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The first compact auriscope: the 1865 speculum auris of Dr Brunton

Bringing light into darkness can also be a task for the physician. With the advent of endoscopy (initially by reflecting light into body cavities), new methods of diagnosis and treatment became available to the otologist. In 1865, the Scotsman John...

Retrograde cricopharyngeal dysfunction (RCPD) - inability to burp: treatment with Botox injection

As unusual as it may sound, some people have great difficulty burping. We hear of one approach to tackling this problem. Retrograde cricopharyngeal dysfunction (RCPD) is a condition presenting with inability to burp, resulting in gaseous distension of the digestive...

Diagnosing and managing somatic tinnitus

Interactions between auditory and somatosensory pathways can lead to interesting tinnitus experiences which can be very bothersome. Dr Sarah Michiels describes her pioneering work in this area, and the possibilities of physiotherapy based therapy. Background Somatic (also called somatosensory) tinnitus...

Bone bridge conduction device for patients with bilateral microtia-atresia.

Management of microtia-atresia requires a multidisciplinary approach. Children normally require bone conduction hearing aid devices very early in life to improve and facilitate speech and language development. At a later stage, when the cranial bones have strengthened and become thicker,...

Paediatric idiopathic sudden sensorineural hearing loss

This Turkish retrospective study looked at the radiological and clinical characteristics, prognostic factors and treatment outcomes in children diagnosed with idiopathic sudden sensorineural hearing loss (ISSNHL). Forty-eight children were included over an eight-year period. Complete recovery (CR) was achieved in...

Preoperative unaided maximum monosyllabic word recognition score as a predictor of CI outcomes

This retrospective study supports early intervention and hearing rehabilitation with hearing amplification for adults. The authors included 103 patients (128 ears), who had undergone cochlear implantation over a seven-year period, in this study. All patients had been assessed for their...

Leisure listening does not affect the hearing of young people

The existing literature highlights concerns regarding the possibility of leisure activities involving listening to music on portable music players causing hearing loss. However, there is much speculation regarding actual effect. This article outlines a project involving young persons aged between...

Hearing preservation and device benefit following implantation of short or hybrid electrodes

Hybrid or short electrodes have increasingly been used in the literature in order to combine electrical with hearing-aid stimulation. However, hearing preservation of the residual low-frequencies are of utmost importance in this attempt. The present study compared hearing preservation and...

Adjuvant intratympanic steroid therapy in sudden sensorineural hearing loss

Sudden sensorineural hearing loss (SNHL) means abrupt hearing loss by 30dB affecting three consecutive frequencies within 72 hours. This is treated by high tapering doses of systemic steroids, the role of which is controversial and fraught with possible complications in...

Hearing preservation after Gamma knife in vestibular schwannomas

This retrospective study reports the outcomes of hearing preservation up to three years after Gamma knife radiosurgery for Gardner-Robertson Class I (SDS>70% and PTA <30dB) patients with vestibular schwannomas. The authors report that patients with no subjective or objective hearing...

Self-Assessment of Hearing - Second Edition

As an audiologist, I am often reminded of the estimated number of hearing aids that end up in patients’ drawers, rather than in their ears. Although the reasons for non-compliance with amplification are numerous and complicated, the patients’ reported perspective...

Post-Covid dizziness disability

An estimated 750 million people worldwide were affected by Covid-19. A significant proportion have been left with long-term symptoms for which the World Health Organization has proposed the term ‘post-Covid condition’ (PCC). Dizziness is but one of the symptoms. Dizziness...