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Hearing Disorders: HELP
Articles by Angel Ramos
Based on 7 articles published since 2009
(Why 7 articles?)
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Between 2009 and 2019, Ángel Ramos wrote the following 7 articles about Hearing Disorders.
 
+ Citations + Abstracts
1 Guideline Guideline on cochlear implants. 2019

Manrique, Manuel / Ramos, Ángel / de Paula Vernetta, Carlos / Gil-Carcedo, Elisa / Lassaletta, Luis / Sanchez-Cuadrado, Isabel / Espinosa, Juan Manuel / Batuecas, Ángel / Cenjor, Carlos / Lavilla, María José / Núñez, Faustino / Cavalle, Laura / Huarte, Alicia. ·Miembros de la Comisión de Otología de la Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello, Madrid, España. Electronic address: mmanrique@unav.es. · Miembros de la Comisión de Otología de la Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello, Madrid, España. · Miembros de la Comisión de Otoneurología de la Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello, Madrid, España; Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER-U761), Madrid, España. · Miembros de la Comisión de Otoneurología de la Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello, Madrid, España. · Miembros de la Comisión de Audiología de la Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello, Madrid, España. ·Acta Otorrinolaringol Esp · Pubmed #29598832.

ABSTRACT: INTRODUCTION: In the last decade numerous hospitals have started to work with patients who are candidates for a cochlear implant (CI) and there have been numerous and relevant advances in the treatment of sensorineural hearing loss that extended the indications for cochlear implants. OBJECTIVES: To provide a guideline on cochlear implants to specialists in otorhinolaryngology, other medical specialities, health authorities and society in general. METHODS: The Scientific Committees of Otology, Otoneurology and Audiology from the Spanish Society of Otolaryngology and Head and Neck Surgery (SEORL-CCC), in a coordinated and agreed way, performed a review of the current state of CI based on the existing regulations and in the scientific publications referenced in the bibliography of the document drafted. RESULTS: The clinical guideline on cochlear implants provides information on: a) Definition and description of Cochlear Implant; b) Indications for cochlear implants; c) Organizational requirements for a cochlear implant programme. CONCLUSIONS: A clinical guideline on cochlear implants has been developed by a Committee of Experts of the SEORL-CCC, to help and guide all the health professionals involved in this field of CI in decision-making to treathearing impairment.

2 Article Survey on the knowledge of cochlear implant indication in the treatment of hearing loss in Spain. 2018

Manrique, Manuel / Ramos, Ángel / Pradel, Beatriz / Cenjor, Carlos / Calavia, Diego / Morera, Constantino. ·Clínica Universidad de Navarra, Pamplona, España. Electronic address: mmanrique@unav.es. · Hospital Universitario Materno-Infantil de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, España. · GAES, Barcelona, España. · Fundación Jiménez Díez, Madrid, España. · Clínica Universidad de Navarra, Pamplona, España. · Comité Científico de GAES, Castellón de la Plana, España. ·Acta Otorrinolaringol Esp · Pubmed #28859992.

ABSTRACT: INTRODUCTION: This study aims to analyse the knowledge of cochlear implant (CI) candidacy criteria of otorhinolaryngology specialists in Spain, and from the results, consider whether it is necessary to implement training measures aimed at improving knowledge in this area. MATERIAL AND METHODS: A questionnaire was designed for measuring the level of knowledge of cochlear implant candidacy criteria (CI) in people with hearing loss. The questionnaire collected the demographic data of the respondents and their knowledge on the conventional and emergency indications for CI, technical characteristics of CI and results in the implanted population. RESULTS: A total of 222 Spanish specialists in otorhinolaryngology answered the questionnaire (10.29% of the sample surveyed). CONCLUSIONS: The 50% of all respondents showed a medium-high knowledge about CI. Epidemiological data suggest that a high percentage of adults with postlocutive deafness and candidates for a CI are not referred for treatment. The lack of knowledge about the criteria for the indication of CI by otorhinolaryngology specialists may contribute to inadequate guidance of patients who are potential candidates for CI. The greatest shortcomings are found in the most emergency indications for a CI. Among otorhinolaryngology professionals, the greatest knowledge about CI is found in those who work in tertiary hospitals in the areas of otology and otoneurology, either in the public or private sector. This study suggests that training on CI should be increased for otorhinolaryngology professionals, especially for general otorhinolaryngologists.

3 Article Evaluation of Neural Response Telemetry (NRT™) with focus on long-term rate adaptation over a wide range of stimulation rates. 2014

Huarte, Alicia / Ramos, Angel / Morera, Constantino / Garcia-Ibáñez, Luis / Battmer, Rolf / Dillier, Norbert / Wesarg, Thomas / Müller-Deile, Joachim / Hey, Mattias / Offeciers, Erwin / von Wallenberg, Ernst / Coudert, Chrystelle / Killian, Matthijs. · ·Cochlear Implants Int · Pubmed #24559068.

ABSTRACT: Custom Sound EP™ (CSEP) is an advanced flexible software tool dedicated to recording of electrically evoked compound action potentials (ECAPs) in Nucleus® recipients using Neural Response Telemetry™ (NRT™). European multi-centre studies of the Freedom™ cochlear implant system confirmed that CSEP offers tools to effectively record ECAP thresholds, amplitude growth functions, recovery functions, spread of excitation functions, and rate adaptation functions and an automated algorithm (AutoNRT™) to measure threshold profiles. This paper reports on rate adaptation measurements. Rate adaptation of ECAP amplitudes can successfully be measured up to rates of 495 pulses per second (pps) by repeating conventional ECAP measurements and over a wide range of rates up to 8000 pps using the masked response extraction technique. Rate adaptation did not show a predictable relationship with speech perception and coding strategy channel rate preference. The masked response extraction method offers opportunities to study long-term rate adaptation with well-defined and controlled stimulation paradigms.

