Cochlear implantation is a safe procedure for children with severe-profound mixed hearing loss related to POU3F4 mutation inner ear malformation. The children develop hearing and spoken language but outcome is below average for pediatric CI recipients.
Even in cases of severe resorption, the incisor roots show good long-term healing. Incisors with root resorption can be used in an orthodontic appliance system.
Objectives: To compare the effective dose to patients from temporomandibular joint examinations using a dental CBCT device and a multislice CT (MSCT) device, both before and after dose optimization. Methods: A Promax ® 3D (Planmeca, Helsinki, Finland) dental CBCT and a LightSpeed VCT ® (GE Healthcare, Little Chalfont, UK) multislice CT were used. Organ doses and effective doses were estimated from thermoluminescent dosemeters at 61 positions inside an anthropomorphic phantom at the exposure settings in clinical use. Optimized exposure protocols were obtained through an optimization study using a dry skull phantom, where four observers rated image quality taken at different exposure levels. The optimal exposure level was obtained when all included criteria were rated as acceptable or better by all observers. Results: The effective dose from a bilateral examination was 184 mSv for Promax 3D and 113 mSv for LightSpeed VCT before optimization. Post optimization, the bilateral effective dose was 92 mSv for Promax 3D and 124 mSv for LightSpeed VCT. Conclusions: At optimized exposure levels, the effective dose from CBCT was comparable to MSCT.
This is a retrospective review of clinical data and audiovestibular test results from four children in whom symptoms suggesting Ménière's disease started at 4-7 years of age. The four patients all had spontaneous recurrent attacks of (spinning) vertigo and fluctuating low frequency sensorineural hearing loss from an early age, suggesting a diagnosis of definite Ménière's disease. Presumably, due to age-related inability to communicate auditory symptoms, the children did not initially meet requirements for a diagnosis of Ménière's disease. However, by 8 years of age, all four children reported tinnitus and/or fullness in the affected ear and, thus, met the AAO criteria for Ménière's disease. Even if information on subjective auditory symptoms is missing, it is reasonable to consider young children with idiopathic spontaneous recurrent attacks of vertigo in whom audiograms reveals fluctuating low frequency hearing loss to have Ménière's disease. This report is a reminder that Ménière's disease may also occur in young children.
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