1,721,103 research outputs found
Environmental and genetic factors in age-related hearing impairment.
No full textAge-related hearing impairment (ARHI), or presbycusis, is a complex disease with multifactorial etiology. It is the most prevalent sensory impairment in the elderly, and may have detrimental effects on their quality of life and psychological well-being. The aim of this paper is to give an overview of the current data on ARHI, focusing mainly on environmental agents and genetic predisposition in animal models and in humans. With improvement of our understanding of ARHI, treatment other than with amplification will be hopefully possible in the long term
Tissue engineering and cartilage regeneration for auricular reconstruction.
No full textOBJECTIVE:
This paper will provide (a) a review on current status of auricular reconstruction (b) particularly focusing on the current data about pinna reconstruction using stem cells in combination with tissue engineering.
METHODS:
The paper is divided into two sections. The first section presents a brief overview of the current status of auricular reconstruction. In the second section, the authors review the aspects and the current status of stem cells and tissue engineering researches related to cartilage regeneration.
CONCLUSIONS:
Total auricular reconstruction represents one of the greatest challenges for the ENT and Facial Plastic surgeon. The matter of auricular cartilage reconstruction is complex, and progresses in material designs as well as in stem cells field are essential. Even if this bio-technology field is promising, the progresses still are not adequate as patient expectations remain high
Tinnitus and cochlear implants.
No full textOBJECTIVE:
Several published studies seem to confirm the clinical observation that cochlear implants (CI) have a suppressive effect on tinnitus in most CI users. The aim of this paper is to present our personal experiences on tinnitus improvement after cochlear implantation.
METHODS:
Before surgery, 51 post-lingually profoundly deaf adults, who underwent cochlear implantation between 2005 and 2007, filled out a questionnaire reporting tinnitus characteristics and the Italian version of the Tinnitus Handicap Inventory (THI-I). Moreover, they were asked to scale tinnitus loudness and annoyance. Six months after implant activation, patients repeated the same evaluations. Scores were statistically analysed by means of a Wilcoxon signed ranks test on the hypothesis that a CI could change the tinnitus magnitude and/or its annoyance.
RESULTS:
In our series of 36 patients, 36.10% reported total loudness suppression and another 41.6% reported a reduction. Annoyance scores reduced in 75% of patients. THI reduced in 72.2% of patients.
CONCLUSION:
Tinnitus reduction after CI may manifest as several mechanisms, such as habituation, acoustic masking, direct electrical nerve stimulation and cortical reorganization. Nevertheless, it is our opinion that data on CI benefits on tinnitus should be interpreted with caution and it seems reasonable to admit that further data is still necessary before considering CI as a treatment of tinnitus especially in unilateral deafness
The diagnosis of autoimmune inner ear disease: evidence and critical pitfalls.
No full textThe purpose of this paper is to review the current diagnostic work-up for patients with suspected Autoimmune Inner Ear Disease (AIED). AIED is a rare disease accounting for less than 1% of all cases of hearing impairment or dizziness, characterized by a rapidly progressive, often fluctuating, bilateral SNHL over a period of weeks to months. While specific tests for autoimmunity to the inner ear would be valuable, at the time of writing, there are none that are both commercially available and proven to be useful. Thus far, most of the identified antigens lack a clear association with localized inner ear pathology and the diagnosis of AIED is based either on clinical criteria and/or on a positive response to steroids. For clinical practice, we recommend an antigen-non-specific test battery including blood test for autoimmune disorders and for conditions that resemble autoimmune disorders. Nevertheless, if financial resources are limited, a very restricted work-up study may have a similar efficiency
Inner ear embryogenesis and regeneration
No full textSensory hair cells (HC) of the inner ear are susceptible to damage from a variety of sources including ageing, genetic defects, noise or chemotherapeutic drugs. As the adult mammalian cochlea lacks regenerative capacity, the consequence of this damage in humans is permanent and results in hearing loss. Since the discovery that hair cells can regenerate in birds, a wide range of studies have been designed in order to understand this process. At the same time efforts have been made to identify the steps in mammalian hair cell development. The aim of this paper is to re-examine recent research on mammalian HC development and avian HC regeneration, as this process could help in understanding possible future directions and targets of mammalian inner ear regeneratio
CARATTERI Dl VIRULENZA DI E.COLI ISOLATI DA BOVINE CON MASTITE ACUTA.
No full textEscherichia coli isolated from udder with acute mastitis were identified biochemically and serologically. The bacteria were then tested for mannose haemagglutination, enterotoxin production, serum resistance and invasivness, characteristics normally associated with Escherichia coli isolated from calves with enteric syndromes. Escherichia coli from the udder were serologically heterogeneous group without the characteristics that are usually correlated with Escherichia coli of intestinal origin
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