Showing papers by "William F. House published in 1985"
TL;DR: ABR, with enhanced CT as needed, is an accurate screening protocol for acoustic neuroma diagnosis and can be used as an alternative to the traditional ABR, electronystagmography, and internal auditory canal tomograms.
Abstract: • Three hundred five acoustic neuromas were reviewed to determine the sensitivity of combining the auditory brainstem response (ABR) and the intravenous contrast-enhanced computed tomogram (CT) as screening tests for acoustic neuroma diagnosis. The ABR detected 98% of the tumors. The enhanced CT demonstrated 97% of tumors larger than 1.5 cm, but only 48% of neuromas 1.5 cm or smaller. The combination of both ABR and enhanced CT, used as the initial screening tests, identified 99% of the neuromas. We conclude that ABR, with enhanced CT as needed, is an accurate screening protocol. This method can be used as an alternative to the traditional ABR, electronystagmography, and internal auditory canal tomograms. ( Arch Otolaryngol 1985;111:17-21)
64 citations
TL;DR: Medical records show no evidence that incidence of otitis media is affected by the implant, and parents and physicians rated both the frequency and severity of Otitis media as the same or decreased after cochlear implantation when compared to preimplant.
Abstract: Children are more prone to otitis media than adults. Therefore, although otitis media has not produced any complications in adult cochlear implant patients, concern has been expressed that it might do so in children with an implant. This study examined the frequency and severity of otitis media following cochlear implantation. Data were collected from parents and physicians by use of a questionnaire. In addition, medical records were examined for incidence and severity of otitis media or any evidence of inner ear infection. All parents and all physicians who responded to the questionnaire rated both the frequency and severity of otitis media as the same or decreased after implantation when compared to preimplant. Medical records show no evidence that incidence of otitis media is affected by the implant.
47 citations
TL;DR: The surgical procedure for placement of a single electrode cochlear implant in children is described in detail, and preoperative X-rays indicated ossification of scala tympani was present in 34% of the cases and ossifying of the round window in more than 50%.
Abstract: The surgical procedure for placement of a single-electrode cochlear implant in children is described in detail This is essentially the same procedure that has been successfully used in adults Medical, radiological, and surgical data are also presented The majority of the children were deafened by meningitis Preoperative X-rays indicated ossification of scala tympani was present in 34% of the cases and ossification of the round window in more than 50% Surgical and postoperative complications have been minimal
38 citations
Journal Article•
TL;DR: It is the feeling that with the techniques available to the neuro-otologist for the management of patients harboring acoustic neuromas, the goals of surgery should be total removal of the tumor with preservation of the facial nerve and avoidance of injury to the adjacent important brain structures.
Abstract: The experience of our group in the management of 1667 patients with the diagnosis of an acoustic neuroma has been reviewed. Certain features of the operation have been discussed. It is our feeling at this time that with the techniques available to the neuro-otologist for the management of patients harboring acoustic neuromas, the goals of surgery should be total removal of the tumor with preservation of the facial nerve and avoidance of injury to the adjacent important brain structures. Our patients, at this time, should reasonably expect this type of result from their surgery. Hearing preservation in the above framework continues to be frustrating and difficult to consistently attain, and obviously remains the next barrier in acoustic tumor surgery.
30 citations
Journal Article•
TL;DR: The ability to locate accurately and stimulate selectively the cochlear nucleus after removal of an acoustic schwannoma was confirmed in this patient and a discussion of the results and concerns of electrical stimulation are reviewed.
Abstract: Auditory percepts can be produced by electrical stimulation of the cochlear nucleus in man. The ability to locate accurately and stimulate selectively the cochlear nucleus after removal of an acoustic schwannoma was confirmed in this patient. The surgical approach, electrode design, and a discussion of the results and concerns of electrical stimulation are reviewed.
25 citations
Journal Article•
12 citations
Journal Article•
TL;DR: In this paper, the surgical procedure for placement of a single electrode cochlear implant in children is described in detail, essentially the same procedure that has been successfully used in adults.
Abstract: The surgical procedure for placement of a single electrode cochlear implant in children is described in detail. This is essentially the same procedure that has been successfully used in adults. Medical, radiological, and surgical data are also presented. The majority of the children were dea
6 citations
TL;DR: The clinical audiometric test results suggest that, clinically, the single-channel cochlear implant is a viable prosthesis for patients with a wide variety of causes of deafness.
Abstract: • The clinical audiometric test results from 53 postlingually deafened adults using the House single-channel cochlear implant were analyzed according to cause of deafness (otosclerosis, ototoxic drugs, meningitis, and trauma). With the exception of one measure, the routine clinical tests did not show a relationship between cause of deafness and performance with the cochlear implant. These findings suggest that, clinically, the single-channel cochlear implant is a viable prosthesis for patients with a wide variety of causes of deafness. ( Arch Otolaryngol 1985;111:255-258)
4 citations