Auricular Research Articles

The use of radio wave scalpel "Surgitron" in the surgical treatment of the outer ear neoplasms

The number of ENT organs diseases continues to grow, and therefore the problem of combating these diseases has been and remains relevant in otorhinolaryngology. The least studied of all the ENT organs neoplasm are ear tumors. Aims: to increase the efficiency of surgical treatment of neoplasms of the outer ear using a radio wave scalpel "Surgitron". Patients and Methods. The work is based on the results of treatment of 230 patients (146 in the main and 84 in the control groups) with tumor-like formations, benign and malignantouter ear tumors. Results. The first place in the structure of ear neoplasms in the main group was occupied by tumor-like formations - 58 patients (40%), benign tumors were somewhat less common - 48 patients (33%), and even less often - malignant neoplasms (40 patients, 27%). Most often, the auricle neoplasms were removed without the underlying cartilage (in 60 patients; 56.6%). Limited tumors (I-II stage) were removed under local anesthesia with 1% solution of novocaine with the addition, in the absence of contraindications, 5 drops of 0.1% solution of adrenaline per 10 ml of novocaine. After detachment of the tumor with skin and perichondrium from the underlying cartilage, an incision was made using a Surgitron radio wave scalpel, after which the tumor was removed within healthy tissues without cartilage resection. A strip of healthy skin around a benign tumor should be at least 3 mm. The surface of the cartilage at the bottom of the wound was examined under an operating microscope. The cartilage undamaged by the tumor had a smooth, shiny surface. Bleeding during the operation was minimal, stopped with the help of Surgitron, in the coagulation mode. In 1 patient with senile keratosis, in which the neoplasm was localized on the anterior surface of the auricle, the tumor was removed with a section of cartilage tissue. Conclusion. The use of the radio wave scalpel "Surgitron" in surgical interventions for outer ear neoplasms can reduce the time of the operation, reduce blood loss to a minimum, the time of wound epithelialization and the length of the patient's stay in the hospital. Comparison of the number of recurrences according to the result of using a radio wave scalpel and the classical surgical method (for tumor-like formations - 12% and 24.2%, respectively, for benign tumors - 8.3% and 40%, for malignant tumors - 30% and 70%) indicates a high effectiveness of surgical treatment using "Surgitron".

Case Study: COVID-19 Brain Fog or Auditory Processing Disorder?

Case Study: COVID-19 Brain Fog or Auditory Processing Disorder?

Probable fatal mastoiditis by the around 2300 year old Heidelberg's Egyptian mummy Djed-Hor

The universal use of computed tomography (CT) has opened up new possibilities in the noninvasive examination of human mummies, and particularly the detailed study of the fine structures of the temporal bone. The aim of this study was to describe the morphological changes, as seen on CT, found in the right temporal bone of Djed-Hor, an around 2300 year old Heidelberg's Egyptian mummy, and to discuss their possible causal relation to his death. Here we showed the presence of a compress on the auricle, and of probable pus in the mastoid, middle ear, and external ear with erosion of the tegmen tympani probably related to a fatal acute mastoiditis. These typical morphological changes of such a disease were demonstrated in the same way as in living patients of today. This would be the first depiction of a compress on an auricle associated with pus in the ear of an Egyptian mummy.

Uncommon congenital swellings around external ear in adults

Congenital cyst around external ear appearing in adulthood is rare condition. Such lesions arising around the external auditory canal that requires surgical excision are uncommon and their clinical and surgical management is often difficult because these anomalies have variable relationship with facial nerve. In this study, we investigated characteristics of congenital cysts of the external ear by analyzing their clinical and histo-pathological features. Here we described 3 unique cases with localization of an epithelial cyst, type 1 branchial cleft cyst and epidermal inclusion cyst in adults which are uncommon, congenital and rare.

Solitary trichoepithelioma of the external ear canal: A rare case report

Trichoepithelioma is a benign tumor originating from hair follicles. Histopathological examination is crucial in the diagnosis as it can be confused with basal cell carcinoma clinically. A 23-year-old female patient presented to our clinic with complaints of a mass at the entrance of the left external auditory canal, decreased hearing, and occasional ear bleeding for five years, starting after pregnancy. Physical examination revealed a purple-gray mass completely covering the left external auditory meatus. The histopathological examination of the mass, which was surgically excised, was reported as trichoepithelioma. In this article, clinical findings, diagnosis, and surgical treatment process of a case of trichoepithelioma, which is rarely observed in the external auditory canal, were presented in light of current literature.

