The last two years have been a period of rapid advancement and innovation in otolaryngology—including the formal consideration of a name change for the specialty to "head and neck medicine and surgery." This review will focus on important new developments in otology, facial plastic and reconstructive surgery, and head and neck oncology.
BSER Audiometry (BERA).—
House and Brackmann1 found brainstem-evoked response audiometry (BERA) to be a valuable adjunct to neuro-otologic diagnosis in patients with acoustic nerve tumors. They noted a delay or absence of wave V in 98% (143 of 146) of patients with acoustic neurinomas and reported 10% false-positive results in their experience. Glasscock et al2 have employed BERA in the evaluation of more than 500 patients (639 ears). They also report a diagnostic success rate of 98% in regard to cerebellopontine angle tumors and emphasize the broader usefulness of the test in neuro-otology.Galambos and
Bailey BJ. Otolaryngology. JAMA. 1980;243(21):2203–2205. doi:10.1001/jama.1980.03300470063037
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