Unilateral sensorineural hearing loss and its aetiology in childhood: the contribution of computerised tomography in aetiological diagnosis and management

Objectives: The objective of this study was to identify factors correlated with the CT outcome and to examine the contribution of the CT scan in the aetiological diagnosis and management of unilateral sensorineural hearing loss in childhood. Methods: The records of 35 consecutively investigated pati...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:International journal of pediatric otorhinolaryngology 1999-12, Vol.51 (2), p.91-99
Hauptverfasser: Bamiou, Doris Eva, Savy, Lloyd, O’Mahoney, Cliodna, Phelps, Peter, Sirimanna, Tony
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 99
container_issue 2
container_start_page 91
container_title International journal of pediatric otorhinolaryngology
container_volume 51
creator Bamiou, Doris Eva
Savy, Lloyd
O’Mahoney, Cliodna
Phelps, Peter
Sirimanna, Tony
description Objectives: The objective of this study was to identify factors correlated with the CT outcome and to examine the contribution of the CT scan in the aetiological diagnosis and management of unilateral sensorineural hearing loss in childhood. Methods: The records of 35 consecutively investigated patients by the Audiology Department of Great Ormond Street Hospital between January 1996 and June 1998 were reviewed. The CT results, population sample characteristics, initiation of further investigations after the CT results and management decisions based on the CT results were tabulated and analysed. Results: In a series of 35 consecutively investigated children with unilateral sensorineural hearing loss, 11 CT scans were identified as abnormal. The CT findings were: labyrinthitis ossificans (3), unilaterally dilated vestibular aqueduct (2), bilaterally dilated vestibular aqueduct (2), unilateral deformity of the cochlea (‘Mondini’) (1), unilateral severe labyrinthine dysplasia (1), unilateral markedly narrow internal acoustic meatus (1), bilaterally dilated lateral semicircular canals (1). The presence of progressive hearing loss was a significant predictor of abnormal CT outcome, while the severity of hearing loss was not. The CT scans offered valuable information regarding the aetiological diagnosis in all cases and, in addition, prompted the appropriate vestibular rehabilitation in three cases, further investigations in four (with dilated vestibular aqueduct) and hearing preservation counselling in two (bilateral DVA) (seven out of 35=20%). Conclusion: All children with unilateral sensorineural hearing loss should have a CT scan of the petrous pyramids/IAMs performed at some stage, as not only aetiology but also prognosis and management of these cases may be significantly influenced by the CT outcome.
doi_str_mv 10.1016/S0165-5876(99)00261-X
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69385903</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S016558769900261X</els_id><sourcerecordid>69385903</sourcerecordid><originalsourceid>FETCH-LOGICAL-c390t-d91fb646236e18b245afe0a94f375f42b0472bffca842d84942d5ca2a3574e633</originalsourceid><addsrcrecordid>eNqFkU2L1TAUhoMozp3Rn6B0IaKLapImaeNGZBg_YMCFDswupOlJG2mTa5IK81f8tebeXj92bs7JgeecN7wvQk8IfkUwEa-_lMJr3rXihZQvMaaC1Lf30I50La07Jth9tPuDnKHzlL5hTFrM-UN0RrAgUlC6Qz9vvJt1hqjnKoFPIToP62GaQJf3WM0hpUr7oXK5dMguzGG8q5yvzOTmYQpheFPlCSoTfI6uXwvhq2DLvOzXctklGKocljBGvZ-Om7_POFOEBqdHH5LbVBbt9QgL-PwIPbB6TvD41C_Qzfurr5cf6-vPHz5dvruuTSNxrgdJbC-YoI0A0vWUcW0Ba8ls03LLaI9ZS3trje4YHTomS-VGU93wloFomgv0fLu7j-H7CimrxSUD86w9hDUpIZuOS3wA-QaaWDyJYNU-ukXHO0WwOoSijqGog-NKSnUMRd2WvacngbVfYPhna0uhAM9OgE7FERu1Ny795SgWnMqCvd0wKG78cBBVMg68gcFFMFkNwf3nJ78ASZCthw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69385903</pqid></control><display><type>article</type><title>Unilateral sensorineural hearing loss and its aetiology in childhood: the contribution of computerised tomography in aetiological diagnosis and management</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Bamiou, Doris Eva ; Savy, Lloyd ; O’Mahoney, Cliodna ; Phelps, Peter ; Sirimanna, Tony</creator><creatorcontrib>Bamiou, Doris Eva ; Savy, Lloyd ; O’Mahoney, Cliodna ; Phelps, Peter ; Sirimanna, Tony</creatorcontrib><description>Objectives: