Alec Fitzgerald O'Connor

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OBJECTIVES To investigate the preservation of residual hearing in subjects who received the Nucleus Hybrid L24 cochlear implant. To investigate the performance benefits up to one year post-implantation in terms of speech recognition, sound quality, and quality of life. DESIGN Prospective, with sequential enrolment and within-subject comparisons.(More)
The minimal invasive techniques have become the main stay of the surgical approach for the cochlear implant. Securing the implant with sutures can be challenging due to the limited access and awkward operating angle. We have developed a non-sutured technique to secure the implant by placing and securing the proximal end of the electrode into a bony groove.(More)
Deviation of gait in a stepping test has been proposed as a useful indicator of peripheral labyrinthine dysfunction. A prospective study of 26 patients suspected of having uncompensated peripheral labyrinthine dysfunction and 49 normal patients with normal labyrinthine dysfunction showed no significant difference in performance of the Unterberger stepping(More)
HYPOTHESIS The aim of this study was to investigate the impact of cochlear implant electrode insertion on middle-ear low frequency function in humans. BACKGROUND Preservation of residual low frequency hearing with addition of electrical speech processing can improve the speech perception abilities and hearing in noise of cochlear implant users.(More)
Labyrinthectomy was performed in a patient with a 4-year history of Ménière's disease. The utricle and the proximal portion of the endolymphatic duct were studied using light and electron microscopy. The epithelium varied in height from squamous to columnar. The basal lamina lining the columnar epithelial cells showed marked thickening which was visible in(More)
CONCLUSIONS The round window membrane (RWM)-intentioned approach is superior to the traditional bony cochleostomy (BC) approach in obtaining electrode placement within the scala tympani (ST). OBJECTIVE Cochlear implant outcome is influenced by several factors, including optimal placement and retention of the electrode array within the ST. The present(More)
OBJECTIVE To evaluate the hearing preservation rate and speech perception scores in patients with profound high frequency hearing loss and acoustically aidable low frequency hearing, managed with the MED-EL electric acoustic stimulation system referenced to the insertion depth of the electrode array. STUDY DESIGN Retrospective data analysis. (More)
We report our experience of submucous resection of the nasal septum under local anaesthesia as an outpatient procedure. We have audited 50 consecutive cases and compared the results with a similar group of patients in whom the operation was carried out in the usual way under general anaesthesia. We have found the procedure to be safe, effective and(More)
CONCLUSION Drilling a cochleostomy exposes the cochlea to acoustic and mechanical trauma, particularly during the final stage when the running burr is in contact with an intact membranous labyrinth that is then breached. To minimize cochlear damage we recommend avoidance of prolonged contact of the running burr with the membranous labyrinth. The promontory(More)
Previous studies have shown an increased frequency and duration of apnoeic episodes during sleep when the nose is occluded. The aim of this study was to ascertain whether oxygen desaturation occurs with nasal occlusion by post-operative packing. Continuous digital pulse oximetry was carried out before and after submucous resection of the nasal septum in 17(More)
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