Otology and Neurotology

Taking Care of You: Otology and Neurotology

The Vanderbilt Otology and Neurotology team diagnoses and treats ear disorders related to balance, hearing loss, and skull base tumors. Our team runs one of the busiest ear disorder programs in the country and has performed more than 25,000 ear surgeries. We have been a leading cochlear implant center for forty years, having performed our first Cochlear Implant in 1980. We have the largest cochlear implant program by volume of surgery and research in the United States.

Patient Care Excellence

The Vanderbilt Otology and Neurotology team has recently introduced a new coordinated care option for out-of-town patients seeking our expertise. Patients can undergo testing, a physician consultation and, if necessary, implant placement all during one full-day visit to Vanderbilt. It's part of our team's commitment to putting patient care first and improving the overall quality of care.

Vanderbilt Otology and Neurotology also works closely with experts in neurosurgery, audiology, radiation oncology, speech-language pathology and neurology to create innovative treatment options and make groundbreaking research discoveries in the field. Our Otology and Neurotology fellowship program is one of the oldest and most highly-regarded fellowships in the world. Our program gives fellows hands-on experience working with world-class surgeons and cutting-edge technology.

Conditions We Treat

  • Meniere's disease
  • Conductive hearing loss
  • Sensorineural hearing loss
  • Otosclerosis
  • Sudden hearing loss
  • Tinnitus
  • Chronic ear disease
  • Cholesteatoma
  • Acoustic neuroma
  • Paragangliomas
  • Endolymphatic sac tumors
  • Superior semicircular canal dehiscence
  • Meningiomas
  • Cerebrospinal fluid (CSF) otorrhea
  • Facial nerve tumors
  • Glomus tumors
  • Vertigo
  • Vestibular migraine
  • Vestibular schwannoma
  • Congenital aural atresia
  • Ear canal disorders
  • Eardrum perforations
  • Bell's palsy (facial paralysis)
  • Temporal bone trauma

Test, Treatments and Services

  • Hearing tests (audiogram)
  • Hearing aid evaluations
  • Assistive listening devices
  • Cochlear implant evaluations
  • Cochlear implants
  • Stapedectomy
  • Bone-anchored implants
  • Repair of superior semicircular canal dehiscence
  • Acoustic neuroma surgery
  • Skull base surgery
  • Repair of cerebral spinal fluid leaks
  • Brain hernia repair
  • Middle ear (bone-anchored) evaluations
  • Middle ear implants
  • Single-sided deafness evaluation
  • Tinnitus evaluation and therapy
  • Facial reanimation surgery
  • Speech-language pathology
  • Physical therapy
  • Vestibular rehabilitation

 

 

 

 

Innovations, Awards, and Technology

NIH Grant awarded for cochlear implant stimulation programming. (VUMC Reporter August 6, 2020)

A team of Vanderbilt University and Vanderbilt University Medical Center researchers has received a $3.1 million National Institutes of Health (NIH) grant to develop advanced, patient-specific cochlear implant stimulation models for customized implant programming. To continue reading...

Labadie, Rivas inducted into international otolaryngology collegium

Two Vanderbilt University Medical Center physicians were recently inducted into Collegium Oto-Rhino-Laryngologicum Amicitiae Sacrum (CORLAS), an international otolaryngology society created to facilitate collaboration and the open sharing of discoveries and ideas. To continue reading...

 

Our experts are world leaders in otology and neurotology research. We have proudly pioneered many of the latest treatment innovations in the field of otology and neurotology, including image-guided cochlear implant programming and the development of endoscopic ear procedures. We also have created new approaches to treat acoustic neuromas, other skull base tumors, and spinal fluid leaks.

Vanderbilt Otology and Neurotology's research has been featured in many medical publications.

Dr. David Haynes is on the Editorial Board and Secretary/Treasurer for Otology & Neurotology.

Our team also offers access to otology and audiology clinical trials.

To refer a patient to Vanderbilt Otology and Neurotology, please call (615) 322-6180.

