Rosa Pérez‐Mora

Marqués de Valdecilla University Hospital

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Luis Lassaletta

Hospital Universitario La Paz

Javiér Gavilán

Hospital Universitario La Paz

Isabel Sánchez‐Cuadrado

Hospital Universitario La Paz

Alejandro Castro

Light Prescriptions Innovators (Spain)

Elena Muñoz

Hospital La Paz Institute for Health Research

Marta Bastarrica

Hospital Universitario La Paz

Miryam Calvino

Hospital Universitario La Paz

Belén Herrán

Hospital Universitario La Paz

M. Josefa de Sarriá

Hospital Universitario La Paz

Lorena Sanz

Universidad Francisco de Vitoria

Cooperative Institutions

Hospital Universitario La Paz

Hospital La Paz Institute for Health Research

Universidad Autónoma de Madrid

Instituto de Salud Carlos III

Ospedaliera di Piacenza

Hospital General Universitario Gregorio Marañón

Centro de Investigación Biomédica en Red

University of Parma

Centre for Biomedical Network Research on Rare Diseases

University of Chieti-Pescara

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Is There an Age Limit for Cochlear Implantation?

Annals of Otology Rhinology & Laryngology (2013)

Isabel Sánchez‐Cuadrado Luis Lassaletta Rosa Pérez‐Mora Mario Zernotti María Fernanda Di Gregorio

We evaluated the quality of life following cochlear implantation in elderly postlingually deaf adults.Data were studied concerning demographics and audiometric evaluation in postlingually deaf adults at least 60 years of age who underwent cochlear implantation in 3 institutions. The Glasgow Benefit Inventory was used to quantify the quality of life. The patients were divided into 2 groups (those less than 70 years of age and those at least 70 years of age), and the results were also compared to those of younger adult cochlear implant recipients (less than 60 years of age).Eighty-one patients were included in this study. The mean age at implantation was 68 years (range, 60 to 82 years). Cochlear implantation significantly improved the patients' audiometric outcomes (pure tone average and speech perception; p < 0.05). The Glasgow Benefit Inventory showed a benefit overall (+36) and on the individual subscales (+49, +20, and +1). The difference in quality of life was not significant between those less than 70 and those at least 70 years of age (p = 0.90). The results were similar to those of younger postlingually deaf implant recipients.Elderly cochlear implant users experience an improvement in their quality of life, with outcomes similar to those achieved in younger adults. Particular attention must be paid to the possibility of age-related conditions in the elderly that may increase the risks of surgery.

Cochlear Implantation

Demographics

Age limit

Age groups

10.1177/000348941312200402

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Citations (38)

Pros and Cons of Round Window Vibroplasty in Open Cavities

Otology & Neurotology (2015)

Luis Lassaletta Miryam Calvino Isabel Sánchez‐Cuadrado Rosa Pérez‐Mora Elena Muñoz

To evaluate the audiological, surgical, quality of life, and quality of sound outcomes in adults with open cavities implanted with the Vibrant Soundbridge (VSB) implant using round window (RW) vibroplasty approach.Retrospective study.Otolaryngology department, tertiary referral hospital.Twelve adult patients with conductive or mixed hearing loss, all with previous middle ear surgery, underwent RW vibroplasty in an open cavity. Compound action potential thresholds were assessed during surgery. Surgical complications were recorded. Subjective benefit was evaluated using the Nijmegen Cochlear Implant Questionnaire (NCIQ), Glasgow Benefit Inventory (GBI), and Hearing Implant Sound Quality Index (HISQUI29) tests.Mean follow-up was 42 months (range 12-76). There was no significant change in bone conduction thresholds after surgery. Mean functional gain was 34.3 dB and speech discrimination score at 65 dB significantly improved from 14 to 83%. Extrusion of the wire link was the main surgical complication in four patients. All NCIQ domains improved after surgery. All patients had a positive overall GBI score (mean 35.0). Mean HISQUI29 score was 152.8, on average the quality of sound being defined as "very good."VSB is an effective method of hearing restoration for adults with open cavities suffering from conductive or mixed hearing loss. Intraoperative electrocochleography may be considered of significant help to check the coupling to the inner ear. The high rate of extrusion suggests that middle ear obliteration may be considered in these patients.

