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D Mrowinski

Publications and source records attributed to D Mrowinski.

31 records · Page 2Linked to original sources
PubMed1975

[Clinical diagnosis of the auditory pathway using different acoustical evoked responses (author's transl)].

Evoked responses originating from cochlea, brain stem, and cortex are clinically used for differential diagnosis of hearing losses. The diagnostic range and the reliability of the different ERA methods are discussed. In our clinic brain stem potentials recorded by a nonsurgical method have been used as a routine audiometric test in more than 900 cases. The procedure has proved to be easier than electrocochleography and gives nearly the same information about cochlear and middle ear function if there is no VIIIth nerve or lower brain stem damage. For topical diagnosis of the lower auditory pathway additional recording of ECoG is necessary. In the examination of a cortical deafness the recording of brain stem potentials yields the same result as the electrocochleography according to Aran (Fig. 2). In a case of an Apallic syndrome (Fig. 3) brain stem potentials are found only for high intensity clicks, and latencies are abnormally increased. The cochlear potentials simultaneously recorded from the promontory are quite normal. So damage of the brain stem is confirmed.

Adult↗
PubMedDate not supplied

Experimental investigations on the suitability of the carbon dioxide laser for stapedotomy.

Surgery of the footplate may cause a number of possible complications such as cochlear hearing defects or even complete loss of hearing. This has made it necessary to look for improved techniques. When a laser is used for stapedotomy, the energy transmitted to the cochlea must be reduced to the lowest possible level. We thus investigated the carbon dioxide laser to determine whether it would prove to be more advantageous than the argon laser. Animal experiments showed that CO2 laser irradiation is well tolerated. Tests performed on isolated petrous bone resulted in the development of a new surgical instrument suitable for stapedotomy using the CO2 laser. Temperature and pressure measurements were carried out on a simplified model of the human cochlea. Our findings indicated that, with both types of laser, the irradiation required to perforate the otosclerotically thickened footplate adversely affects temperature and pressure development in the cochlea.

Animals↗