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Query: UMLS:C0262471 (ENT)
 5,307 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A prospective study was carried out to objectively quantificate the most important predictive factors in idiopathic facial paralysis (Bell's palsy). Stepwise discriminant analysis was applied to data prospectively obtained from 570 patients with Bell's palsy treated at the ENT Department of La Paz Hospital between January 1983 and January 1986. Due to statistical requirements the final number of patients included for discriminant analysis was 140. In all, 37 variables were studied in each patient. With data obtained from these variables a linear discriminant function was obtained, with an overall accuracy of 95%. The rate of correct prediction is 95.8% for patients with an expected complete facial recovery, and 90.9% for the group of patients with an expected recovery of less than 100%. The 8 predictor variables selected are: ENoG amplitude, stapedius reflex, familial incidence, Hilger test, maximum degree of the palsy, recurrent facial paralysis, facial pain, and hyperacusis. The discriminant function obtained is an easily adaptable method for routine practice in order to objectively assess the prognosis of patients with Bell's palsy.
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PMID:Discriminant analysis in predicting prognosis of Bell's palsy. 317 70

Hearing disorders are a well-described symptom in patients with multiple sclerosis (MS). Unilateral or bilateral hyperacusis or deafness in patients with normal sound audiometry is often attributed to demyelinating lesions in the central auditory pathway. Less known in MS is a central phonophobia, whereby acoustic stimuli provoke unpleasant and painful paresthesia and lead to the corresponding avoidance behaviour. In our comparison collective, patient 1 described acute shooting pain attacks in his right cheek each time set off by the ringing of the telephone. Patient 2 complained of intensified, unbearable noise sensations when hearing nonlanguage acoustic stimuli. Patient 3 noticed hearing unpleasant echoes and disorders of the directional hearing. All patients had a clinical brainstem syndrome. ENT inspection, sound audiometry and stapedius reflex were normal. All three patients had pathologically changed auditory evoked potentials (AEPs) with indications of a brainstem lesion, and in magnetic resonance imaging (MRI) demyelinating lesions in the ipsilateral pons and in the central auditory pathway. The origin we presume in case 1 is an abnormal impulse conduction from the leminiscus lateralis to the central trigeminus pathway and, in the other cases, a disturbance in the central sensory modulation. All patients developed in the further course a clinically definite MS. Having excluded peripheral causes for a hyperacusis, such as, e.g., an idiopathic facial nerve palsy or myasthenia gravis, one should always consider the possibility of MS in a case of central phonophobia. Therapeutic possibilities include the giving of serotonin reuptake inhibitors or acoustic lenses for clearly definable disturbing frequencies.
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PMID:Central hyperacusis with phonophobia in multiple sclerosis. 1247 92

The imagination is one of the sources of inspiration for medical nomenclature, as can be seen when nomenclature reflects mythology. In this paper, we consider Teutonic (Scandinavian, Germanic) mythology as it appears in the field of minerals, in the field of hearing and in the field of respiration. As far as hearing is concerned, the author suggests naming "Heimdall's ear" physiological hyperacusis.
B-ENT 2008
PMID:A historical vignette. The imagination and medical nomenclature; Teutonic mythology as a presence in ENT and related fields. 1894 68

The aim of this study was to investigate hyperacusis measurement tools and to assess the correlation between diagnostic methods for hyperacusis in daily ENT practice. We studied two hyperacusis questionnaires: the Hyperacusis Questionnaire (HQ) and the Multiple-Activity Scale for Hyperacusis (MASH), audiometric measurements (uncomfortable loudness level (ULL) and dynamic range (DR)), and the questions 'Do you have a lower tolerance for noise... ?' and 'Are you afraid of noise?' Hyperacusis was assessed in 46 patients presenting with primary complaints of tinnitus. A validated Dutch version of the HQ is provided. A correlation was found between scores on the HQ and the MASH (p=0.000, R(2)=0.34). Significantly higher scores for both questionnaires were found in patients reporting decreased sound tolerance (p=0.000 and 0.002, respectively) or fear of noise (p=0.002 and 0.004, respectively). Overall, no correlations were found between scores on questionnaires and audiometric values including ULL and DR. The HQ and MASH were confirmed to be valid measurement tools for hyperacusis complaints. No correlations were found between audiometric measurements and hyperacusis complaints.
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PMID:Correlation between hyperacusis measurements in daily ENT practice. 2005 52

The degree of suffering caused by chronic ringing in the ears leads to different forms of therapy according to the differential diagnosis. In addition to possibly providing a hearing aid, hyperacusis as well as tinnitus management training plays a central role. Training in the management of tinnitus should be carried out in an interdisciplinary manner. Patient management should always be in the hands of an ENT physician who is supported diagnostically and therapeutically by an audiologist (hearing aid acoustician) and a psychologist (psychotherapist). The individual disciplines aid one another. As a rule, all procedures can be offered on an outpatient basis. For learning the techniques, participation in several days of course activities is necessary for all therapists. Fundamentally, all measures must be subject to quality management (certification, follow-up investigations).
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PMID:[Outpatient tinnitus management and hyperacusis training]. 2255 16