Electrocochleography

Round window

Bone conduction

Conductive hearing loss

10.1097/mao.0000000000000763

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Citations (29)

Calidad de vida de pacientes implantados con el dispositivo BAHA según su indicación

Acta Otorrinolaringológica Española (2012)

Asier Lekue Luis Lassaletta Isabel Sánchez-Camón Rosa Pérez‐Mora Javiér Gavilán

10.1016/j.otorri.2012.06.006

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Citations (14)

Hipoacusia neurosensorial y alteración vestibular

Revista ORL (2023)

Rosa Pérez‐Mora Laura Curieses-Becerril Rocío González‐Aguado

Introducción y objetivo: La hipoacusia es la deficiencia sensorial más común al nacer, y su asociación con la disfunción vestibular en población pediátrica ha sido ampliamente investigada. Nuestro objetivo es estudiar la relación entre ambos déficits sensoriales, analizar su impacto en el desarrollo global de los niños y establecer un protocolo de cribado de fácil aplicación en la práctica clínica. Método: Realizamos una revisión bibliográfica narrativa. Resultados: Incluimos un total de 41 publicaciones sobre hipoacusia neurosensorial y disfunción vestibular en la población pediátrica. Discusión: Nuestros hallazgos indican que los niños con una pérdida auditiva más pronunciada tienen un mayor riesgo de presentar disfunción vestibular. Se han identificado ciertas condiciones específicas que están más frecuentemente asociadas con la hipoacusia y alteraciones del equilibrio, como el citomegalovirus congénito, malformaciones del oído interno, trastornos del espectro de la neuropatía auditiva, hipoacusia súbita, ototoxicidad e implante coclear. La evaluación de la disfunción vestibular debe adaptarse a la edad del paciente e incluir la valoración del desarrollo motor y del equilibrio para realizar una derivación adecuada al protocolo diagnóstico. Las pruebas mejor toleradas por los niños pequeños son los potenciales miogénicos evocados vestibulares y el test de impulso cefálico. Conclusiones: Es importante reconocer los signos indicativos de disfunción vestibular en niños con hipoacusia neurosensorial, especialmente en edades tempranas, para realizar un diagnóstico preciso e iniciar un tratamiento precoz que minimice su impacto en la calidad de vida.

10.14201/orl.31547

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Does music perception have an impact on quality of life following cochlear implantation?

Acta Oto-Laryngologica (2006)

Luis Lassaletta Alejandro Castro Marta Bastarrica Rosa Pérez‐Mora Rosário Madero

Conclusion. Despite the decrease in listening habits, about half of the patients still enjoy music post implantation. Better quality of sound through the implant improves music enjoyment and contributes to achievement of better postoperative quality of life (QOL). Objectives. To evaluate music perception and enjoyment in cochlear implant (CI) users, and to assess their influence on QOL. Materials and methods. Sixty-five post-lingually deaf CI recipients were enrolled in this study. A musical questionnaire evaluated musical background, listening habits, and quality of musical sound through the CI. The validated Glasgow Benefit Inventory (GBI) was used to quantify changes in QOL. Results. Fifty-two patients answered the questionnaires. Listening habits (music enjoyment and hours spent listening to music per week) significantly decreased following implantation when compared with the same parameters before deafness. Nevertheless, 52% of the patients enjoyed music post implantation. The quality of musical sound was rated >50 (0–100 scale) for the adjective pairs 'like-dislike', 'sounds like music-doesn't sound like music' and 'natural-mechanical' by most users. Med-el device users obtained better scores in the adjective pair 'sounds like music-doesn't sound like music' than Cochlear device users. Recipients rating higher scores for quality of sound enjoyed music post implantation and had higher total GBI scores than those rating lower scores.