Programs and Services

We also work closely with the following related programs and services:

Selected Publications

Scientific Peer-Reviewed Articles

(bolded names held primary faculty appointments in the Department of Otolaryngology-Head and Neck Surgery at the time of publication)

Yakes EA, Dean S, Labadie RF, Byrne D, Estrada C, Thompson R, Kendall J, Yarbrough M. Factors Associated With Physician Empowerment and Well-being at an Academic Medical Center. J Occup Environ Med. 2020 Jul;62(7):478-483. doi: 10.1097/JOM.0000000000001874. PMID: 32730023.

Manzoor NF, Yancey KL, Aulino JM, Sherry AD, Khattab MH, Cmelak A, Morrel WG, Haynes DS, Bennett ML, O'Malley MR, Netterville J, Wanna G, Rivas A. Contemporary Management of Jugular Paragangliomas With Neural Preservation. Otolaryngol Head Neck Surg. 2020 Jul 14:194599820938660. doi: 10.1177/0194599820938660. Epub ahead of print. PMID: 32660391.

Banalagay RA, Labadie RF, Chakravorti S, Noble JH. Insertion Depth for Optimized Positioning of Precurved Cochlear Implant Electrodes. Otol Neurotol. 2020 Jun 19. doi: 10.1097/MAO.0000000000002726. Epub ahead of print. PMID: 32569133.

Khan MMR, Labadie RF, Noble JH. Preoperative prediction of angular insertion depth of lateral wall cochlear implant electrode arrays. J Med Imaging (Bellingham). 2020 May;7(3):031504. doi: 10.1117/1.JMI.7.3.031504. Epub 2020 Jun 3. PMID: 32509912; PMCID: PMC7269369.

Berg KA, Noble JH, Dawant BM, Dwyer RT, Labadie RF, Gifford RH. Speech recognition with cochlear implants as a function of the number of channels: Effects of electrode placement. J Acoust Soc Am. 2020 May;147(5):3646. doi: 10.1121/10.0001316. PMID: 32486813; PMCID: PMC7255811.

Kimura KS, O'Connell BP, Nassiri AM, Dedmon MM, Haynes DS, Bennett ML. Outcomes of Revision Cochlear Implantation. Otol Neurotol. 2020 Jul;41(6):e705-e711. doi: 10.1097/MAO.0000000000002659. PMID: 32472921.

Morrel WG, Riojas KE, Webster RJ 3rd, Noble JH, Labadie RF. Custom mastoid-fitting templates to improve cochlear implant electrode insertion trajectory. Int J Comput Assist Radiol Surg. 2020 May 14. doi: 10.1007/s11548-020-02193-0. Epub ahead of print. PMID: 32409852.

Jayawardena ADL, Nassiri AM, Levy DA, Valeriani V, Kemph AJ, Kahue CN, Segaren N, Labadie RF, Bennett ML, Elisée CA, Netterville JL. Community health worker-based hearing screening on a mobile platform: A scalable protocol piloted in Haiti. Laryngoscope Investig Otolaryngol. 2020 Feb 12;5(2):305-312. doi: 10.1002/lio2.361. PMID: 32337362; PMCID: PMC7178457.

Nassiri AM, Garrett CG, Dail TL, Tiwari V, Haynes DS, Rivas A, Langerman AJ. Should I Buy This? A Decision-Making Tool for Surgical Value-Based Purchasing. Otolaryngol Head Neck Surg. 2020 Apr 14:194599820915194. doi: 10.1177/0194599820915194. Epub ahead of print. PMID: 32284008.

Hayat MJ, Chandrasekhar R, Dietrich MS, Gifford RH, Golub JS, Holder JT, Labadie RF. Moving Otology Beyond p < 0.05. Otol Neurotol. 2020 Jun;41(5):578-579. doi: 10.1097/MAO.0000000000002662. PMID: 32271265.

Totten DJ, Manzoor NF, Sherry AD, Khattab MH, Link MJ, Cmelak AJ, Haynes DS, Rivas A, Carlson ML, Attia A. Radiotherapy and Radiosurgery for Treatment of Residual or Recurrent Endolymphatic Sac Tumor Following Previous Microsurgical Resection. Otol Neurotol. 2020 Jul;41(6):e759-e762. doi: 10.1097/MAO.0000000000002639. PMID: 32271262.

