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o Bulletin N#17 : The symphonix symposium understanding the ear advances in knowledge o

Authors : D. Portmann (Bordeaux), P. Tran Ba Huy (Paris), J. M. Aran (Bordeaux), A. W. Blayney (Dublin), B. Fraysse (Toulouse), B. H. Katz (San Jose), D. J. Kelly (Dublin), P. J. Prendergast (Dublin)

Ref. : Rev Laryngol Otol Rhinol. 2000;121,1:65-72.

The current impression is that, within the ENT speciality, otology has reached a plateau, and is now virtually at a standstill.
But a reading of the proceedings of the Symphonix Symposium at the Dublin Congerence renders this viewpoint completely untenable.
It is the same for those who felt that sensori-neural deafness was a vast area incapable of classification, which underlines the importance of the presentation of P. Tran Ba Huy, with his proposal for a new category of endolymphatic deafness.
Progress in the field of the pharmacology of sensori-neural deafness has brought us to the point where our treatment strategy will henceforth be more relevant and more effective in this area.
Progress in computers has allowed the development of a model of the outer and middle ear, which not only makes for better understanding of the mechanisms involved, but also allows us to improve our ossicular reconstruction procedures.
The whole area of hearing aid provision for hearing loss of all types is undergoing considerable development, and is set to make further progress in the future.
A strategy for implants using many criteria has been put forward, and will itself doubtless undergo change, and in turn become outmoded. Already, new generations of middle ear implanted aids are appearing.
No, otology is not at a standstill, and it is hoped that these few lines will remove any doubt of this, where any might have existed.


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