The objective of this study was to identify factors correlated with the CT outcome and to examine the contribution of the CT scan in the aetiological diagnosis and management of unilateral sensorineural hearing loss in childhood. Methods: The records of 35 consecutively investigated patients by the Audiology Department of Great Ormond Street Hospital between January 1996 and June 1998 were reviewed. The CT results, population sample characteristics, initiation of further investigations after the CT results and management decisions based on the CT results were tabulated and analysed. Results: In a series of 35 consecutively investigated children with unilateral sensorineural hearing loss, 11 CT scans were identified as abnormal. The CT findings were: labyrinthitis ossificans (3), unilaterally dilated vestibular aqueduct (2), bilaterally dilated vestibular aqueduct (2), unilateral deformity of the cochlea (‘Mondini’) (1), unilateral severe labyrinthine dysplasia (1), unilateral markedly narrow internal acoustic meatus (1), bilaterally dilated lateral semicircular canals (1). The presence of progressive hearing loss was a significant predictor of abnormal CT outcome, while the severity of hearing loss was not. The CT scans offered valuable information regarding the aetiological diagnosis in all cases and, in addition, prompted the appropriate vestibular rehabilitation in three cases, further investigations in four (with dilated vestibular aqueduct) and hearing preservation counselling in two (bilateral DVA) (seven out of 35=20%). Conclusion: All children with unilateral sensorineural hearing loss should have a CT scan of the petrous pyramids/IAMs performed at some stage, as not only aetiology but also prognosis and management of these cases may be significantly influenced by the CT outcome.</description><identifier>ISSN: 0165-5876</identifier><identifier>EISSN: 1872-8464</identifier><identifier>DOI: 10.1016/S0165-5876(99)00261-X</identifier><identifier>PMID: 10619622</identifier><identifier>CODEN: IPOTDJ</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ireland Ltd</publisher><subject>Adolescent ; Aetiology ; Biological and medical sciences ; Child ; Child, Preschool ; Childhood ; Cochlea - abnormalities ; Cochlea - diagnostic imaging ; Computerised tomography ; Decision Making ; Dilatation, Pathologic - complications ; Dilatation, Pathologic - diagnostic imaging ; Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology ; Ear, Inner - abnormalities ; Ear, Inner - diagnostic imaging ; Female ; Forecasting ; Hearing Loss, Sensorineural - diagnostic imaging ; Hearing Loss, Sensorineural - etiology ; Hearing Loss, Sensorineural - therapy ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Labyrinth Diseases - complications ; Labyrinth Diseases - diagnostic imaging ; Labyrinthitis - complications ; Labyrinthitis - diagnostic imaging ; Male ; Medical sciences ; Non tumoral diseases ; Ossification, Heterotopic - complications ; Ossification, Heterotopic - diagnostic imaging ; Otorhinolaryngology. Stomatology ; Otorhinolaryngology. Stomatology. Orbit ; Patient Care Planning ; Petrous Bone - diagnostic imaging ; Prognosis ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Retrospective Studies ; Semicircular Canals - diagnostic imaging ; Sensorineural hearing loss ; Tomography, X-Ray Computed ; Unilateral ; Vestibular Aqueduct - diagnostic imaging ; Vestibular Diseases - complications ; Vestibular Diseases - diagnostic imaging</subject><ispartof>International journal of pediatric otorhinolaryngology, 1999-12, Vol.51 (2), p.91-99</ispartof><rights>1999 Elsevier Science Ireland Ltd</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-d91fb646236e18b245afe0a94f375f42b0472bffca842d84942d5ca2a3574e633</citedby><cites>FETCH-LOGICAL-c390t-d91fb646236e18b245afe0a94f375f42b0472bffca842d84942d5ca2a3574e633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0165-5876(99)00261-X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=1206529$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10619622$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bamiou, Doris Eva</creatorcontrib><creatorcontrib>Savy, Lloyd</creatorcontrib><creatorcontrib>O’Mahoney, Cliodna</creatorcontrib><creatorcontrib>Phelps, Peter</creatorcontrib><creatorcontrib>Sirimanna, Tony</creatorcontrib><title>Unilateral