MRI evaluation to assess the role of frusemide in reducing endolymphatic hydrops
1 July 2016
| Madhup K Chaurasia
|
Diuretics, Endolymphatic Hydrops, Gadolinium, Magnetic Resonance Imaging
Endolymphatic hydrops is generally considered to be a marker in Ménière’s disease and frusemide is used with the purpose of reducing it and improving symptoms. With the use of MRI, the authors have used the phenomenon of non-enhancing endolymphatic structures...
In-office KTP laser excision of a vocal process granuloma
1 July 2016
| Christopher Burgess
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Dysphonia, In-office surgery, KTP laser, Vocal process granuloma
The KTP laser is increasingly being used in an outpatient setting – particularly in North America – to treat various laryngeal pathologies including papillomas, leukoplakia, dysplasia and vascular lesions. This article reports the use of the KTP laser in the...
Radiosurgery for large vestibular schwannomas
1 July 2016
| Gauri Mankekar
The authors conducted a retrospective study of patients with large Koos grade 4 vestibular schwannomas undergoing gamma knife radiosurgery. A total of 68 patients with tumour size greater than 4 cm3 with baseline serviceable 60% hearing who received 12 Gray...
Stimulation for a good night’s sleep
1 July 2016
| Suzanne Biers
|
obstructive sleep apnea, neuromodulation, hypoglossal nerve stimulation
This article was an interesting read. It is an update from the authors’ original paper printed in the NEJM in 2014 regarding the results of an implantable pulse generator (IPG) for stimulating the hypoglossal nerve in response to respiration. This...
Imaging and embolisation of paragangliomas
Paragangliomas are rare tumours within the head and neck and any article which succinctly jogs the memory with respect to their existence and subsequent accurate diagnosis is welcome. This article concisely explains the imaging techniques used to diagnose these tumours...
Cochlear implantation in SSD
1 July 2016
| Anand Kasbekar
There are currently several trials for cochlear implantation (CI) in single-sided deafness (SSD) being undertaken to answer some of the questions this paper from New York raises. Who is best suited to receive one? What are their outcomes and how...
CT guided cochlear implant programming improves performance
1 July 2016
| Anand Kasbekar
There is currently no national (UK) consensus on imaging patients for cochlear implantation. This paper may change that. It has shown increased hearing and quality of life in paediatric cochlear implant (CI) users when the programming has been assisted by...
Do spreader grafts improve nasal airflow?
1 July 2016
| Suki Ahluwalia
This Portuguese study looks at pre- and postoperative peak nasal inspiratory flow (PNIF) in 72 consecutive patients undergoing septorhinoplasty surgery. The aim was to demonstrate the functional value of spreader graft insertion, the aesthetic value having already been confirmed. In...
Chronic rhinosinusitis and sleep
1 July 2016
| Suki Ahluwalia
This is an interesting article from the Chung Shan Medical University in Taiwan. One-hundred-and-thirty-nine patients were enrolled into this five-year study. They all had chronic rhinosinusitis with or without polyposis and underwent sinus surgery. The aim was to investigate a...
Effectiveness of oral pressure therapy in obstructive sleep apnoea: a systematic analysis
1 July 2016
| Vik Veer
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Apnea-hypopnea index, Obstructive sleep apnea, Oral pressure therapy, Treatment success rate
Oral pressure therapy (OPT) is a relatively new form of therapy for obstructive sleep apnoea (OSA). Paradoxically it seems to work even though it creates a vacuum in the oral cavity as opposed to the gold standard of continuous positive...
Open hearing-aid fittings or closed
There is always a balance between different types of hearing aids and their advantages and disadvantages that influence choice of device and ultimately user preference. Personal choice also plays a role when deciding on behind the ear or in ear...
The microbiological environment of the paranasal sinuses
1 May 2016
| Edward W Fisher
This article reviews the ecology of the sinuses and tries to make sense of the confusing literature on the subject. This covers the details of molecular studies, particularly those which attempt to differentiate normal sinuses from those in patients with...