Yancey KL, Manzoor NF, Haynes DS, Bennett ML, O'Malley M, Rivas A. Audiometric Outcomes and Middle Ear Disease following Cerebrospinal Fluid Leak Repair. Otolaryngol Head Neck Surg. 2020 Jun;162(6):942-949. doi: 10.1177/0194599820911720. Epub 2020 Mar 24. PMID: 32204657.

Morrel WG, Holder JT, Dawant BM, Noble JH, Labadie RF. Effect of Scala Tympani Height on Insertion Depth of Straight Cochlear Implant Electrodes. Otolaryngol Head Neck Surg. 2020 May;162(5):718-724. doi: 10.1177/0194599820904941. Epub 2020 Feb 25. PMID: 32093543; PMCID: PMC7196032.

Tittman SM, Yawn RJ, Manzoor N, Dedmon MM, Haynes DS, Rivas A. No Shortage of Decibels in Music City: Evaluation of Noise Exposure in Urban Music Venues. Laryngoscope. 2020 Feb 10. doi: 10.1002/lary.28556. Epub ahead of print. PMID: 32040200.

Labadie RF, Schefano AD, Holder JT, Dwyer RT, Rivas A, O'Malley MR, Noble JH, Dawant BM. Use of intraoperative CT scanning for quality control assessment of cochlear implant electrode array placement. Acta Otolaryngol. 2020 Mar;140(3):206-211. doi: 10.1080/00016489.2019.1698768. Epub 2019 Dec 20. PMID: 31859576.

Yancey KL, Manzoor NF, Kelly PD, Yawn RJ, O'Malley M, Rivas A, Haynes DS, Bennett ML. Impact of obesity and obstructive sleep apnea in lateral skull base cerebrospinal fluid leak repair. Laryngoscope. 2019 Nov 27. doi: 10.1002/lary.28421. Epub ahead of print. PMID: 31774936.

Nassiri AM, Yawn RJ, Holder JT, Dwyer RT, O'Malley MR, Bennett ML, Labadie RF, Rivas A. Hearing Preservation Outcomes Using a Precurved Electrode Array Inserted With an External Sheath. Otol Neurotol. 2020 Jan;41(1):33-38. doi: 10.1097/MAO.0000000000002426. PMID: 31746820; PMCID: PMC6910978.

Chern A, Haynes DS, Bennett ML. Reducing Postoperative Call Volume Through Verbal Preoperative Education. Otol Neurotol. 2020 Feb;41(2):222-228. doi: 10.1097/MAO.0000000000002470. PMID: 31688612.

Nassiri AM, Yawn RJ, Gifford RH, Holder JT, Stimson CJ, Eavey RD, Haynes DS. Same-Day Patient Consultation and Cochlear Implantation: Innovations in Patient-Centered Health Care Delivery. Otol Neurotol. 2020 Feb;41(2):e223-e226. doi: 10.1097/MAO.0000000000002478. PMID: 31664000.

Carlson ML, Dowling EM, Lohse CM, O'Connell BP, Driscoll CLW, Haynes DS, Link MJ, Hunter JB. Rate of Initial Hearing Loss During Early Observation Predicts Time to Non-Serviceable Hearing in Patients With Conservatively Managed Sporadic Vestibular Schwannoma. Otol Neurotol. 2019 Dec;40(10):e1012-e1017. doi: 10.1097/MAO.0000000000002390. PMID: 31634279.

Noble JH, Labadie RF, Dawant BM. Automatic classification of cochlear implant electrode cavity positioning. Med Image Comput Comput Assist Interv. 2018 Sep;11073:47-54. doi: 10.1007/978-3-030-00937-3_6. Epub 2018 Sep 13. PMID: 31573001; PMCID: PMC6768429.