Sound Quality

Music Perception

Cochlear Implantation

10.1080/00016480601002112

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Citations (91)

Using the HISQUI29 to assess the sound quality levels of Spanish adults with unilateral cochlear implants and no contralateral hearing

European Archives of Oto-Rhino-Laryngology (2015)

Miryam Calvino Javiér Gavilán Isabel Sánchez‐Cuadrado Rosa Pérez‐Mora Elena Muñoz

QUIET

Cochlear Implantation

Sound Quality

10.1007/s00405-015-3789-0

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Citations (18)

Is There an Age Limit for Cochlear Impantation?

Otolaryngology (2011)

Isabel Sánchez‐Cuadrado Rosa Pérez‐Mora Javiér Gavilán Luis Lassaletta Mario Zernotti

Objective Evaluate quality of life following cochlear implantation in older postlocutive adults. Method Postlingually deaf adults 60 years or older who underwent implantation in 3 institutions were included. Data concerning demographics and audiometric evaluation were collected and studied. Patients were divided in 2 groups (< 70 and ≥ 70 years). GBI was used to quantify quality of life. Results Eighty‐one patients were included. The mean age at implantation was 68 years (range, 60‐82 years). A significant improvement in speech recognition after cochlear implantation was observed ( P <. 01). The results of the GBI questionnaire showed an important benefit on the total scale (mean, 40) and on the 3 different subscales (53, 24, and 4, respectively). These results were similar to those of younger postlocutive candidates. However, particular cases with decreased quality of life were identified, in spite of acceptable audiologic results. The difference between the <70 and ≥70 years groups was not significant. Conclusion Elderly CI users improve their quality of life, with similar outcomes to those achieved by younger adults. Because of particular conditions of this population, care must be taken when indicating a CI. Cochlear implantation should not be denied on the basis of age alone.

Cochlear Implantation

Demographics

Age limit

Age groups

10.1177/0194599811416318a172

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Citations (1)

Osteoblastoma of the Temporal Bone

Skull base (2009)

Rosa Pérez‐Mora Santiago Sanchez-Carrion Fernando López Barea Pilar García‐Raya Luis Lassaletta

Benign osteoblastoma is an uncommon primary tumor of the bone. Any area of the skeleton may be affected by this tumor, but its occurrence in the temporal bone and middle ear is extremely rare. Clinical symptoms are nonspecific, even in the middle ear, and the diagnosis is often difficult in spite a complete physical and radiological examination. A biopsy is usually necessary for definitive diagnosis. Because of its potential for recurrence, local invasion, and, rarely, malignant transformation, a complete surgical excision remains the treatment of choice for osteoblastoma. We report a case of benign osteoblastoma involving the temporal bone and the middle ear and a review of the literature.

Osteoblastoma

Primary bone

Surgical excision

10.1055/s-0028-1114298

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Citations (11)

Does FSP Strategy Improve Telephone Speech Perception?

Otolaryngology (2010)

Javier Galindo Luis Lassaletta Rosa Pérez‐Mora Marta Bastarrica Javiér Gavilán

Presentation (obstetrics)

10.1016/j.otohns.2010.06.493

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Fibrous dysplasia of the temporal bone secondary to ear surgery: a case report

Journal of Medical Case Reports (2015)

Adriana Pardo-Maza Luis Lassaletta Elena Ruiz‐Bravo Rosa Pérez‐Mora Julio Peñarrocha

In this report, we describe the clinical course, diagnostic features and management of a patient with fibrous dysplasia of the temporal bone 7 years after middle ear surgery on the same side. A 16-year-old Caucasian girl presented to our hospital with a growing bone lesion in the roof of the left temporal bone. She had undergone a previous tympanoplasty at 7 years of age because of a cholesteatoma. At the time of that first surgery, no radiological or histological signs indicated a bone disorder. A computed tomographic scan of the temporal bone showed a lesion with rarefaction areas and lytic images inside that affected the roof of the cavity to the tegmen tympani without alterations in the inner ear. A surgical revision of the ear cavity was performed by resecting the lesion and regularizing the cavity. The histopathologic study confirmed fibrous dysplasia. The patient progressed satisfactorily after surgery with no evidence of recurrence. To the best of our knowledge, this is the first report of fibrous dysplasia of the temporal bone secondary to ear surgery.

Ethmoid bone

10.1186/s13256-015-0612-x

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Citations (12)