Myles L Pensak

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Lesions of the cerebellopontine angle may cause a sudden hearing loss. To illustrate and reaffirm the importance of a thorough neurotologic evaluation we performed a retrospective review of the audiologic and clinical data available on 506 patients with proven lesions of the cerebellopontine angle. Seventy-seven patients (15.2%) were found to have a history(More)
In this case report, a 49-year-old woman developed subarachnoid hemorrhage in the right cerebellopontine angle cistern and blood into the fourth ventricle from a ruptured peripheral aneurysm of the anterior inferior cerebellar artery (AICA) located at the meatal loop. Concomitantly, a contralateral peripheral aneurysm was found in the posterior inferior(More)
OBJECTIVES On the basis of survey results of the Acoustic Neuroma Association (ANA), we report patient ratings of postoperative headache (POH) symptoms, determine its effect on quality of life (QOL), and review the literature regarding POH after acoustic neuroma (AN) treatment. STUDY DESIGN In this cohort study, 1,657 patients who underwent surgical(More)
OBJECTIVE This study reviewed the management and outcomes of facial neuromas during the past decade at our institution. The goal was to analyze differences in presentation on the basis of location of the facial neuroma, review facial nerve function and hearing preservation postoperatively, and understand the characteristics of patients with tumors limited(More)
Despite recent advances in neuroradiographic and electrophysiologic assessment, the surgical extirpation of lesions of the bony skull base remains challenging. Moreover, as surgeons have gained experience in removing tumors from the irregular osteologic confines of the skull base, attention has been directed toward preservation of vital neural and vascular(More)
In this study we characterized clinically and evaluated molecularly a large family with maternally inherited hearing impairment. Relatives were evaluated audiologically and clinically, the most likely pattern of inheritance was deduced, and molecular DNA analysis for the known mitochondrial mutations associated with hearing impairment was performed.(More)
BACKGROUND To better understand the drainage patterns of the 3 largest superficial anastomotic veins (SAVs), namely, vein of Labbé (VL), the vein of Trolard (VT), and the superficial sylvian vein (SSV). To assess the dominance of the VL in the superficial cortical venous system, because this vein may be encountered in neurotologic surgery and its(More)
PURPOSE OF REVIEW This review examines disturbances of cerebrospinal fluid (CSF) dynamics after skull base surgical and endoscopic approaches. Despite the continuing advancements and the effectiveness of skull base surgery, the incidence of postoperative rhinorrhea remains problematic. This adverse event carries a significant potential for major neurologic(More)
The roof of the parapharyngeal space (PPS) is poorly defined. Although it is generally described as having prestyloid and poststyloid compartments, we believe that these terms are imprecise. Therefore, we define its boundaries, partition, and compartments. We completed macroanatomical and microanatomical dissections in 10 specimens from 5 human cadaver(More)
OBJECTIVES/HYPOTHESIS To develop a pediatric otolaryngology fellowship selection standardized letter of recommendation (SLOR). STUDY DESIGN SLOR and narrative letter of recommendation (NLOR) comparison study. METHODS An SLOR was created to investigate qualities desired in fellows using five content-based categories: writer background, comparison of the(More)