Abstract
To assess the imaging findings of computed topography (CT) and magnetic resonance imaging (MRI) in adults with postlingual deafness and otherwise normal clinical history and physical exam. Additionally, determine the influence and implications of these findings with respect to surgical outcomes and cost. Retrospective case review. Tertiary referral hospital. Adults with postlingual deafness with no history of prior ear surgery, chronic ear disease, meningitis, otosclerosis, or head trauma. Cochlear implantation of 1 or both ears, with preoperative CT, MRI, or both. Imaging results were classified as normal, abnormal affecting surgery, incidental requiring follow-up, or incidental not requiring follow-up. Average cost of each imaging modality was determined. A total of 128 patients met the inclusion criteria. Of these, 82 (64.1%) had both CT and MRI performed, 33 (25.8%) had CT, and 13 (10.2%) had MRI prior to cochlear implant (CI). Scans were normal in 125 (97.7%) of cases. Of the remaining 3 (2.3%) patients, there were incidental findings requiring follow-up. All implants were placed successfully, and in no instance did the results of the scan influence the surgery. The average cost of imaging per patient was $4707. In adults ...Continue Reading
References
May 1, 1994·The Laryngoscope·D A SeidmanS Parisier
Oct 17, 2003·The Journal of Laryngology and Otology·T G GleesonL Viani
Jul 23, 2004·Acta Oto-laryngologica·Robert BettmanEgbert Huizing
Jul 29, 2004·The Laryngoscope·P Ashley WackymJill B Firszt
Jan 1, 2005·The Laryngoscope·Blake C Papsin
Sep 10, 2005·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·David A ParryPeter S Roland
Feb 18, 2009·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·J BeijenE Mylanus
Jul 20, 2010·The Laryngoscope·Kenneth H LeePeter S Roland
May 7, 2011·Laryngo- rhino- otologie·A Aschendorff
Jan 9, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Roya AzadarmakiFrank G Shellock
Jan 23, 2014·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Deanne M RobertsRaleigh O Jones
Feb 6, 2014·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·F HassepassA Aschendorff
Jun 4, 2014·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Zi Yang JiangJ Walter Kutz
Jul 18, 2014·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Seth R Schwartz, Brian S Chen
May 2, 2015·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Matthew L CarlsonColin L W Driscoll
Sep 4, 2015·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·T J VoglT Stöver
Sep 12, 2015·The Laryngoscope·Matthew TamplenMia E Miller
Dec 23, 2015·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Aleena Shafi JalluRafiq Ahmad Pampori
Jun 14, 2016·The Laryngoscope·Kevin J Choi, David M Kaylie