13 research outputs found
Immunoinflammatory and vascular inflammatory factors can be potential disease biomarkers of age-related hearing loss
Objectives: The relationship between age-related diseases and chronic inflammation associated with aging has recently been investigated. This study aimed to investigate how chronic inflammation is associated with age-related hearing loss (ARHL). Methods: Twenty ARHL patients aged β₯65 years were prospectively enrolled from July 1 to 31 December 2015. Audiological tests and serological tests, such as C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), immunoglobulin G (IgG), interleukin 6 (IL-6), white blood cell (WBC) counts, neutrophil counts, lymphocyte counts, and platelet counts, were performed. The patients were divided into two groups: mild hearing loss group (n = 7) and moderate to profound hearing loss group (n = 13). Results: Immunoinflammatory biomarkers, such as CRP, ESR, and IL-6, and vascular inflammatory biomarkers, such as neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio, were higher in the moderate to profound hearing loss group. IgG, WBC counts, and neutrophil counts were similar in both groups. Conclusion: The present preliminary pilot study demonstrated that high levels of inflammatory biomarkers may be associated with ARHL. The results suggest a possible association between chronic inflammation and ARHL. Further well-designed studies of ARHL, based on a new perspective of chronic inflammation, should be performed.ope
Total Transcanal Endoscopic Facial Nerve Decompression for Traumatic Facial Nerve Palsy
A few approaches can be used to decompress traumatic facial nerve paralysis including the middle cranial fossa approach or transmastoid approach depending on the site of injury. In some specific situation of treating traumatic facial nerve palsy whose injured site was confined from the geniculate ganglion to the second genu, transcanal endoscopic approach for facial nerve decompression can be used. We performed two cases of total endoscopic transcanal facial nerve decompression in patients with traumatic facial nerve palsy. After a six month follow-up, both patients showed improvement in facial function by 2 grades according to House-Brackmann grade system. In terms of treatment outcomes, total transcanal endoscopic facial nerve decompression for traumatic facial nerve palsy is an alternative for lesions limited to the tympanic segment I, and has an advantages of being minimally invasive and is cosmetically acceptable without an external scar or bony depression due to drilling.ope
microRNA-183 is Essential for Hair Cell Regeneration after Neomycin Injury in Zebrafish
Purpose: microRNAs (miRNAs) are non-coding RNAs composed of 20 to 22 nucleotides that regulate development and differentiation in various organs by silencing specific RNAs and regulating gene expression. In the present study, we show that the microRNA (miR)-183 cluster is upregulated during hair cell regeneration and that its inhibition reduces hair cell regeneration following neomycin-induced ototoxicity in zebrafish.
Materials and methods: miRNA expression patterns after neomycin exposure were analyzed using microarray chips. Quantitative polymerase chain reaction was performed to validate miR-183 cluster expression patterns following neomycin exposure (500 ΞΌM for 2 h). After injection of an antisense morpholino (MO) to miR-183 (MO-183) immediately after fertilization, hair cell regeneration after neomycin exposure in neuromast cells was evaluated by fluorescent staining (YO-PRO1). The MO-183 effect also was assessed in transgenic zebrafish larvae expressing green fluorescent protein (GFP) in inner ear hair cells.
Results: Microarray analysis clearly showed that the miR-183 cluster (miR-96, miR-182, and miR-183) was upregulated after neomycin treatment. We also confirmed upregulated expression of the miR-183 cluster during hair cell regeneration after neomycin-induced ototoxicity. miR-183 inhibition using MO-183 reduced hair cell regeneration in both wild-type and GFP transgenic zebrafish larvae.
Conclusion: Our work demonstrates that the miR-183 cluster is essential for the regeneration of hair cells following ototoxic injury in zebrafish larvae. Therefore, regulation of the miR-183 cluster can be a novel target for stimulation of hair cell regeneration.ope
Simultaneous Translabyrinthine Tumor Removal and Cochlear Implantation in Vestibular Schwannoma Patients
Refinement of surgical techniques has allowed hearing preservation after tumor resection to be prioritized. Moreover, restoration of hearing after tumor removal can be attempted in patients with bilateral vestibular schwannomas or those with a schwannoma in the only-hearing ear. Cochlear implantation (CI) has emerged as a proper method of acoustic rehabilitation, provided that the cochlear nerve remains intact. Studies of electrical promontory stimulation in patients after vestibular schwannoma resection have demonstrated favorable results. We describe herein two cases of hearing rehabilitation via CI implemented at the time of vestibular schwannoma resection. Tumors were totally removed, and cochlear implant electrodes were successfully inserted in both cases. Also, post operative CI-aided hearing showed improved results.ope
Treatment of Hemorrhagic Vocal Polyps by Pulsed Dye Laser-Assisted Laryngomicrosurgery
OBJECTIVE: Conventional surgical techniques of laryngomicrosurgery (LMS) on hemorrhagic vocal polyps are often difficult due to obscuration of the surgical field by inadvertent bleeding from the lesion, and there are often significant amounts of mucosal epithelium loss. Here, we introduce our surgical technique using pulsed dye laser (PDL), which can effectively resect the polyp with vocal fold mucosa preservation.
