Modern surgical treatment of otosclerosis - Helda - Helsinki.fi

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8 Acknowledgements Acknowledgements This study was carried out in 2003-2009 at the Department of Otorhinolaryngology, Helsinki University Central Hospital, and at the Department of Otorhinolaryngology, Seinäjoki Central Hospital. Professors Anne Pitkäranta, Pekka Karma and Jukka Ylikoski, Docent Hans Ramsay from Helsinki University Central Hospital and Doctor Panu Kuoppala from Seinäjoki Central Hospital are thanked for providing me with the opportunity and facilities to carry out this work. My deepest gratitude is owed to my supervisor Docent Timo Hirvonen. His vast experience in clinical and scientific work could always be relied on when guidance (very often) was needed. He also demonstrated admirable patience and understanding when my attention was directed more to other aspects of life. His encouragement was instrumental to my finishing this thesis. I am very grateful to Heikki Aalto, PhD, Docent Juha-Pekka Vasama and Docent Hans Ramsay, who were my co-authors in the original publications. Heikki’s contribution to the development of equipments for vestibular organ measurements and to the actual measurements was irreplaceable. His precise and pedantic attitude toward science and everyday work is admirable. Juha-Pekka and Hans were also responsible for the surgical interventions in this project together with Timo Hirvonen. I am grateful to the reviewers of this thesis, Docent Kyösti Laitakari and Docent Jukka Pulkkinen, for their constructive criticism and the comments that greatly improved the final product. The language content was reviewed by Carol Ann Pelli of Helsinki University Language Services. I have warm memories of all of my colleagues during my residency. I especially want to thank Tuomas, Samuli, Katriina and Lauri. Tuomas, Samuli and Katriina are thanked for the good times in Kotka, where we headed after residency. During the long drives to work, all areas of life were covered in conversations, and we became close friends. Lauri is another friend I can rely on. His recent experience making a thesis and great advice made my work much easier. I am indebted to Erkki Hopsu for the many conversations that taught me to defend my position and for showing me that one can found new perspectives in almost any issue. It was privilege to start as a young specialist under his guidance. He gave me the opportunity to try my wings, but when help was needed, I could always rely on him or Juha Tasa. Thank you both. My colleagues and co-workers in Seinäjoki Central Hospital are warmly thanked for sharing the excitement of finishing this thesis. I especially want to thank Pauli Ritvanen at the Health library. 64
Acknowledgements Most of my writing in English is not understandable; however, after Carlys’ spell check of the original publications and the thesis, I could present my work without shame. I can’t find words to express my gratitude so please accept the Finnish chocolate I’ve sent to you in Canada as a token of my appreciation. My heartfelt thanks go to my family: Sari, Emilia and Johannes. Children make life a bit harder, but so much sweeter. Emilia and Johannes have shown me what is truly important in life. And my dear wife Sari has selflessly and skilfully taken care of our home when my work has kept me away. I love you. This study was financially supported by the Instrumentarium Science Foundation, the Otologic Research Foundation and the Finnish Medical Foundation. Special government subsidies for health sciences research were awarded by Helsinki University Central Hospital, Tampere University Central Hospital, Kymenlaakso Central Hospital and Seinäjoki Central Hospital. Seinäjoki, April 2009 Juuso Kujala 65
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Department of Otorhinolaryngology U
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To my Family
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Stapedius tendon preservation 29 Re
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List of original publications The t
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Abstract Abstract The era of modern
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Tiivistelmä (Finnish summary) Tiiv
Page 13 and 14: 1 Introduction Introduction Otoscle
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Page 41 and 42: 3 Aims of the study Aims of the stu
Page 43 and 44: Studies III and IV Materials and me
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Page 49 and 50: Results and comments improved signi
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Page 53 and 54: Results and comments A final follow
Page 55 and 56: Results and comments spontaneous ho
Page 57 and 58: Discussion The patient also would a
Page 59 and 60: Discussion surgeries are suitable f
Page 61 and 62: Discussion Patients with vestibular
Page 63: 7 Conclusions Conclusions Audiologi
Page 67 and 68: References Baloh RW, Honrubia. Clin
Page 69 and 70: References Dahlqvist A, Diamant H,
Page 71 and 72: References Gersdorff M, Nouwen J, G
Page 73 and 74: References Jablokow VR, Kathuria S.
Page 75 and 76: References Markou K, Goudakos J. An
Page 77 and 78: References Perkings RC. Laser stape
Page 79 and 80: References Shabana YK, Ghonim MR, P
Page 81 and 82: References Toner JG, Smyth GDL. Com
Page 83 and 84: Appendix Questionnaire used to asse
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