4 Article Cochlear implants in adults over 60: a study of communicative benefits and the impact on quality of life. 2013

Ramos, Angel / Guerra-Jiménez, Gloria / Rodriguez, Carina / Borkoski, Silvia / Falcón, Juan Carlos / Perez, Daniel. ·Complejo Hospitalario Insular Materno Infantil, Las Palmas, Spain. ·Cochlear Implants Int · Pubmed #23510755.

ABSTRACT: OBJECTIVES: Quantifying the improvement in quality of life (QoL) of cochlear implant (CI) patients over 60, its relation to audiometric benefits and the subjective impact on specific areas of life. METHODS: An observational retrospective study was conducted on 26 individuals (17 male and 9 female) older than 60, all implanted in our unit between 1 January 1999 and 31 January 2009. And 10 patients (5 male and 5 female) aged between 40 and 60 were the control group. A full postoperative audiological evaluation was completed. Sociodemographic characteristics and history of hearing loss were collected. To evaluate QoL benefits, the Glasgow Benefit Inventory test and the Specific Questionnaire were filled in. RESULTS: Patients in the test and control groups had similar preoperative speech recognition levels. Preoperative audiometric thresholds were significantly worse in patients from 40 to 60 years of age although they scored better in speech recognition after implantation. Patients experienced significant improvement in their QoL in all areas, especially in general health, while they experienced a smaller improvement in social interaction. Age, duration of deafness, and years wearing the processor were statistically related to QoL regardless of audiometric benefit. Unilateral CI users and patients without tinnitus obtain better QoL although no statistical relation was found. CONCLUSIONS: Cochlear implantation improves QoL of patients over 60 by the mere fact of having been implanted, regardless of poorer audiological benefits. Older patients, with long-term deafness experience a greater improvement in QoL after implantation. The results of this study should aid other centers when counseling patients on the expected, daily functional benefits of cochlear implantation.

5 Article Cochlear implant in patients with sudden unilateral sensorineural hearing loss and associated tinnitus. 2012

Ramos, Ángel / Polo, Rubén / Masgoret, Elisabeth / Artiles, Ovidio / Lisner, Isidoro / Zaballos, María L / Moreno, Cecilia / Osorio, Ángel. ·Servicio de Otorrinolaringología, Complejo Hospitalario Universitario Insular Materno-Infantil, Las Palmas de Gran Canaria, España. ·Acta Otorrinolaringol Esp · Pubmed #22136970.

ABSTRACT: INTRODUCTION AND OBJECTIVES: To assess the efficacy of cochlear implantation in patients with unilateral sudden sensorineural hearing loss and associated disabling tinnitus. METHODS: Ten patients suffering from severe-to-profound sudden hearing loss and tinnitus in the affected ear received implants. The sample was comprised of 4 men and 6 women, with a mean age of 42.7 years (range 34-62) at implantation. The severity of the tinnitus was evaluated with the Spanish validated version of the Tinnitus Handicap Inventory (THI) and a visual analogue scale. These assessments were obtained before and after implantation. RESULTS: Tinnitus suppression was observed in 2 patients. In 7 cases, we observed an improvement in the THI, in different degrees, and 1 patient remained without changes. Tinnitus worsening was not found in the series studied. CONCLUSIONS: Tinnitus reduction following cochlear implantation can be explained by several mechanisms, such as habituation, acoustic masking, direct stimulation of the cochlear nerve and reorganisation of cortical areas. Even though further research is required, cochlear implantation is an effective method for the treatment of disabling tinnitus in patients with severe-to-profound unilateral sudden sensorineural hearing loss.

6 Article Use of telemedicine in the remote programming of cochlear implants. 2010

Rodríguez, Carina / Ramos, Angel / Falcon, Juan Carlos / Martínez-Beneyto, Paz / Gault, Alexander / Boyle, Patrick. ·Complejo Hospitalario Universitario Insular Materno Infantil, Las Palmas de Gran Canaria, Spain. cariro15@gmail.com ·Cochlear Implants Int · Pubmed #21756673.

ABSTRACT: -- No abstract --

7 Article Remote fitting in Nucleus cochlear implant recipients. 2010

Wesarg, Thomas / Wasowski, Arkadiusz / Skarzynski, Henryk / Ramos, Angel / Falcon Gonzalez, Juan Carlos / Kyriafinis, George / Junge, Friederike / Novakovich, Allan / Mauch, Herbert / Laszig, Roland. ·Department of Otorhinolaryngology, University Medical Center Freiburg, Germany. thomas.wesarg@uniklinik-freiburg.de ·Acta Otolaryngol · Pubmed #20586675.

ABSTRACT: CONCLUSION: Remote programming is a viable alternative to face-to-face programming. The procedure can be regarded as safe, time and cost saving, and clinically feasible. OBJECTIVES: The aim of this study was to determine the suitability of commercially available video conferencing technology and remote control software for remote programming of sound processors in Nucleus cochlear implant recipients by assessing the feasibility, efficiency, risks, and benefits of remote programming compared to face-to-face programming. METHODS: This was a randomized, prospective study. Seventy Nucleus implant recipients were recruited for a random sequence comparison of one remote and one local programming session each. The time required for local or remote programming was measured and resulting MAP T and C levels were compared. The recipient provided feedback on the local and remote programming session. The audiologist and monitoring clinician were asked for their feedback on remote programming. RESULTS: Remote programming sessions were successfully finished for 69 recipients. No significant differences between T and C levels obtained by local and remote programming were found. The audiologists and monitoring clinicians agreed that the remote programming system provided an acceptable level of performance after most sessions. More than 50 participating recipients considered remote programming an efficient alternative to face-to-face-programming.