METHODS: Patients who were diagnosed with hemorrhagic vocal polyp and who were surgically managed using PDL from March 2013 to October 2014 were retrospectively reviewed. Preoperative and postoperative clinical outcomes and surgical findings were evaluated.
RESULTS: A total of 39 patients were treated with PDL-assisted enucleation LMS. The average age was 43.7 years (range 20-73), and there were 20 males and 19 females (17 professional voice users). In all cases, the hemorrhagic polyp was successfully enucleated after application of PDL, thereby preserving the overlying epithelium. Postoperative voice outcomes were favorable with clear preservation of the vocal fold mucosal wave.
CONCLUSION: PDL-assisted enucleation LMS for the treatment of hemorrhagic vocal polyps can be a safe and effective surgical technique. It can be considered a promising treatment option for hemorrhagic vocal polyps.ope
Relationship between Hearing Loss and Dementia Differs According to the Underlying Mechanism
Background and purpose: The associations between hearing loss (HL) and the mechanisms underlying cognitive impairment (CI) remain unclear. We evaluated the effects of clinical factors, vascular magnetic resonance imaging (MRI) markers, and CI mechanisms on HL.
Methods: In total, 112 patients with CI (59% demented) and subjective HL prospectively underwent MRI, amyloid positron-emission tomography (PET), hearing evaluations, and neuropsychological tests including a language comprehension test. Patients were categorized into pure-Alzheimer's disease-related CI (ADCI), pure-Lewy-body disease-related CI (LBCI), mixed-ADCI/LBCI, and non-ADCI/LBCI groups based on clinical features and PET biomarkers.
Results: The risk of peripheral HL [defined as a pure-tone average (PTA) threshold >40 dB] was higher in the pure-LBCI group than in the pure-ADCI and mixed-ADCI/LBCI groups, and lower in the presence of ADCI. The non-ADCI/LBCI group had the most-severe vascular MRI markers and showed a higher risk of peripheral HL than did the pure-ADCI and mixed-ADCI/LBCI groups. While the pure-LBCI group had a higher risk of comprehension dysfunction than the pure-ADCI group regardless of the PTA and the score on the Korean version of the Mini Mental State Examination (K-MMSE), those in the pure-LBCI group even with a better K-MMSE score had a risk of comprehension dysfunction comparable to that in the mixed-ADCI/LBCI group due to a worse PTA.
