Simultaneous vocal fold cyst and hemorrhagic nodule.
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Biomedical subjects
Publications and source records attributed to R T Sataloff.
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Radiation therapy is effective in the treatment of various tumors of the head and neck. Clinical practice and published literature reveal contradictory opinions regarding the incidence, type, severity, and time of onset of hearing loss as a complication of radiation therapy. Review of animal and human studies highlights the paucity of scientifically defensible information. The available literature appears to support the contention that otitis media and sensorineural hearing loss can occur as complications during, or shortly following radiation therapy. However, there is little or no convincing evidence to support the notion that hearing loss developing several years following radiation is causally related to radiation therapy. Additional research is needed.
Profound deafness has received increasing attention in recent years, largely because of the availability of cochlear implants. Consequently, it is especially important for otolaryngologists to remember that a "blank" audiogram does not necessarily mean total or even profound deafness. Patients with far-advanced otosclerosis may have no measurable hearing with routine audiometric testing even in the presence of serviceable sensorineural hearing. Review of nine patients (10 ears) who underwent stapedectomy from 1980 to 1987 reveals that seven of the nine (78%), who had been unable to use a hearing aid preoperatively, obtained serviceable hearing with hearing aids following surgery. Otolaryngologists should depend on a good history and tuning fork examination to avoid being misled by the audiogram, and should not hesitate to offer stapes surgery to patients with far-advanced otosclerosis.
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