{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,5,20]],"date-time":"2023-05-20T21:40:51Z","timestamp":1684618851341},"reference-count":27,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2008,10,31]],"date-time":"2008-10-31T00:00:00Z","timestamp":1225411200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2009,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215108004015_sec1\"><jats:title>Objective:<\/jats:title><jats:p>We report the unique case of a 16-year-old man presenting with sudden and profound left-sided hearing loss following application of a Halo vest.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215108004015_sec2\"><jats:title>Methods:<\/jats:title><jats:p>Case report and review of the world literature concerning spinal realignment procedures, spinal manipulation and Halo vest application.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215108004015_sec3\"><jats:title>Results:<\/jats:title><jats:p>A 16-year-old man presented to the ENT clinic with sudden and profound left-sided hearing loss after undergoing posterior release of a fixed flexion extension deformity of the cervical spine and Halo vest application. The hearing loss slowly improved until the patient disrupted the Halo vest while boarding a bus. Regular audiometry documented the progress of the patient's hearing loss.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215108004015_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>Procedures that significantly alter the established bony anatomy of the neck can be associated with profound audiological deficit through disturbance of the vertebrobasilar arterial system. Such a phenomenon may be associated with application or disruption of a Halo vest.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215108004015","type":"journal-article","created":{"date-parts":[[2008,10,31]],"date-time":"2008-10-31T14:01:07Z","timestamp":1225461667000},"source":"Crossref","is-referenced-by-count":0,"title":["Fluctuating hearing loss associated with Halo vest application"],"prefix":"10.1017","volume":"123","author":[{"given":"C R","family":"Davies-Husband","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J S","family":"Phillips","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A J","family":"Innes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2008,10,31]]},"reference":[{"key":"S0022215108004015_ref22","first-page":"191","article-title":"Dissection of the vertebral arteries after manipulation of the cervical spine: apropos of a case","volume":"65","author":"Cellerier","year":"1984","journal-title":"J Radiol"},{"key":"S0022215108004015_ref15","first-page":"125","article-title":"Vertebral artery injury from chiropractic manipulation of the neck","volume":"2","author":"Mehalic","year":"1974","journal-title":"Surg Neurol"},{"key":"S0022215108004015_ref14","first-page":"62","article-title":"Vertebral artery insufficiency and cerebellar infarct due to manipulation of the neck. 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