These data confirm the marked efficacy of both nimodipine and cinnarizine in the treatment of vestibular vertigo.
A 34-year-old woman presented with postlingual severeto-profound hearing loss, blindness due to pubertal onset of retinitis pigmentosa and normal vestibular function. She carried a diagnosis of Type 2 Usher syndrome (USH) and was interested in a sequential bilateral cochlear implant (CI) for the left ear. She had used hearing aids since age 2 and eventually underwent right ear cochlear Implant (CI) surgery 8 months before her presentation. An Advanced Bionics harmony device with a 1J electrode was used. There was no previous history of other pathologic conditions that could lead to cochlear ossification as meningitis, chronic otitis, otosclerosis, trauma, or autoimmune disease. Her otologic examination was normal. On audiologic evauation, she had open set sentence recognition using her right cochlear implant and was deaf in the left ear. Review of her computed tomography (CT) before her first CI surgery revealed normal right ear anatomy and a partially ossified basilar turn of the left cochlea. These findings were confirmed on repeat CT imaging, which also showed a full insertion of the right electrode ( Figs. 1 and 2) and ossification of the left cochlear basilar turn.Given the concerns of labyrinthitis ossificans (LO) of the left ear, her case was expedited, and she underwent uneventful CI surgery using a Nucleus Freedom with
Background Evaluation of health-related quality of life (HRQoL) is considered an important aspect of clinical assessment and health research. Chronic Otitis Media (COM) is related to the quality of life deterioration subsequent to COM symptoms, social communication impairments and lower work performance. However, there is no reliable information regarding the impact of this disease on health and quality of life in many resource-poor countries. Therefore, we translated into Spanish and culturally adapted the Chronic Otitis Media Questionnaire-12 (COMQ-12) for the evaluation of Health-Related Quality of Life (HRQoL) of Chronic Otitis Media (COM) in adult patients. Also, we assessed the psychometric properties of our version of the questionnaire.Methods Two otology referral centers in Bogotá, Colombia were included. The Spanish version of COMQ-12 was applied twice to 200 adult patients with confirmed COM diagnosis and to 31 healthy controls in order to perform the validation process and assess the internal consistency of this questionnaire. Psychometric characteristics (replicability, reliability, and validity) of the COMQ-12 were assessed. Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were conducted via structural equation modeling (SEM) in order to test the questionnaire’s structure.Results The Spanish version of the COMQ-12 showed good internal consistency (Cronbach’s Alpha=0.8526, McDonald’s Omega = 0.8901). Coefficients corresponding to Lin’s Concordance test and test-retest reliability were 0.945 and 0.82 respectively. Correlation between the Visual Analogue Scale (VAS) and the COMQ-12 was = 0.676 (IC 95% = 0.593; 0.745). Factor analysis of the Spanish version of the COMQ-12 indicated a questionnaire structure with three domains: smelly discharge related symptoms; hearing loss related symptoms; and impact on work, lifestyle and health services.Conclusion This Spanish version of the COMQ-12 showed high reliability and high internal consistency. This questionnaire can be used as an objective clinical tool to assess the HRQoL of patients who have a COM diagnosis.
Introducción: El avance en dispositivos de rehabilitación auditiva ha logrado llegar a los dispositivos de transmisión ósea por medio de anclaje al hueso. El BAHA® (Bone Anchored Hearing Aid, Cochlear Co., Australia) es el más usado, dada su ganancia en el rango de frecuencias altas con menor distorsión de la señal; sin embargo, con complicaciones importantes, como infección, pérdida del implante y necesidad de cirugía revisional, que impactan en calidad de vida y costos. Debido a esto se han desarrollado implantes transcutáneos con menos complicaciones y resultados audiológicos similares, como el nuevo sistema activo de conducción ósea Bonebridge®. Objetivo: Describir los resultados auditivos y beneficios.comunicativos del sistema implantable transcutáneo activo de conducción ósea Bonebridge® en hipoacusia conductiva y mixta. Diseño: Estudio pseudoexperimental tipo antes y después. Métodos: Se analizó a los pacientes implantados con el Bonebridge® entre octubre del 2012 y agosto del 2013, por el Servicio de Otología del Hospital Universitario Fundación Santa Fe de Bogotá, y se evaluaron ganancia funcional en audiometría, logoaudiometría, beneficio comunicativo y APHAB pre y posquirúrgico. Resultados: No se encontraron diferencias significativas en la vía ósea pre y postoperatoria. En las pruebas en campo libre solo hubo diferencia en la frecuencia de 500 Hz (P < 0,05). Se evidenció ganancia funcional en la discriminación del lenguaje en bisílabos a 60 dB SPL (nivel de presión sonora) (P: 0,042); se encontraron diferencias en el cuestionario de beneficio comunicativo APHAB (P: 0,043) en todas sus subcategorías, exceptuando aversión (P: 0,068). No hubo complicaciones. Conclusiones: El Bonebridge® es seguro y eficaz para la rehabilitación auditiva.
Fragmento El Doctor Jorge García Gómez, de origen Zapatoca, nació en Bucaramanga, tierra santandereana donde resuenan los blasones del espíritu y la inteligencia. Labró con su incansable dedicación y esfuerzo una posición de gran relevancia en la Medicina colombiana y en la sociedad. Desde que se graduó en Medicina y Cirugía de la Universidad Nacional en 1948, con una tesis meritoria, y acta de grado y diploma firmados por el Decano, Maestro Arturo Aparicio Jaramillo, el Dr. García Gómez siempre profesó un inmenso respeto y admiración por sus maestros. Ya desde 1947 había trabajado bajo la tutela del Profesor Jorge Bejarano en el dispensario anti-leproso del Instituto Federico Lleras, y luego, como interno de órganos de los sentidos del Hospital de San José, honrosa nominación realizada por el Secretario en ese momento y expresidente de la Sociedad de Cirugía, Dr. Jorge Suárez Hoyos.
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