The Auricular Injection Technique: A New Treatment for Lying Ear.

Lying-ear deformity refers to an auricle that bends backward excessively, is excessively folded against the head, and has a very prominent antihelix. It usually requires experienced surgeons to perform surgical treatment and a prolonged postoperative recovery process. This article proposes a simple and effective hyaluronic acid injection technique that significantly improves the shape of the outer ear and enhances perceived facial aesthetics. Twenty patients underwent treatment with multiple injections. Measure-related parameters were used to evaluate the postoperative effect, and the results were graded using a visual analog scale. Interrater reliability among graders was evaluated using intraclass correlation coefficients. After treatment, no serious complications, such as infection or embolism, occurred. Six months after the procedure, the average auriculocephalic angle increased from 25.11 ± 9.46 to 32.72 ± 8.29 degrees, the average conchoscaphal angle increased from 87.69 ± 9.06 to 95.94 ± 7.11 degrees, and patients' average visual analog scale score increased from 4.40 ± 1.14 to 8.57 ± 0.68. Interrater reliability was fair to good for visual analog scale before injection and 6 months after injection (intraclass correlation coefficients, 0.49 and 0.45, respectively; both P < 0.001). The patients were satisfied with the injection process and results. This injection protocol improved the shape of the outer ear, resulting in excellent postoperative outcomes.

Changes in the Long Noncoding RNA Expression Profile in the Development of the Embryonic External Ear After BMP5 Gene Mutation.

To understand the role of long noncoding RNA (lncRNA) gene regulation and changes in expression in mouse external ear embryonic development, a BMP5 short ear mouse model was used to measure changes in the lncRNA expression in the outer ear tissues of mouse embryos developed to E15.5 and E17.5 using high-throughput sequencing. The changes in lncRNA expression were identified using find_circ and CIRI2 software, and functional analyses were performed using gene ontology and the Kyoto encyclopedia of genes and genomes annotations of differentially expressed lncRNAs. The results show a correlation between the regulation of lncRNA and some key regulatory lncRNA changes after point mutations in BMP5 . This study provides new insights into the mechanism, by which lncRNAs regulate the development of the mouse's external ear. The change in lncRNA expression profiles can also provide clues for the study of the regulatory mechanisms of external ear embryonic development.

The phenotypic spectrum of terminal 6q deletions based on a large cohort derived from social media and literature: a prominent role for DLL1

BackgroundTerminal 6q deletions are rare, and the number of well-defined published cases is limited. Since parents of children with these aberrations often search the internet and unite via international social media platforms, these dedicated platforms may hold valuable knowledge about additional cases. The Chromosome 6 Project is a collaboration between researchers and clinicians at the University Medical Center Groningen and members of a Chromosome 6 support group on Facebook. The aim of the project is to improve the surveillance of patients with chromosome 6 aberrations and the support for their families by increasing the available information about these rare aberrations. This parent-driven research project makes use of information collected directly from parents via a multilingual online questionnaire. Here, we report our findings on 93 individuals with terminal 6q deletions and 11 individuals with interstitial 6q26q27 deletions, a cohort that includes 38 newly identified individuals.ResultsUsing this cohort, we can identify a common terminal 6q deletion phenotype that includes microcephaly, dysplastic outer ears, hypertelorism, vision problems, abnormal eye movements, dental abnormalities, feeding problems, recurrent infections, respiratory problems, spinal cord abnormalities, abnormal vertebrae, scoliosis, joint hypermobility, brain abnormalities (ventriculomegaly/hydrocephaly, corpus callosum abnormality and cortical dysplasia), seizures, hypotonia, ataxia, torticollis, balance problems, developmental delay, sleeping problems and hyperactivity. Other frequently reported clinical characteristics are congenital heart defects, kidney problems, abnormalities of the female genitalia, spina bifida, anal abnormalities, positional foot deformities, hypertonia and self-harming behaviour. The phenotypes were comparable up to a deletion size of 7.1 Mb, and most features could be attributed to the terminally located gene DLL1. Larger deletions that include QKI (> 7.1 Mb) lead to a more severe phenotype that includes additional clinical characteristics.ConclusionsTerminal 6q deletions cause a common but highly variable phenotype. Most clinical characteristics can be linked to the smallest terminal 6q deletions that include the gene DLL1 (> 500 kb). Based on our findings, we provide recommendations for clinical follow-up and surveillance of individuals with terminal 6q deletions.