sensorineural hearing loss and its aetiology in childhood: the contribution of computerised tomography in aetiological diagnosis and management</title><title>International journal of pediatric otorhinolaryngology</title><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><description>Objectives: The objective of this study was to identify factors correlated with the CT outcome and to examine the contribution of the CT scan in the aetiological diagnosis and management of unilateral sensorineural hearing loss in childhood. Methods: The records of 35 consecutively investigated patients by the Audiology Department of Great Ormond Street Hospital between January 1996 and June 1998 were reviewed. The CT results, population sample characteristics, initiation of further investigations after the CT results and management decisions based on the CT results were tabulated and analysed. Results: In a series of 35 consecutively investigated children with unilateral sensorineural hearing loss, 11 CT scans were identified as abnormal. The CT findings were: labyrinthitis ossificans (3), unilaterally dilated vestibular aqueduct (2), bilaterally dilated vestibular aqueduct (2), unilateral deformity of the cochlea (‘Mondini’) (1), unilateral severe labyrinthine dysplasia (1), unilateral markedly narrow internal acoustic meatus (1), bilaterally dilated lateral semicircular canals (1). The presence of progressive hearing loss was a significant predictor of abnormal CT outcome, while the severity of hearing loss was not. The CT scans offered valuable information regarding the aetiological diagnosis in all cases and, in addition, prompted the appropriate vestibular rehabilitation in three cases, further investigations in four (with dilated vestibular aqueduct) and hearing preservation counselling in two (bilateral DVA) (seven out of 35=20%). Conclusion: All children with unilateral sensorineural hearing loss should have a CT scan of the petrous pyramids/IAMs performed at some stage, as not only aetiology but also prognosis and management of these cases may be significantly influenced by the CT outcome.</description><subject>Adolescent</subject><subject>Aetiology</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Childhood</subject><subject>Cochlea - abnormalities</subject><subject>Cochlea - diagnostic imaging</subject><subject>Computerised tomography</subject><subject>Decision Making</subject><subject>Dilatation, Pathologic - complications</subject><subject>Dilatation, Pathologic - diagnostic imaging</subject><subject>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</subject><subject>Ear, Inner - abnormalities</subject><subject>Ear, Inner - diagnostic imaging</subject><subject>Female</subject><subject>Forecasting</subject><subject>Hearing Loss, Sensorineural - diagnostic imaging</subject><subject>Hearing Loss, Sensorineural - etiology</subject><subject>Hearing Loss, Sensorineural - therapy</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Labyrinth Diseases - complications</subject><subject>Labyrinth Diseases - diagnostic imaging</subject><subject>Labyrinthitis - complications</subject><subject>Labyrinthitis - diagnostic imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Non tumoral diseases</subject><subject>Ossification, Heterotopic - complications</subject><subject>Ossification, Heterotopic - diagnostic imaging</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Otorhinolaryngology. Stomatology. Orbit</subject><subject>Patient Care Planning</subject><subject>Petrous Bone - diagnostic imaging</subject><subject>Prognosis</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Retrospective Studies</subject><subject>Semicircular Canals - diagnostic imaging</subject><subject>Sensorineural hearing loss</subject><subject>Tomography, X-Ray Computed</subject><subject>Unilateral</subject><subject>Vestibular Aqueduct - diagnostic imaging</subject><subject>Vestibular Diseases - complications</subject><subject>Vestibular Diseases - diagnostic