Objective: To report the hearing results of cochlear implantation simultaneous to vestibular schwannoma (VS) resection by means of a translabyrinthine approach in patients with normal contralateral hearing. Methods: This was a prospective study including adults with sporadic VS. Tumors were resected by means of a modified translabyrinthine approach with preservation of the cochlear nerve. Results: A total of 13 patients underwent cochlear implantation. At 14 months, the mean pure-tone audiogram was 56 dB. The mean speech recognition was 80%. Cochlear implantation provides monaural and binaural benefits in all the conditions tested, including sound localization. Conclusions: Cochlear implantation can be safely performed simultaneously to VS resection with satisfactory hearing results provided that the cochlear nerve is anatomically intact.
Cochlear implantation in otosclerosis provides good auditory outcomes, despite high incidence of cochlear ossification. Patients of FNS can be managed by alterations in programming strategy, without affecting auditory outcomes.
The aim of this work was to develop and validate an experimental methodology suitable for analysing on-site the behaviour of fibre-reinforced wooden structures. The proposed measurement method is based on the application of fibre Bragg grating (FBG) strain sensors. An analysis of adhesive behaviour was performed preliminarily, which provided indications for choosing the type of adhesive and for the fibre bonding length in accordance with the volume of measurement. The first series of tests was carried out on wood samples to verify the coupling between the measuring sensor and the wood support when the latter is subject to mechanical stresses. The second investigation was done on site to test the behaviour of a historical wood floor before and after reinforcement by means of a series of tests performed using optical fibres with the Bragg grating. The optical fibre system measurements were compared to those obtained using a laser vibrometer, a measurement system of proven stability and precision. The comparison makes it possible to confirm the validity of the results and the reliability of the system for the monitoring of historic wooden structures.
Cochlear implantation in cochlear ossification is feasible despite surgical challenges and modifications. Auditory outcomes in basal turn ossification appear to be comparable to cases with no ossification with extent of ossification having no significant association with outcomes.
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