Identification of a homozygous frameshift mutation in the FGF3 gene in a consanguineous Iranian family: First report of labyrinthine aplasia, microtia, and microdontia syndrome in Iran and literature review.

To date, over 400 syndromes with hearing impairment have been identified which altogether constitute almost 30% of hereditary hearing loss (HL) cases around the globe. Manifested as complete or partial labyrinthine aplasia (severe malformations of the inner ear structure), type I microtia (smaller outer ear with shortened auricles), and microdontia (small and widely spaced teeth), labyrinthine aplasia, microtia, and microdontia (LAMM) syndrome (OMIM 610706) is an extremely rare autosomal recessive condition caused by bi-allelic mutations in the FGF3 gene. Using the whole-exome sequencing (WES) data of the proband, we analyzed a consanguineous Iranian family with three affected members presenting with congenital bilateral HL, type I microtia, and microdontia. We discovered the homozygous deletion c.45delC in the first exon of the FGF3 gene, overlapping a 38.72 Mb homozygosity region in chromosome 11. Further investigations using Sanger sequencing revealed that this variant co-segregated with the phenotype observed in the family. Here, we report the first identified case of LAMM syndrome in Iran, and by identifying a frameshift variant in the first exon of the FGF3 gene, our result will help better clarify the phenotype-genotype relation of LAMM syndrome.

Overall outcome of Modified Radical Mastoidectomy (MRM)

Aims: To compare overall findings of our Modified Radical Mastoidectomy (MRM) practice with the available contemporary standards of international recognition. Design and Methodology: The cohort included the patients who underwent Modified Radical Mastoidectomy from 2013 to 2018 by the author, who were subjected to a retrospective study. The details obtained from clinic reports were preoperative and postoperative hearing (documented to the end of the fourth post op year), and findings that were documented intraoperatively and post operatively in successive clinic visits. The parameters analysed were hearing improvement, disease extension, anatomical variations, immediate and late post-operative complications. Result: There were no evidence of recurrence following the surgical intervention. Postoperative mean air-bone gap had reduced by 9.5dBHL, 5dBHL, 7.44dBHL, 4.9dBHL, 4.1dBHL, 3.75dBHL and 8.18dBHL at 0.125kHz, 0.250kHz, 0.5kHz, 1kHz, 2kHz, 4kHz and 8kHz respectively. Disease involvement was found in Attic, Antrum, Sinus tympani, facial recess, mesotympanum, oval window and posterior sinus, supra tubal recess, sinodural angle cells, sinus sub tympanum, external ear canal, in the descending order of occurrence. 36 audited patients achieved dry ears by the end of second year though some had at least one intermittent wet episode and 4 had continuous persistent wet ears. Intraoperative findings analysis showed 2.5% were observed with perilymph leak, 27.5% had erosion of malleus head by disease, 55% had erosion of incus, 90% intact suprastructure, 97.5% had intact stapes foot plate, 15% had significant dural overhang, 10% had exposed facial nerve, 10% had anterior sigmoid sinus and 2.5% had exposed dura. Immediate post intraoperative complications of 7.5% HB grade 1 facial nerve palsy, 42.5% taste alteration, 5% CSF leak, 25% complaining of disturbing head ache, 7.5% having exposed dura (iatrogenic), 7.5% had dressing removed due to risk of pressure necrosis of pinna or developing Facial nerve palsy and 2.5% (one) patient had the meatus migrating downward due to a connective tissue problem of skin. During post-operative period stitch abscess was noted among 5%, achieved self-cleaning dry ear in 15%, wax build up in the dry ear in 10%. However, over 50% patients had minimum of 1 episode of wet ear in this period. Meatal stenosis and keloid development was noted among 10% and, graft perforation among 20% and 2.5% (one) wound dehiscence. During post-operative period 7.5% developed BBPV and similar percentage had caloric effect during packing of the cavity while 22.5% developed caloric effect during suction of the cavity. Conclusions: The improvements in hearing when adjunct with Tympanoplasty in this audit keep up with recent compared studies. Further its ability to safely achieve a disease free ear is endorsed and complemented by the low complication rates.