Holder JT, Yawn RJ, Nassiri AM, Dwyer RT, Rivas A, Labadie RF, Gifford RH. Matched Cohort Comparison Indicates Superiority of Precurved Electrode Arrays. Otol Neurotol. 2019 Oct;40(9):1160-1166. doi: 10.1097/MAO.0000000000002366. PMID: 31469799; PMCID: PMC6999087.

Coiner B, Pan H, Bennett ML, Bodien YG, Iyer S, O'Neil-Pirozzi TM, Leung L, Giacino JT, Stern E. Functional neuroanatomy of the human eye movement network: a review and atlas. Brain Struct Funct. 2019 Nov;224(8):2603-2617. doi: 10.1007/s00429-019-01932-7. Epub 2019 Aug 12. PMID: 31407103.

Nassiri AM, Yawn RJ, Gifford RH, Haynes DS, Roberts JB, Gilbane MS, Murfee J, Bennett ML. Intraoperative Electrically Evoked Compound Action Potential (ECAP) Measurements in Traditional and Hearing Preservation Cochlear Implantation. J Am Acad Audiol. 2019 Nov/Dec;30(10):918-926. doi: 10.3766/jaaa.18052. Epub 2019 Jul 2. PMID: 31274070; PMCID: PMC6999088.

Riggs WJ, Dwyer RT, Holder JT, Mattingly JK, Ortmann A, Noble JH, Dawant BM, Valenzuela CV, O'Connell BP, Harris MS, Litvak LM, Koka K, Buchman CA, Labadie RF, Adunka OF. Intracochlear Electrocochleography: Influence of Scalar Position of the Cochlear Implant Electrode on Postinsertion Results. Otol Neurotol. 2019 Jun;40(5):e503-e510. doi: 10.1097/MAO.0000000000002202. PMID: 31083085; PMCID: PMC6530483.

Chakravorti S, Noble JH, Gifford RH, Dawant BM, O'Connell BP, Wang J, Labadie RF. Further Evidence of the Relationship Between Cochlear Implant Electrode Positioning and Hearing Outcomes. Otol Neurotol. 2019 Jun;40(5):617-624. doi: 10.1097/MAO.0000000000002204. PMID: 31083083; PMCID: PMC6788798.

Berg KA, Noble JH, Dawant BM, Dwyer RT, Labadie RF, Gifford RH. Speech recognition as a function of the number of channels in perimodiolar electrode recipients. J Acoust Soc Am. 2019 Mar;145(3):1556. doi: 10.1121/1.5092350. PMID: 31067952; PMCID: PMC6435372.

Wood CB, O'Connell BP, Lowery AC, Bennett ML, Wanna GB. Hearing Outcomes Following Type 3 Tympanoplasty With Stapes Columella Grafting in Canal Wall Down Mastoidectomy. Ann Otol Rhinol Laryngol. 2019 Aug;128(8):736-741. doi: 10.1177/0003489419841400. Epub 2019 Apr 2. PMID: 30939895.

Nassiri AM, Yawn RJ, Brown CL, O'Malley MR, Bennett ML, Labadie RF, Haynes DS, Rivas A. Unilateral Versus Bilateral Cochlear Implantation in Children With Auditory Neuropathy Spectrum Disorder (ANSD). Otol Neurotol. 2018 Oct;39(9):e810-e816. doi: 10.1097/MAO.0000000000001971. PMID: 30199499.

Jacobson GP, Piker EG, Hatton K, Watford KE, Trone T, McCaslin DL, Bennett ML, Rivas A, Haynes DS, Roberts RA. Development and Preliminary Findings of the Dizziness Symptom Profile. Ear Hear. 2019 May/Jun;40(3):568-576. doi: 10.1097/AUD.0000000000000628. PMID: 29979254.

Dedmon MM, Xie DX, O Connell BP, Dillon NP, Wellborn PS, Bennett ML, Haynes DS, Labadie RF, Rivas A. Endoscopic Ear Surgery Skills Training Improves Medical Student Performance. J Surg Educ. 2018 Nov;75(6):1480-1485. doi: 10.1016/j.jsurg.2018.04.015. Epub 2018 May 10. PMID: 29753685.