0000000000117525
AUTHOR
Sean Flanagan
Management of chronic otitis by middle ear obliteration with blind sac closure of the external auditory canal.
Objective: Description of a technique of middle ear obliteration (MEO) with blind sac closure of the external auditory canal with discussion of the indications for its use in cases of recalcitrant chronic otitis and in far advanced disease. Patients: All patients underwent otologic examination and audiologic and radiologic assessments in a quaternary center. Results: Fifty-three cases of MEO were analyzed. For 9 patients, primary surgery was performed. One case of residual disease was identified. The minimum follow-up was 2 years. Conclusion: The decision to perform a MEO is one that is made only rarely. However, this is a technique that should be part of every otologist`s armamentarium. Wh…
Enhanced kinetics of hole transfer and electrocatalysis during photocatalytic oxygen evolution by cocatalyst tuning
Understanding photophysical and electrocatalytic processes during photocatalysis in a powder suspension system is crucial for developing efficient solar energy conversion systems. We report a substantial enhancement by a factor of 3 in photocatalytic efficiency for the oxygen evolution reaction (OER) by adding trace amounts (∼0.05 wt %) of noble metals (Rh and Ru) to a 2 wt % cobalt oxide modified Ta3N5 photocatalyst particulate. The optimized system exhibited high quantum efficiencies (QEs) of up to 28 and 8.4% at 500 and 600 nm in 0.1 M Na2S2O8 at pH 14. By isolation of the electrochemical components to generate doped cobalt oxide electrodes, the electrocatalytic activity of cobalt oxide …
Decision making for solitary vestibular schwannoma and contralateral Meniere's disease.
The existence of dual inner ear pathology such as unilateral Meniere’s disease (MD) with a contralateral vestibular schwannoma (VS) is very rare, but provides the otologist with a significant management dilemma. In this study, we present 5 cases of unilateral disabling MD with a contralateral VS in the better hearing ear. Conservative management of the VS is mandated unless there are impending complications, with management directed toward controlling the vertigo attributed to MD. If and when the VS requires intervention, or the hearing in that ear deteriorates to unserviceable levels, cochlear implant of the ear affected by MD prior to addressing the VS provides optimal management.
Cystic vestibular schwannoma: classification, management, and facial nerve outcomes.
OBJECTIVE: Review of postoperative morbidity and facial nerve outcomes of cystic vestibular schwannoma (CVS) patients compared with solid vestibular schwannoma (SVS) patients and a proposal for a new CVS classification system. STUDY DESIGN: Retrospective review. SETTING: Tertiary care facility. PATIENTS: Ninety-six patients with surgically treated CVS (1998-2008). Outcomes were assessed in a subpopulation of 57 patients with greater than or equal to 1-year follow-up compared with 57 SVS patients. INTERVENTION: Fifty-six CVS patients underwent the enlarged translabyrinthine approach with transapical extension (Type I), and 1 patient underwent a transcochlear/transzygomatic approach. MAIN OUT…