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Wanna GB, Sweeney AD, Haynes DS, Carlson ML. Contemporary management of jugular
paragangliomas.
Otolaryngol Clin North Am
. 2015; 48(2):331-341. EBM level 3.........172-182
Summary
: This is a well-written, comprehensive review of jugular paragangliomas, discussing
epidemiology, clinical presentation, genetics, and management. The extensive experience at the
Otology Group of Vanderbilt is discussed.
Wise SC, Carlson ML, Tveiten ØV, et al. Surgical salvage of recurrent vestibular schwannoma
following prior stereotactic radiosurgery.
Laryngoscope
. 2016; 126(11):2580-2586. EBM
level 3..................................................................................................................................183-189
Summary
: This article presents a case-control study of 37 patients who underwent surgical
resection of sporadic vestibular schwannoma following failed radiation therapy. Controls were
patients who underwent primary microsurgery without having received prior radiation.
Complications are reported. At follow up, 73% had satisfactory facial nerve function (HBI-II),
which was not different from controls. However, a significantly higher percentage of patients
had less-than-complete resection.
B.
Skull base and ear trauma
Cannon RB, Thomson RS, Shelton C, Gurgel RK. Long-term outcomes after middle fossa
approach for traumatic facial nerve paralysis.
Otol Neurotol
. 2016; 37(6):799-804. EBM
level 4..................................................................................................................................190-195
Summary
: This article examines the long-term facial nerve outcomes after a middle fossa
approach for traumatic facial paralysis. Patients with both intact and irreversibly injured facial
nerves were included. Using the House-Brackmann facial nerve grading system, facial nerve
outcomes are provided at 1 year following surgical intervention, with all patients achieving at
least a grade III result.
Medina M, Di Lella F, Di Trapani G, et al. Cochlear implantation versus auditory brainstem
implantation in bilateral total deafness after head trauma: personal experience and review of the
literature.
Otol Neurotol
. 2014; 35(2):260-270. EBM level 4.........................................196-206
Summary
: This article examines hearing outcomes in patients treated with cochlear implants
after bilateral temporal bone fractures with hearing loss. Open-set word recognition was
obtained in patients undergoing primary cochlear implant placement, and the article identifies
the advantage of this technique over auditory brainstem implantation in posttraumatic hearing
loss, regardless of fracture location/etiology (with the exception of loss of cochlear nerve
continuity).
Schell A, Kitsko D. Audiometric outcomes in pediatric temporal bone trauma.
Otolaryngol
Head Neck Surg
. 2016; 154(1):175-180. EBM level 4.....................................................207-212
Summary
: This article reviews the hearing outcomes of pediatric patients who sustained
temporal bone fractures during a 13-year period. A distinction between otic capsule–sparing
and otic capsule–violating fractures is made, based on CT findings, and this serves as a basis for
comparing the observed hearing results. While otic capsule–violating fractures were associated
with severe hearing loss, most cases with otic capsule–sparing fractures demonstrated near-
normal hearing by 6 weeks post-injury.