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H A Bailey

Publications and source records attributed to H A Bailey.

At least 19 recordsLinked to original sources
PubMed1994

Long-term hearing results following stapedotomy.

Stapedotomy, or small fenestra stapes surgery, offers several advantages over total stapedectomy, including less postoperative vertigo and better closure of the air-bone gap at higher frequencies. Although early postoperative results are encouraging for the small fenestra technique, few data are available for longer follow-up periods. In this retrospective study, the hearing results of 35 stapedotomy patients, representing 37 operated ears, were analyzed. Each patient had a follow-up period ranging from 5 to 11 years, with audiograms obtained preoperatively, postoperatively, and at the longterm follow-up intervals. Data obtained included air conduction, bone conduction, and speech discrimination for both ears. The long-term hearing results of the small fenestra technique compared favorably to those reported for total stapedectomy, although a statistical analysis is difficult because of the differing methods used to report the data. Results showed a linear deterioration of air conduction thresholds over time, which corresponded to a decrease of bone conduction thresholds in the operated ear. The rate of deterioration of bone conduction appeared to be the same as that associated with presbycusis alone. After good initial closure of the air-bone gap at all measured frequencies, there was no significant increase in conductive hearing loss with time. In the nonoperated ear, the bone conduction for the speech frequencies deteriorated at a rate significantly higher than that for the operated ear and was probably related to Carhart's effect.

Adult↗
PubMed1984

Small fenestra stapedectomy: technique and advantages.

We discuss the rationale and advantages of the small fenestra technique (SFT) of stapedectomy. When results from conventional stapedectomy techniques are compared with those of SFT, the small fenestra technique shows improved hearing in the high frequencies of 2,000, 4,000, and 8,000 Hz, improved speech discrimination, reduced vestibular disturbance, and reduced iatrogenic trauma to the cochlea.

Auditory Threshold↗
PubMed1983

Small fenestra stapedectomy technique: reducing risk and improving hearing.

During the past 25 years many variations have emerged in stapedectomy, most of which centered around either a change in the prosthesis itself or in the type of oval window seal. The small fenestra stapedectomy technique (SFT) represents a change in surgical procedure rather than in prosthetic design. This technique offers the opportunity to improve hearing results while reducing risks in stapedectomy surgery. Four areas of significant improvement are seen in patients in whom the SFT was used: (1) improved hearing in the high frequencies of 2000, 4000, and 8000 Hz, (2) improved speech discrimination scores, (3) a significant reduction in the number of reported vestibular complaints, and (4) a reduction in the number of serious postoperative sensorineural hearing losses.

Ear, Middle↗
PubMed1981

Small fenestra stapedectomy. A preliminary report.

The small fenestra stapedectomy is based on a rationale of creating a more effective acoustical mechanical transmission system, while reducing potential labyrinthine disturbance. Surgical technique for the small fenestra stapedectomy is described, including the creation of the fenestra and the use of McGee stainless steel piston prosthesis with loose areolar tissue around the piston. Postoperative results are compared in a series of 100 cases, 50 having the small fenestra technique, SFT, and 50 having partial or total footplate removal procedure. Vestibular results demonstrate a noticeable reduction in postoperative complaints of balance disorders in the SFT patients. Hearing results, when compared between the two groups, show a statistically significant advantage for the SFT patients in postoperative high frequency threshold sensitivity and speech discrimination scores. Technical difficulties in creating the fenestra without fracturing the entire footplate are discussed and suggestions made for their avoidance. The advantages of lowered risk, based on reduced trauma to and contamination of the labyrinth, as well as improved high frequency hearing sensitivity and speech discrimination, support the use of this procedure and call for further investigation and development of its clinical potential.

Audiometry↗
PubMed1981

Homograft septal cartilage for attic support in intact canal wall tympanomastoidectomy and tympanoplasty.

The postoperative formation of attic retraction pockets following tympanoplasty, with or without mastoidectomy, has often been a significant cause of recurrent disease accompanied by decreased hearing levels. Nasal septal cartilage is recommended as a successful homograft material for attic support. The basis and indications for its use are discussed. Preparation and storage of the homograft materials and surgical technique are described. Long-term results are reported, including a special group in which the status of the homograft material was assessed during revision surgery. Minimal complications have been encountered. Conclusions support the overall advantages of this technique utilizing homograft septal cartilage as an effective means of posterosuperior canal wall support, an aid in preventing retraction pocket formation.

Adolescent↗
PubMed1981

Sensorineural hearing loss in the unoperated-on otosclerotic ear.

Severe sensorineural hearing loss occurs in less than 1% of stapedectomized ears. This low percentage remains as an irreducible minimum even among the most experienced and competent surgeons. The etiology has been hypothesized; however, the actual cause remains unknown. The rare occurrence of sensorineural hearing loss of undetermined etiology in the unoperated-on side was reported first in 1967 by Armstrong who presented a series of three patients. No other references have been found since this initial report. Recently three unilateral stapedectomized patients who developed sudden severe sensorineural hearing loss in the unoperated-on ear were studied during the years 1971 through 1979. The hearing loss occurred within 1 week, 6 weeks, and 12 years postoperatively. Although the number is small, a study of this group, in addition to Armstrong's, leads to several interesting considerations: 1. Is the incidence of sudden sensorineural type hearing loss greater, the same as, or less than that which develops in the non-otosclerotic general population? 2. Is there a possibility that the sudden sensorineural hearing loss of undetermined origin would occur at the time of surgery? Would this then be considered as a predisposing if not the actual etiology? The present series of six cases is so small that a conclusion is not possible and inference is only conjecture. It is hoped, however, that this may stimulate past, present, and future search for this unusual occurrence. This may help determine whether or not there is a causal or merely a coincidental relationship.

Aged↗
PubMed1978

O.P.S.C.: improving delivery of otolaryngological surgical care.

Results of over two years' experience with an outpatient surgical center within a private otolaryngology clinic have demonstrated several advantages. Discussed herein are the history of outpatient surgical centers, and the development of our within clinic O.P.S.C. (Outpatient Surgery Center). Developmental stages described include investigation of liability exposure, securing state health department approval, enactment of state legislation, staffing, equipment, and obtaining third party carrier approval. Advantages to the patient, otolaryngologist, community, and third party carriers are enumerated. Statistics regarding types and numbers of procedures performed and types of anesthesia used are included. Experience with the O.P.S.C. indicates that it is a means of improving the delivery of otolaryngological surgical care.

Arkansas↗
PubMed1977

Hearing aid dispensing in the otolaryngological-audiological clinic.

Many professionals in the hearing health care field recognize the need for change in the hearing aid delivery system. Reported herein are the results of 30 months of direct dispensing experience within a private otolaryngological-audiological clinic. A review of the dispensing of 520 aids shows numerous advantages and minimal disadvantages of this approach. Equipment requirements, patient cost, fitting procedures, and problems incurred are described. Direct dispensing, along with professional management of the rehabilitative process by the otolaryngological-audiological team is advocated on the basis of the positive results to date.

Arkansas↗
PubMed1976

Total hearing rehabilitation.

The history and development of the hearing and dispensing system in this country is outlined in relation to the status of dispensing today. We enumerate the problems within the traditional system, various attempts to correct them, and advantages of variations of the traditional system. This article presents a concept of total hearing rehabilitation, including the direct dispensing of aids based on the professional otolaryngological-audiological team working together within the clinic setting. Based on the results of 20-months' experience in dispensing, we advocate a reexamination of professional roles involved in provision for hearing aids.

Aged↗