Real-ear Unaided Gain in Wrestlers with Unilateral Cauliflower Ear

Background and Aim: Real-Ear Unaided Gain(REUG) can reveal the outer-ear resonance which reflects the effects of body and ear factors. Deformity in the outer ear may change the real-ear unaided responses. Cauliflower ear is a common ear deformity in wrestlers. Therefore, the use of required hearing aid gain in people with hearing loss for people with cauliflower ears may be inaccurate and causes dissatisfaction. This study aimed to compare the REUG of normal and cauliflower ear in wrestlers to investigate the frequencies at which the gain may be inaccurate.&#x0D; Methods: Ten male wrestlers with the age ranged from 21 to 31 years participated in this study. The study had within-subject design and only one group. The REUGs was recorded for both ears (normal and cauliflower ears) and the results analyzed.&#x0D; Results: The mean of REUG values were significantly different between the deformed and normal ears. There were two distinct peaks in the REUG curve of the deformed ear, while there was a single peak in that of the normal ear.&#x0D; Conclusion: The differences in the REUG at 2–6 kHz between the deformed and normal ears should be adjusted to reach the optimal hearing level for a hearing aid user with cauliflower ear.&#x0D; Keywords: Cauliflower ear; real ear unaided gain; hearing aid verification; target gain

The Middle Ear Microbiota in Healthy Dogs Is Similar to That of the External Ear Canal.

Otitis media can be a consequence of chronic otitis externa and could represent a perpetuating factor. While the microbiota of the EEC in healthy dogs and in the presence of otitis externa has been described, only sparse information is available concerning the normal microbiota of the middle ear. The objective was to compare the tympanic bulla (TB) with the external ear canal (EEC) microbiota in healthy dogs. Six healthy experimental Beagle dogs were selected based on the absence of otitis externa, negative cytology and bacterial culture from the TB. Samples from the EEC and TB were collected directly after death using a total ear canal ablation and lateral bulla osteotomy. The hypervariable segment V1-V3 of the 16S rDNA was amplified and sequenced with a MiSeq Illumina. The sequences were analyzed by the Mothur software using the SILVA database. No significant differences between the EEC and TB microbiota for the Chao1 richness index (p = 0.6544), the Simpson evenness index (p = 0.4328) and the reciprocal Simpson alpha diversity (p = 0.4313) were noted (Kruskal-Wallis test). A significant difference (p = 0.009) for the Chao1 richness index between the right and left EEC was observed. The microbiota profile was similar in the EEC and the TB of the Beagles.

Long-term ear-EEG monitoring of sleep - A case study during shift work.

The interest in sleep as a potential clinical biomarker is growing, but the standard method of sleep assessment, polysomnography, is expensive, time consuming, and requires a lot of expert assistance for both set-up and interpretation. To make sleep analysis more available both in research and in the clinic, there is a need for a reliable wearable device for sleep staging. In this case study, we test ear-electroencephalography. A wearable, where electrodes are placed in the outer ear, as a platform for longitudinal at-home recording of sleep. We explore the usability of the ear-electroencephalography in a shift work case with alternating sleep conditions. We find the ear-electroencephalography platform to be reliable both in terms of showing substantial agreement to polysomnography after long-time use (with an overall agreement, using Cohen's kappa, of 0.72) and by being unobtrusive enough to wear during night shift conditions. We find that fractions of non-rapid eye movement sleep and transition probability between sleep stages show great potential as sleep metrics when exploring quantitative differences in sleep architecture between shifting sleep conditions. This study shows that the ear-electroencephalography platform holds great potential as a reliable wearable for quantifying sleep "in the wild", pushing this technology further towards clinical adaptation.

Transauricular vagus nerve stimulation for patients with disorders of consciousness: A randomized controlled clinical trial.

