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Biomedical subjects

J W House

Publications and source records attributed to J W House.

52 records · Page 3Linked to original sources
PubMed1981

Eighth nerve alcoholic neuropathy: a case report with light and electron microscopic findings.

A 55-year-old man with symptoms of hearing loss, balance disturbance, and facial weakness was treated by translabyrinthine eighth cranial nerve trans-section. The patient also had a history and physical signs of chronic alcoholism and peripheral polyneuropathy. Results of laboratory tests revealed concomitant nutritional deficiency. Histopathological examination of the eighth nerve showed extensive degeneration of both myelinated and unmyelinated nerve fibers in both cochlear and vestibular divisions. Light and electron microscopic features of the degenerative process were compatible with previously described pathology of experimentally induced Wallerian-like degeneration. Alcoholic neuropathy as the cause of hearing loss and balance disturbance--and probably facial paresis--is suggested.

Alcoholism↗
PubMed1980

Cholesteatoma with intact tympanic membrane: a report of 41 cases.

Aural cholesteatoma may present itself as an unexplained hearing impairment without either perforation or otorrhea and without radiologic evidence of bone destruction. The etiology is probably congenital. In our cholesteatoma cases, 3.7% occur in individuals with an intact tympanic membrane. Most of these patients have had the disease 5 years or less and 50% are under 20 years of age. Complications of the disease are uncommon in this group. All but 1 of our 41 cases were managed with the intact canal wall technique. Most were reexplored (planned second-stage) and residual disease was encountered in 32%. One should keep the possibility of a congentital cholesteatoma in mind wheneger encountering a unilateral serous otitis media or an unexplained unilateral conductive hearing impairment, regardless of the patient's age.

Adult↗
PubMed1980

Stapedectomy in children.

The records of 34 children and teenagers with a conductive hearing impairment and an intact and mobile tympanic membrane have been reviewed; 20 patients had a congenital hearing impairment. Stapedectomy was performed on 13 patients with satisfactory results in 12. In 3 cases the operation was terminated because of oval window or facial nerve abnormalities. In 4 cases there was no evidence of an ossicular problem, a so-called inner ear conductive hearing loss. Fourteen patients had otosclerosis, the youngest being 9 years old. Twenty-four stapedectomies were performed on this group with satisfactory results in 22. We conclude that the results of stapedectomy in children appear to be as satisfactory as results in adults.

Adolescent↗
PubMed1980

The inter-relationship of vertigo and stress.

Our research indicates that Meniere's disease is not caused by psychologic disorders. In a 1977 study it was demonstrated that the patient with Meniere's disease is in a stressful situation. The psychologic profile is not significantly different in Meniere's and non-Meniere's vertiginous patients. The patient should be treated for his physical disease and be given support for the emotional effects of the vertigo and other symptoms. Meniere's disease causes emotional problems. Emotional problems do not appear to cause Meniere's disease.

Female↗
PubMed1979

Brainstem audiometry in neurotologic diagnosis.

Brainstem electric response audiometry (BERA) has been found to be a valuable adjunct to the neurotologic diagnosis. Ninety-eight percent of patients with surgically confirmed acoustic neuromas has positive BERA findings. We report six cases that illustrate the value of this technique in examining patients with suspected retrocochlear lesions.

Adult↗
PubMed1978

Treatment of severe tinnitus with biofeedback training.

Tinnitus has long been a problem which has plagued patients with otologic problems. We have been using biofeedback as a method of treatment for patients with severe debilitating type tinnitus. Most of the patients had sensori-neural type hearing impairment while a few had conductive hearing loss and normal hearing. The patients were given 10-12 one hour sessions of biofeedback training. They have been followed from 6 to 12 months after this initial training period. Over half of thondition. A few of the patients were dramatically improved while none are worse. Biofeedback has been shown to be an excellent method of treatment for patients with severe tinnitus.

Biofeedback, Psychology↗
PubMed1978

Dizziness: surgical treatment.

The purpose of ths paper is to discuss the various surgical procedures which are available for the treatment of dizziness and vertigo. Special emphasis will be placed on the indications for these operations and the advantages of each. Dizziness is a common complaint of patients seen by general medical physicians and otolaryngologists. At the Otologic Medical Group in Los Angeles about one third of our new patients seek assistance because of dizziness. The etiologies of these various types of dizziness are multiple. It is not the intent of this paper to discuss the differential diagnosis or methods of evaluation. However, it is important to understand the various types of etiological factors as they are important in successful treatment.

Cerebrospinal Fluid Shunts↗
PubMedDate not supplied

Changes in Ménière's disease responses as a function of the menstrual cycle.

BACKGROUND: Ménière's disease is a complex, progressive disorder of the inner ear evidenced by characteristic responses including vertigo, hearing loss, and tinnitus. Though considered equally common across sexes, several recent studies describe women's increasing reports of symptom exacerbation during the perimenstruum. Empirical evidence proving this relationship is limited with no study exploring women's symptom reports using appropriate methodological procedures for menstrual cycle research. OBJECTIVES: To establish the relationship between menstrual cycle phases and Ménière's disease responses. Specific aims included comparison of Ménière's disease responses between menstruant women and men (control group) and examination of women's Ménière's disease responses and their relationship to their diverse menstrual symptom patterns. METHODS: Using a longitudinal, descriptive design, 12 men and 13 women were recruited via Internet and participated in daily data collection procedures over three study phases. RESULTS: Results showed that Ménière's disease responses were similar for men and women participants. Women with premenstrual magnification patterns did not vary with cycle phases. However, vertigo (P < .05) did decrease significantly postmenses for women with premenstrual syndrome patterns. CONCLUSIONS: Results from this study provide evidence that a unique relationship does exist between the menstrual cycle and Ménière's disease responses for some women. Knowledge gained from this study is beneficial in identifying the importance of appropriate clinical assessment methods of menstruant women with Ménière's disease. Recommendations include further research with larger samples and testing of different symptom management strategies for women of different perimenstrual symptom patterns.

Adult↗
PubMedDate not supplied

Magnetic resonance imaging in acoustic neuroma diagnosis.

Magnetic resonance imaging (MRI) is capable of providing excellent images of the contents of the internal auditory canal and cerebellopontine angle. In order to determine whether MRI is comparable to air contrast computed tomography in the diagnosis of small acoustic neuromas, 44 patients with suspected retrocochlear disease were studied with both CT and MRI. Twenty-one lesions were identified successfully with MRI and CT. The size of the tumors ranged from 4 mm to 5 cm. In twenty-three nontumor patients the normal audiovestibular nerve bundles were well visualized. Air contrast CT, on the other hand, was falsely positive in two cases. The results of this study indicate that MRI is suitable as the primary anatomic investigation in patients suspected of having retrocochlear lesions. It has the advantages of being highly reliable as well as free of ionizing radiation and the need for invasive procedures. The expense of MRI compares favorably with that of combined intravenous and gas contrast CT.

Adult↗