James R House

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With the increased use of gadolinium-enhanced magnetic resonance imaging studies to detect acoustic neuromas, smaller tumors are discovered more frequently. The middle fossa craniotomy approach for removal of small tumors is ideal for hearing preservation. The authors report hearing preserved at or near the preoperative levels in 71 percent of a series of(More)
OBJECTIVES (1) To determine the safety of using a commercially available suspension of polymyxin B, neomycin, and hydrocortisone (PNH) in tympanoplasty surgery. (2) To apply evidence-based medicine to tympanoplasty surgery when considering potential ototoxicity. STUDY DESIGN Case series with chart review. SETTING Tertiary otology practice, single(More)
OBJECTIVE To determine whether preoperative electroneuronography (ENoG) predicts facial nerve outcome in patients undergoing acoustic neuroma surgery. STUDY DESIGN Prospective, consecutive patients undergoing surgery for acoustic neuroma. SETTING A private tertiary otology and neurotology practice. PATIENTS One hundred consecutive patients presented(More)
It can be difficult for the clinician to diagnose Castleman's disease when cervical lymphadenopathy is its only manifestation. The diagnostic challenge may be compounded by the presence of a profound fibrotic reaction secondary to multiple biopsy attempts that are frequently required to establish a diagnosis. Castleman's disease is a benign(More)
We present eight cases of FN dysfunction after cochlear implantation. Four mechanisms of injury are proposed. The most common injury occurs from the heat of a bur shaft rotating over the FN in the facial recess. Several suggestions are made to help prevent the type of injuries we have seen. Preoperative imaging and intraoperative FN monitoring may be of(More)
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