Disorders of consciousness (DoCs) are a frequent complication of brain injury disease, and effective treatments are currently lacking. Transauricular vagus nerve stimulation (tVNS) has been proposed as a promising therapeutic method for neurological disorders such as epilepsy and depression. In our previous study, we demonstrated that vagus nerve stimulation promoted recovery in rats with DoCs caused by traumatic brain injury. However, the clinical effect of vagus nerve stimulation on consciousness disorders is unclear. We aimed to investigate the therapeutic efficacy and safety of tVNS in patients with DoCs. We conducted a randomized, double-blinded, sham-controlled trial. Patients (N = 60) with DoCs, including minimally conscious state (MCS) and vegetative state/unresponsive wakefulness syndrome, were enrolled and randomized to groups receiving either active or sham tVNS. A frequency of 20 Hz and pulse wave of 200 us was used in the active-tVNS protocol, which was performed in the auricular branch of the vagus nerve in the left outer ear. The sham-tVNS protocol was the same as the active-tVNS protocol although without current input. Both groups of patients also received conventional treatments. Consciousness was evaluated according to the Coma Recovery Scale-Revised before and after the 4-week intervention. We also recorded the type and number of behavioral responses. Safety was primarily assessed according to the incidence of treatment-emergent adverse events. Each patient's heart rate and blood pressure were monitored during all treatment sessions. Ultimately, 57 patients completed the study: 28 patients underwent active tVNS and 29 patients underwent sham tVNS. No significant differences were observed in Coma Recovery Scale-Revised scores between the active- and sham-tVNS groups before the tVNS sessions. Compared with patients in the sham-tVNS group (9.28 ± 4.38), patients with DoCs treated with active tVNS showed improved consciousness (10.93 ± 4.99), although not statistically significant. Further analysis revealed obvious differences between patients with MCS receiving active and sham tVNS, but no significant difference in patients with vegetative state/unresponsive wakefulness syndrome in both groups. All side effects were considered common medical conditions with no obvious correlation to tVNS. These preliminary data provide early evidence that tVNS may be an effective and safe approach for promoting the recovery of consciousness, especially in patients with MCS. https://www.chictr.org.cn/edit.aspx?pid=175938&htm=4, identifier: ChiCTR2200066629.

The Predictive Value of a Modified Frailty Index on Perioperative Morbidity and Mortality Following Otologic Surgery.

Recently, determinants of frailty have become an increasingly recognized perioperative risk stratification tool. This study examines the predictive value of a 5-factor modified frailty index (mFI-5) on perioperative morbidity and mortality in patients undergoing otologic surgery, with a subgroup analysis based on surgery site. Cross-sectional analysis. National surgical quality improvement program dataset 2005-2019. Current procedural terminology (CPT) codes were used to identify patients undergoing all otologic surgeries. Otologic surgeries as indicated by CPT codes, including external ear, middle ear/mastoid, implants, and inner ear/facial nerve subgroups. Primary outcomes examined in this study included rates of overall complications and life-threatening complications within 30 days after surgery. Overall complications included superficial surgical site infections (SSI), deep incisional SSI, readmission, deep vein thrombosis, life-threatening complications, and mortality. Life-threatening complications included those classified as Clavien-Dindo grade IV: cerebrovascular accident, mechanical ventilation for more than 48 hours, reintubation, pulmonary embolism, acute renal failure, cardiac arrest, and myocardial infarction. A total of 16,859 patients who underwent otologic surgery were identified, resulting in a cohort that was 47.5% male with an average age of 47.6 years (17.1 SD). Multivariable regression analysis of the entire cohort demonstrated a score of 3 or more on the mFI-5 was independently predictive of all postoperative complications (odds ratio (OR): 2.02, P < 0.0001). However, subgroup analysis showed that only "external ear" surgery correlated with mFi-5 (OR 8.03, P = 0.013). Higher frailty scores as measured by the mFI-5 correlate with postoperative morbidity and mortality after otologic surgery, though subgroup analysis reveals an association only with cases performed on the external ear. These findings suggest that for most otologic surgery, the mFI-5 frailty score is not predictive of postoperative complications.

Radiologic Imaging of Pediatric Hearing Loss

Hearing loss in childhood has serious consequences for the entire development of the child. It is very important to make an accurate early diagnosis. The assessment usually includes physical, genetic, and radiological examination. In imaging diagnostics, CT, Cone Beam CT and or MRI of the petrous bone are the usual imaging modalities for the assessment of diseases of mastoid air cells, middle ear, external ear, the cochlea, the vestibulocochlear nerve, and the brain.

