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The Middle Section Meeting of the Triological Society was held from January 20 through 22, 1995, in Omaha, Neb.Endoscopy of the middle ear using fiberoptic endoscopes has recently received attention. Samuel C. Levine, MD, Minneapolis, Minn, described a new middle ear endoscope he uses to evaluate patients with possible perilymphatic fistulas. The advantage of this technique is that it requires only local anesthesia; gives a useful view of the middle ear, specifically the round and oval windows; and can be used as an adjunct to treatment. (4)The conservative management of small (<1.5-cm) acoustic neuromas was addressed by Richard C. Weit and colleagues, Chicago, Ill. Fifty-one patients with small acoustic neuromas underwent follow-up with magnetic resonance imaging (gadolinium contrast) and audiometric testing. This study demonstrated that 32 patients have not required surgical intervention over a mean period of 2.13 years. The authors concluded that audiometrie analysis was not a |
