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Annals of Otology, Rhinology & Laryngology journal cover image.

Lost and sound: exploring hyperbaric oxygen therapy for refractory SSNHL

4 July 2024 | | Audiology - Adult, Neurotology, Otology, Vestibular Disorders
Can hyperbaric oxygen therapy (HBOT) offer a breakthrough for patients with refractory sudden sensorineural hearing loss (SSNHL)? SSNHL is defined as acute hearing loss of ≥30 decibels in three consecutive frequencies within three days. Typically, it’s treated with two weeks...

Have we reached our limits in endoscopic skull base surgery?

1 November 2017 | | ENT, Head and Neck, Skull Base Surgery
As being an anterior skull base surgeon becomes the aspiration of many ENT trainees, Professor Nicolai gives his personal insights into the future for this exciting subspeciality. Having been directly involved in the evolution of transnasal endscopic surgery (TES) since...

Intratympanic treatments for subjective idiopathic tinnitus

24 May 2017 | | Audiology - Adult, ENT, Otology, Tinnitus
Direct application of medication into the ear is long established, going back as far as written records. In the modern era, greater understanding of aural anatomy revealed that drugs instilled in the middle ear could potentially diffuse into the cochlea...

Parathyroidectomy

1 July 2017 | | ENT, Head and Neck, Thyroid / Parathyroid Surgery
Many ENT head and neck surgeons are now involved in thyroid surgery. This can also include the need to explore the parathyroids, either to preserve them or indeed to resect parathyroid adenomas. David Smith, a highly experienced endocrine surgeon from...

Thyroid ultrasound elastography: does nodule stiffness predict malignancy?

1 May 2014 | | ENT, Thyroid / Parathyroid Surgery
Approximately 50% of the general population has a thyroid nodule while 5-15% of these are malignant [1]. A major challenge, therefore, is how to detect the malignant nodules for appropriate, timely treatment and avoid unnecessary, costly investigations for the remainder....

Imaging tinnitus

1 May 2014 | | Audiology - Adult, ENT, Tinnitus
Tinnitus is a common sensation with a reported prevalence of 7-32%. The British National Study of Hearing recorded that 10% of adults suffered from prolong spontaneous tinnitus, and approximately a quarter of these are subsequently referred to hospital for investigation...

Recalcitrant chronic rhinosinusitis: What to do next?

1 July 2016 | | ENT, Rhinology / Sinus
Whilst the majority of patients with chronic rhinosinusitis (CRS) will significantly improve with treatment, we are sometimes left with a ‘hard-core’ of nasal cripples who fail to improve despite our best efforts. How can we deal with these patients? Valerie...

Measuring the pitch and loudness of tinnitus

24 May 2017 | | Tinnitus, Audiology - Adult
Matching the characteristics of tinnitus Many researchers and clinicians have explored the subjective nature of tinnitus by asking people with tinnitus to adjust a sound so that it matches their tinnitus in some way. This can be useful both for...

The future of inner ear drug delivery

1 May 2017 | | Audiology - Adult, Audiology - Paediatric, Otology
The techniques for delivering drugs to the inner ear system are evolving. Jeffrey Harris considers the myths, the facts and the potential for drug delivery innovations and how they can improve tomorrow’s hearing outcomes. The inner ear’s delicate membranous structure,...

Microneedles enable inner ear precision medicine

2 September 2022 | | Audiology - Adult, Otology
Developing safe, reliable and efficient ways to deliver therapeutics into the cochlea is a key challenge. In this article, the authors share their work to develop microneedles to address this challenge. The era of precision medicine of the inner ear...

Cambodian Children Surgical Centre: a junior’s perspective

7 January 2020 | | ENT, Audiology - Paediatric, Audiology - Adult, Audiology - Diagnostic, Otology
The Children’s Surgical Centre (CSC) is a Non-Governmental-Organisation (NGO) hospital situated in Phnom Penh, the capital of Cambodia. CSC was developed for landmine victims over 20 years ago by Dr Jim Gollogly after the dark period under the Pol Pot...

Use of a diode laser for the removal of a frontal sinus osteoma

1 November 2015 | | Rhinology / Sinus
In this How I Do It, Professor Sergei Karpischenko introduces a gentle method of reduction of mobilised frontal sinus osteoma which has been successfully used in five patients in his university clinic using a diode laser in contact mode. Osteoma...