imaging</subject><issn>0165-5876</issn><issn>1872-8464</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU2L1TAUhoMozp3Rn6B0IaKLapImaeNGZBg_YMCFDswupOlJG2mTa5IK81f8tebeXj92bs7JgeecN7wvQk8IfkUwEa-_lMJr3rXihZQvMaaC1Lf30I50La07Jth9tPuDnKHzlL5hTFrM-UN0RrAgUlC6Qz9vvJt1hqjnKoFPIToP62GaQJf3WM0hpUr7oXK5dMguzGG8q5yvzOTmYQpheFPlCSoTfI6uXwvhq2DLvOzXctklGKocljBGvZ-Om7_POFOEBqdHH5LbVBbt9QgL-PwIPbB6TvD41C_Qzfurr5cf6-vPHz5dvruuTSNxrgdJbC-YoI0A0vWUcW0Ba8ls03LLaI9ZS3trje4YHTomS-VGU93wloFomgv0fLu7j-H7CimrxSUD86w9hDUpIZuOS3wA-QaaWDyJYNU-ukXHO0WwOoSijqGog-NKSnUMRd2WvacngbVfYPhna0uhAM9OgE7FERu1Ny795SgWnMqCvd0wKG78cBBVMg68gcFFMFkNwf3nJ78ASZCthw</recordid><startdate>19991205</startdate><enddate>19991205</enddate><creator>Bamiou, Doris Eva</creator><creator>Savy, Lloyd</creator><creator>O’Mahoney, Cliodna</creator><creator>Phelps, Peter</creator><creator>Sirimanna, Tony</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>19991205</creationdate><title>Unilateral sensorineural hearing loss and its aetiology in childhood: the contribution of computerised tomography in aetiological diagnosis and management</title><author>Bamiou, Doris Eva ; Savy, Lloyd ; O’Mahoney, Cliodna ; Phelps, Peter ; Sirimanna, Tony</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-d91fb646236e18b245afe0a94f375f42b0472bffca842d84942d5ca2a3574e633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adolescent</topic><topic>Aetiology</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Childhood</topic><topic>Cochlea - abnormalities</topic><topic>Cochlea - diagnostic imaging</topic><topic>Computerised tomography</topic><topic>Decision Making</topic><topic>Dilatation, Pathologic - complications</topic><topic>Dilatation, Pathologic - diagnostic imaging</topic><topic>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</topic><topic>Ear, Inner - abnormalities</topic><topic>Ear, Inner - diagnostic imaging</topic><topic>Female</topic><topic>Forecasting</topic><topic>Hearing Loss, Sensorineural - diagnostic imaging</topic><topic>Hearing Loss, Sensorineural - etiology</topic><topic>Hearing Loss, Sensorineural - therapy</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Labyrinth Diseases - complications</topic><topic>Labyrinth Diseases - diagnostic imaging</topic><topic>Labyrinthitis - complications</topic><topic>Labyrinthitis - diagnostic imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Non tumoral diseases</topic><topic>Ossification, Heterotopic - complications</topic><topic>Ossification, Heterotopic - diagnostic imaging</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Otorhinolaryngology. Stomatology. Orbit</topic><topic>Patient Care Planning</topic><topic>Petrous Bone - diagnostic imaging</topic><topic>Prognosis</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Retrospective Studies</topic><topic>Semicircular Canals - diagnostic imaging</topic><topic>Sensorineural hearing loss</topic><topic>Tomography, X-Ray Computed</topic><topic>Unilateral</topic><topic>Vestibular Aqueduct - diagnostic imaging</topic><topic>Vestibular Diseases - complications</topic><topic>Vestibular Diseases - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bamiou, Doris Eva</creatorcontrib><creatorcontrib>Savy, Lloyd</creatorcontrib><creatorcontrib>O’Mahoney, Cliodna</creatorcontrib><creatorcontrib>Phelps, Peter</creatorcontrib><creatorcontrib>Sirimanna, Tony</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>International journal of pediatric otorhinolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bamiou, Doris Eva</au><au>Savy, Lloyd</au><au>O’Mahoney, Cliodna</au><au>Phelps, Peter</au><au>Sirimanna, Tony</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unilateral sensorineural hearing loss and its aetiology in childhood: the contribution of computerised tomography in aetiological diagnosis and management</atitle><jtitle>International journal of pediatric otorhinolaryngology</jtitle><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><date>1999-12-05</date><risdate>1999</risdate><volume>51</volume><issue>2</issue><spage>91</spage><epage>99</epage><pages>91-99</pages><issn>0165-5876</issn><eissn>1872-8464</eissn><coden>IPOTDJ</coden><abstract>Objectives: The objective of this study was to identify factors correlated with the CT outcome and to examine the contribution of the CT scan in the aetiological diagnosis and management of unilateral sensorineural hearing loss in