Conclusions: Peripheral HL could be associated with the absence of significant Ξ²-amyloid deposition in patients with CI and characteristic of the pure-LBCI and non-ADCI/LBCI groups.ope
Association between self-reported hearing impairment and cognitive function Korean longitudinal study of aging (2006-2014) data analysis
보건μ μ±
κ΄λ¦¬μ 곡νκ΅ μ¬νκ° κ³ λ Ήνλ¨μ λ°λΌ λ
ΈμΈμ μ§λ³ λΆλ΄ λν μ¦κ°νκ³ μλλ°, νΉν μΈμ§κΈ°λ₯ μ ν λ° μΉλ§€μ μ§λ³ λΆλ΄μ΄ κΈκ²©ν μ¦κ°ν κ²μΌλ‘ μμλλ€. λμ² λν λ
ΈμΈ μΈκ΅¬μμ μ λ³λ₯ μ΄ λμλ°, μ΅κ·Ό λμ²μ΄ μΈμ§κΈ°λ₯ μ ν λ° μΉλ§€μ λ°μκ³Ό μ°κ΄μ΄ μλ€λ μ°κ΅¬ κ²°κ³Όκ° κ΅μΈμμ λ³΄κ³ λ λ° μλ€. κ·Έλ¬λ μμ§ κ΅λ΄ μλ£λ₯Ό μ΄μ©ν μ°κ΅¬λ λΆμ‘±ν μ€μ μ΄λ€. ν₯ν μΈμ§κΈ°λ₯ μ ν λ° μΉλ§€ λ°μμ μλ°©νκΈ° μν΄μλ λμ²μ μν₯μ νμ
ν νμκ° μκΈ° λλ¬Έμ, μ΄ μ°κ΅¬μμλ νκ΅ κ³ λ Ήν μ°κ΅¬ν¨λ μ‘°μ¬ μλ£λ₯Ό μ΄μ©νμ¬ μ£Όκ΄μ λμ²κ³Ό μΈμ§κΈ°λ₯μ κ΄κ³λ₯Ό μ΄ν΄λ³΄κ³ μ νλ€. νκ΅ κ³ λ Ήν μ°κ΅¬ν¨λ 1μ°¨ μ‘°μ¬μμ μ£Όκ΄μ μ²λ ₯μ΄ μ’μ κ΅°κ³Ό, Mini-Mental State Examination(MMSE) μ μκ° 24μ μ΄μμΈ λμμλ₯Ό μ λ³νμμΌλ©°, λλ³λ³μ₯μ , μ μ μ§μ²΄μ ν΄λΉνλ λμμλ μ μΈνμλ€. μ΄ν 2-5μ°¨ μ‘°μ¬κΉμ§ μ£Όκ΄μ μ²λ ₯κ³Ό MMSE μ μ μλ£λ₯Ό μ»μ μ μλ λμμλ₯Ό μ λ³νμμΌλ©°, μ΄ 4,118λͺ
μ΄ μ΄ μ°κ΅¬μ ν¬ν¨λμλ€. μΈκ΅¬ μ¬νμ μμΈ, 건κ°κ΄λ ¨ μμΈλ€μ λΆμμ ν¬ν¨νμμΌλ©°, μΌλ°ν μΆμ λ°©μ μμ μ΄μ©νμ¬ λΆμμ μννμλ€. λν, μ£Όκ΄μ λμ²μ λ°μ μμ κ³Ό μ λ³ κΈ°κ°μ κ³ λ €νμ¬, μ£Όκ΄μ λμ²μ΄ λ°μν ν μ§μλλ κ΅°κ³Ό, μ²λ ₯μ΄ μ§μμ μΌλ‘ μ’μ κ΅°μ MMSE μ μλ₯Ό μΌλ°ν μΆμ λ°©μ μμ μ΄μ©νμ¬ μκ°μ λ°λΌ λΉκ΅ λΆμνμλ€. μΈκ΅¬ μ¬νμ μμΈ, 건κ°κ΄λ ¨ μμΈλ€μ λͺ¨λ ν΅μ νμμ λ, μ΄μ μ‘°μ¬μ λΉν΄ μ£Όκ΄μ μ²λ ₯μ΄ λλΉ μ§ κ²½μ° MMSE μ μκ° μ μνκ² κ°μνμλ€(Ξ²= -0.609, p=0.005). μ£Όκ΄μ λμ²μ΄ λ°μ ν μ§μλλ κ²½μ°, μ’μ μ²λ ₯μ΄ μ§μλλ κ²½μ°μ λΉν΄ MMSE μ μκ° κΈκ²©ν κ°μνμμΌλ©°(p=0.009), 6λ
ν λΆν°λ MMSE μ μκ° κ²½λ μΈμ§μ₯μ μ ν΄λΉνλ 24μ λ―Έλ§μΌλ‘ κ°μνμλ€. μ΄ μ°κ΅¬λ νκ΅ κ³ λ Ήν μ°κ΅¬ν¨λ μ‘°μ¬μμ μ»μ μ μλ μ²λ ₯ μ λ³΄κ° μ£Όκ΄μ μ²λ ₯ μνλΌλ νκ³μ μ΄ μμΌλ, κ΅λ΄ μλ£λ₯Ό μ΄μ©νμ¬ μ£Όκ΄μ λμ²κ³Ό μΈμ§κΈ°λ₯ μ νμ κ΄κ³λ₯Ό λ°νλ€λ μ μμ μμκ° μλ€. λν, μ£Όκ΄μ λμ²μ λ°μ μκΈ°μ μ λ³ κΈ°κ°μ κ³ λ €νμ¬ λΆμμ μννμΌλ©°, μκ°μ΄ μ§λ¨μ λ°λΌ μΈμ§κΈ°λ₯μ΄ κΈκ²©ν μ νλλ μμμ λ°ν μ μμ κΈ°μ‘΄ κ΅μΈ μ°κ΅¬λ€κ³Όλ μ°¨λ³λλ μ μ΄ μλ€. κ΅μΈμμμ λ§μ°¬κ°μ§λ‘, μΈμ§κΈ°λ₯ μ νλ₯Ό μλ°©νκΈ° μν΄μλ μ£Όκ΄μ λμ²μ λν΄ κ΄μ¬μ κ°κ³ μ κ·Ήμ μΌλ‘ λμν νμκ° μλ€. 보μ²κΈ°λ₯Ό λΉλ‘―νμ¬ μ΅κ·Ό λ§μ΄ μνλλ μΈκ³΅μμ° μμ μ΄λ μ€μ΄ μνλνΈ μμ λ±, λ€μν μ²κ° μ¬ν λ°©λ²μ ν΅ν΄ λμ²μ ν΄μνκ³ μΈμ§κΈ°λ₯ μ ν λ° μΉλ§€μ λ°μμ μλ°©ν΄μΌ νλ€.openμ
Facial reanimation using hypoglossal-facial nerve anastomosis after schwannoma removal
CONCLUSION: In this series, the split type hypoglossal-facial nerve anastomosis resulted in more favorable outcomes in terms of both facial function and tongue atrophy.
OBJECTIVE: This study compared surgical techniques for hypoglossal-facial nerve anastomosis after schwannoma removal and evaluated which technique achieves better facial outcomes and less tongue morbidity.
METHOD: This study included 14 patients who underwent hypoglossal-facial nerve anastomosis after schwannoma removal and were followed for more than 1 year. Three surgical techniques were performed: end-to-end, end-to-side, and split anastomoses. Facial palsy and tongue atrophy after anastomosis were evaluated using the scales suggested by House-Brackmann and Martins, respectively. Tumor volume and the time to surgery were also evaluated, and the effects on facial outcomes were analyzed.
