newly diagnosed MS patients. An otoneurologist specialist may be the first physician to suspect MS and refer the patient for an MRI and neurological examination. Early diagnosis and subsequent treatment of MS can delay permanent disability. Aim: Analysis of the incidence of MS patients in an otoneurological outpatient clinic during a twenty-year period. To increase the otoneurologists’ awareness of MS diagnosis. Methods and materials: Of 6,000 patients, who were newly examined in an otoneurology outpatient clinic between 2000 and 2021, data of 11 patients (0,18%) (5 male/6 female, aged 25–58 years) with MS or suspected of MS were retrospectively evaluated. Results: In 11 patients, MS was suspected or ongoing. In 4 of those patients, otoneurological examination contributed to the first detection of MS by an otoneurologist. The first MS symptoms included hearing loss, tinnitus, instability, and post-infection visual disorder. Conclusion: The otoneurologist must consider that sudden hearing loss, tinnitus, and vertigo may be the first manifestations of MS. Early diagnosis of MS increases the likelihood that with treatment, the progression of the disease will be slowed. Interdisciplinary cooperation between the otoneurologists and neurologists is very important for the diagnosis of MS. Key words multiple sclerosis – sensorineural hearing loss – tinnitus – vertigo – otoneurology","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125160198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Summary Introduction: The aim of this study was to create a new classification scale for the evaluation of speech in patients after cochlear implantation. Our newly created Motol Speech Scale (MSS) independently evaluates both speech components – perception and expression. Material and methods: We processed a set of 416 cochlear implant users. It was evaluated patients’ auditory perception level and speech status according to the internationally used Nottingham scale – Categories of Auditory Performation (CAP) and, at the same time, according to the Motol Speech Scale (MSS). The data obtained on both scales were compared and evaluated using the GraphPad statistical software. Results: The Spearman correlation test demonstrated the existence of a positive correlation between the CAP and MSS scales. Conclusion: Our newly created MSS scale is a suitable tool for classifying speech after cochlear implantation. It is understandable for CI users, parents, professionals, and the public. Key words cochlear implantation – speech perception – speech production – classification scale
摘要简介:本研究的目的是为人工耳蜗植入术后患者的言语能力评价建立一个新的分类量表。我们新创建的mol语音量表(MSS)独立评估语音成分-感知和表达。材料与方法:对416例人工耳蜗使用者进行了研究。根据国际通用的Nottingham量表- Categories of auditory performance (CAP)，同时根据Motol speech scale (MSS)，对患者的听觉感知水平和言语状态进行评估。使用GraphPad统计软件对两种量表上获得的数据进行比较和评估。结果:Spearman相关检验显示CAP与MSS量表之间存在正相关。结论:本文设计的MSS量表是对人工耳蜗植入术后语音进行分类的合适工具。对于CI用户、家长、专业人士和公众来说，这是可以理解的。关键词人工耳蜗;语音感知;语音产生
{"title":"Evaluation of speech in patients after cochlear implantation – Motol Speech Scale","authors":"Zdenka Aksenovová, M. Okluský, J. Skřivan","doi":"10.48095/ccorl2021156","DOIUrl":"https://doi.org/10.48095/ccorl2021156","url":null,"abstract":"Summary Introduction: The aim of this study was to create a new classification scale for the evaluation of speech in patients after cochlear implantation. Our newly created Motol Speech Scale (MSS) independently evaluates both speech components – perception and expression. Material and methods: We processed a set of 416 cochlear implant users. It was evaluated patients’ auditory perception level and speech status according to the internationally used Nottingham scale – Categories of Auditory Performation (CAP) and, at the same time, according to the Motol Speech Scale (MSS). The data obtained on both scales were compared and evaluated using the GraphPad statistical software. Results: The Spearman correlation test demonstrated the existence of a positive correlation between the CAP and MSS scales. Conclusion: Our newly created MSS scale is a suitable tool for classifying speech after cochlear implantation. It is understandable for CI users, parents, professionals, and the public. Key words cochlear implantation – speech perception – speech production – classification scale","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116556625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Authors' response to the comment: Evaluation of speech in patients after cochlear implantation – Motol Speech Scale","authors":"Zdenka Aksenovová","doi":"10.48095/ccorl2021193","DOIUrl":"https://doi.org/10.48095/ccorl2021193","url":null,"abstract":"","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115254280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Z. Krátká, J. Paška, Veronika Šíblová, K. Licková, R. Lohynská, A. Čoček
Aim: Our goal was to assess our experience with accuracy of PET/ CT in the diagnostics of distant metastases and duplicity tumors in head and neck oncology. Methods: In total, 159 patients with a previously histologically verified malignant tumor of the head and neck underwent whole-body PET/ CT in our facility from 2016 to 2019. In 51 cases, we found out higher uptake of marked radiopharmaceutical (fluorodeoxyglucose) out of the head and neck region. In a retrospective study, we were evaluating the sensitivity and specificity of the method in the diagnostics of distant metastases and duplicities. Results: In our study, PET/ CT has sensitivity of 95.7% and specificity of 79.9% with positive and negative predictive values of 44.9% and 99.1% respectively. Conclusion: The method has a high sensitivity but lower specificity rate in the diagnostics of distant metastases (duplicity tumors) in head and neck oncology. Considering high radiation load and the price and availability of PET/ CT, it is necessary to consider the indication of this technique properly.
{"title":"Use of PET/ CT in diagnostics of distant metastasis and secondary malignancies in head and neck oncology","authors":"Z. Krátká, J. Paška, Veronika Šíblová, K. Licková, R. Lohynská, A. Čoček","doi":"10.48095/CCORL20216","DOIUrl":"https://doi.org/10.48095/CCORL20216","url":null,"abstract":"Aim: Our goal was to assess our experience with accuracy of PET/ CT in the diagnostics of distant metastases and duplicity tumors in head and neck oncology. Methods: In total, 159 patients with a previously histologically verified malignant tumor of the head and neck underwent whole-body PET/ CT in our facility from 2016 to 2019. In 51 cases, we found out higher uptake of marked radiopharmaceutical (fluorodeoxyglucose) out of the head and neck region. In a retrospective study, we were evaluating the sensitivity and specificity of the method in the diagnostics of distant metastases and duplicities. Results: In our study, PET/ CT has sensitivity of 95.7% and specificity of 79.9% with positive and negative predictive values of 44.9% and 99.1% respectively. Conclusion: The method has a high sensitivity but lower specificity rate in the diagnostics of distant metastases (duplicity tumors) in head and neck oncology. Considering high radiation load and the price and availability of PET/ CT, it is necessary to consider the indication of this technique properly.","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131418973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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