childhood. Methods: The records of 35 consecutively investigated patients by the Audiology Department of Great Ormond Street Hospital between January 1996 and June 1998 were reviewed. The CT results, population sample characteristics, initiation of further investigations after the CT results and management decisions based on the CT results were tabulated and analysed. Results: In a series of 35 consecutively investigated children with unilateral sensorineural hearing loss, 11 CT scans were identified as abnormal. The CT findings were: labyrinthitis ossificans (3), unilaterally dilated vestibular aqueduct (2), bilaterally dilated vestibular aqueduct (2), unilateral deformity of the cochlea (‘Mondini’) (1), unilateral severe labyrinthine dysplasia (1), unilateral markedly narrow internal acoustic meatus (1), bilaterally dilated lateral semicircular canals (1). The presence of progressive hearing loss was a significant predictor of abnormal CT outcome, while the severity of hearing loss was not. The CT scans offered valuable information regarding the aetiological diagnosis in all cases and, in addition, prompted the appropriate vestibular rehabilitation in three cases, further investigations in four (with dilated vestibular aqueduct) and hearing preservation counselling in two (bilateral DVA) (seven out of 35=20%). Conclusion: All children with unilateral sensorineural hearing loss should have a CT scan of the petrous pyramids/IAMs performed at some stage, as not only aetiology but also prognosis and management of these cases may be significantly influenced by the CT outcome.</abstract><cop>Amsterdam</cop><pub>Elsevier Ireland Ltd</pub><pmid>10619622</pmid><doi>10.1016/S0165-5876(99)00261-X</doi><tpages>9</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0165-5876
ispartof International journal of pediatric otorhinolaryngology, 1999-12, Vol.51 (2), p.91-99
issn 0165-5876
1872-8464
language eng
recordid cdi_proquest_miscellaneous_69385903
source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adolescent
Aetiology
Biological and medical sciences
Child
Child, Preschool
Childhood
Cochlea - abnormalities
Cochlea - diagnostic imaging
Computerised tomography
Decision Making
Dilatation, Pathologic - complications
Dilatation, Pathologic - diagnostic imaging
Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology
Ear, Inner - abnormalities
Ear, Inner - diagnostic imaging
Female
Forecasting
Hearing Loss, Sensorineural - diagnostic imaging
Hearing Loss, Sensorineural - etiology
Hearing Loss, Sensorineural - therapy
Humans
Investigative techniques, diagnostic techniques (general aspects)
Labyrinth Diseases - complications
Labyrinth Diseases - diagnostic imaging
Labyrinthitis - complications
Labyrinthitis - diagnostic imaging
Male
Medical sciences
Non tumoral diseases
Ossification, Heterotopic - complications
Ossification, Heterotopic - diagnostic imaging
Otorhinolaryngology. Stomatology
Otorhinolaryngology. Stomatology. Orbit
Patient Care Planning
Petrous Bone - diagnostic imaging
Prognosis
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Retrospective Studies
Semicircular Canals - diagnostic imaging
Sensorineural hearing loss
Tomography, X-Ray Computed
Unilateral
Vestibular Aqueduct - diagnostic imaging
Vestibular Diseases - complications
Vestibular Diseases - diagnostic imaging
title Unilateral sensorineural hearing loss and its aetiology in childhood: the contribution of computerised tomography in aetiological diagnosis and management
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T19%3A45%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Unilateral%20sensorineural%20hearing%20loss%20and%20its%20aetiology%20in%20childhood:%20the%20contribution%20of%20computerised%20tomography%20in%20aetiological%20diagnosis%20and%20management&rft.jtitle=International%20journal%20of%20pediatric%20otorhinolaryngology&rft.au=Bamiou,%20Doris%20Eva&rft.date=1999-12-05&rft.volume=51&rft.issue=2&rft.spage=91&rft.epage=99&rft.pages=91-99&rft.issn=0165-5876&rft.eissn=1872-8464&rft.coden=IPOTDJ&rft_id=info:doi/10.1016/S0165-5876(99)00261-X&rft_dat=%3Cproquest_cross%3E69385903%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=69385903&rft_id=info:pmid/10619622&rft_els_id=S016558769900261X&rfr_iscdi=true