RESULTS: Overall, nine of 14 (64.3%) patients had favorable facial outcomes, and eight of 14 (57.1%) had favorable tongue outcomes. Regarding facial palsy, five of seven (71.4%) end-to-end, three of four (75%) split, and only one of three (33.3%) end-to-side patients had favorable facial function. Regarding tongue atrophy, all three (100%) end-to-side, three of four (75%) split, and two of seven (28.6%) end-to-end patients had favorable tongue outcomes. The effects of tumor volume and time to surgery on facial outcome were not significant.restrictio
Effects of self-reported hearing or vision impairment on depressive symptoms: a population-based longitudinal study
AIMS: The aims of this study were to investigate the effects of either hearing, vision or dual sensory impairment on depressive symptoms and to identify subgroups that are vulnerable and significantly affected.
METHODS: Data from the 2006-2014 Korean Longitudinal Study of Aging (KLoSA) were used and a total of 5832 individuals were included in this study. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression (CES-D10) scale. Sensory impairment was assessed according to the levels of self-reported hearing or vision, which were categorised as either good (excellent, very good or good) or poor (fair or poor). The changes in hearing or vision from records of previous survey were investigated. Changes from good to poor, which indicates new onset, were defined as hearing impairment or vision impairment. Interactions of changes in hearing and vision were considered in the analysis. Dual sensory impairment was indicated when hearing impairment and vision impairment both developed at the same time. Demographic, socioeconomic and health-related factors were considered as potential confounders and were adjusted for in the generalised estimating equation model.
RESULTS: Individuals with hearing impairment demonstrated significantly more severe depressive symptoms [Ξ² = 0.434, standard errors (s.e.) = 0.097, p < 0.001] than those who had good hearing. Those with vision impairment also showed significantly elevated depressive symptoms (Ξ² = 0.253, s.e. = 0.058, p < 0.001) than those with good vision. When the interactions between hearing and vision were considered, participants with dual sensory impairment showed significantly more severe depressive symptoms (Ξ² = 0.768, s.e. = 0.197, p < 0.001) than those with good hearing and vision. The effect of a single and dual sensory impairment on depressive symptoms was significant in both sexes and across age groups, except for vision impairment in male participants.
CONCLUSIONS: Hearing, vision and dual sensory impairment are significantly associated with depressive symptoms. Our results suggest that treatment or rehabilitation of either hearing or vision impairment would help prevent depression.restrictio