Histoplasmosis of the External Auditory Canal

This report describes the diagnosis and treatment of a patient with a rare fungal infection of the external ear, as well as a review of the literature. A 76-year-old Caucasian gentleman from rural southern United States with diabetes and hypertension was referred to our clinic for intractable left otalgia, otorrhea, headaches, and an exophytic lesion in the left external ear since five months. There was no pertinent travel history. Biopsy by an outside otolaryngologist was inconclusive. Repeat biopsy under anesthesia revealed morphological characteristics consistent with histoplasmosis. Intravenous amphotericin B and later oral antifungal agent voriconazole led to improvement in symptoms. The clinical presentation resembled a malignancy. A high index of clinical suspicion, histologic confirmation with deep tissue biopsy, and culture are essential for diagnostic confirmation followed by treatment with systemic antifungals. A multidisciplinary team approach is necessary to manage this rare condition.

Ear disease in pet rabbits

Background: Ear disease is a common presenting condition in pet rabbits in veterinary practice and can involve any or all parts of the ear – the external ear canal, the middle ear and the inner ear. Our knowledge of ear disease in this species has advanced significantly over the past 10 years, with recent and relevant publications reported in the literature. A higher incidence occurs in lop‐eared rabbits, thought to be due to their pinna anatomy (Johnson and Burn 2019).Aim of the article: This article reviews rabbit ear disease, focusing on clinical signs, diagnostics and treatment in pet rabbits. Clinical signs may vary depending on the severity, chronicity and anatomical location and range, from ear scratching and head shaking with otitis externa, to facial muscle contracture and neurological deficits with otitis media. The diagnosis of ear disease is also covered in this article, which is based on clinical signs and clinical examination findings, along with diagnostic imaging, ear cytology and culture. Treatment options for rabbits with ear disease are outlined as well; these vary depending on the clinical signs, disease location and severity. Prompt diagnosis and treatment of ear disease in pet rabbits is essential to avoid progression of disease and clinical signs. This article is a useful overview for all veterinary staff treating pet rabbits in veterinary practice.

Descriptive Anatomical Variant of The Superficial Temporal Artery in Temporoparietal Fascia Flap in Microtia Reconstruction

Introduction: Single-stage microtia auricular reconstruction is becoming more relevant. The determining factor is a temporoparietal fascia flap (TPF) with both branches of the superficial temporal artery (STA). There are not many studies regarding vascular branching and their relation with the frontal branch of the facial nerve, hence our study Materials and Methods: Anatomical study on TPF flap harvested during single-stage endoscopic assisted microtia auricular reconstruction from May 2018 to July 2021. Flaps were observed under microscope. Variables (vascular size, number of frontal/parietal branches, distance from branching location to estimated external ear canal, distance from frontal artery to projected course of facial nerve’s frontal branch etc.) and demographic information were obtained Results: Fifty-five flaps from 54 patients were included into the study. 50/55 (90,9%) had parietal branch and 55/55 (100%) had frontal branch with mean diameter of 0.98 and 0.91 mm respectively. Regarding frontal branch, 1.8%, 25.5%, 50.9%, 16.35, 5.45% had 0-4 traverse frontal branch(es), respectively. The mean distance from the frontal artery to the estimated course of the facial nerve’s frontal branch was 10.56 mm. 5/16 flaps that missing or small parietal/frontal branch (<0.5mm) had small necrosis while only 2/39 remaining flaps do, which is statically significant (p=0.018). All said necrosis were successfully repair with local flap, and no framework was removed. One case had nerve damage during flap harvest Conclusion: Detail anatomical description of the STA allow arterial-based flap designing and harvest, which in turn tremendously improve surgical success rate by diminishing flap necrosis and nerve damages.

Grid-agnostic personalized head-related transfer function modeling with neural fields

The spatial filtering effect brought on by sound propagation from the sound source to the outer ear is referred to as the head-related transfer function (HRTF). The personalization of HRTF is essential to enhance the personalized immersive audio experience in virtual and augmented reality. Our work aims to employ deep learning to predict the customized HRTF from anthropometric measurements. However, existing measured HRTF databases each employ a different geographic sampling, making it difficult to combine these databases into training data-hungry deep learning methods while each of them only contains dozens of subjects. Following our previous work, we use a neural field, a neural network that maps the spherical coordinates to the magnitude spectrum to represent each subject’s set of HRTFs. We constructed a generative model to learn the latent space across subjects using such a consistent representation of HRTF across datasets. In this work, by learning the mapping of the anthropometric measurements to the latent space and then reconstructing the HRTF, we further investigate the neural field representation to carry out HRTF personalization. Thanks to the grid-agnostic nature of our method, we are able to train on combined datasets and even validate the performance on grids unseen during training.