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Tinnitus: Clinical and Research Perspectives

This book encapsulates the many facets of tinnitus from its enigmatic neurophysiological underpinnings to its cognitive effects and treatment approaches. The editors’ multidisciplinary approach in recruiting field experts from a variety of clinical and research backgrounds provides the reader with...

Role of fine needle aspiration cytology in the management of thyroid neoplasm

Fine needle aspiration cytology (FNAC) is a useful procedure in the assessment of thyroid swellings. This retrospective study was done at King Abdul-Aziz University hospital, King Saud University, Riyadh. The objectives of this study were: to determine the cytological pattern...

Medical information required with requests for CT scans of the temporal bones; a two cycle audit

It is a common experience that radiology reports on the CT scans of the temporal bones do not always reach a diagnosis. Various studies have produced differing results in that detailed information may not be necessary to help reach a...

Speech analysis via mobile phone – is there an app for that?

Experienced ENT surgeons will often be able to discern the likelihood of significant laryngeal pathology in a patient referred with dysphonia by the sound of their voice during the initial history-taking phase of a consultation. With the move earlier in...

Hearing preservation in CI, any predictors?

The electrically evoked compound action potential (eCAP), obtained non-invasively from cochlear implant (CI) recipients, represents a population response of the auditory nerve to electrical stimulation. The eCAP characteristics include threshold (the lower the better), growth of response (the steeper the...

It’s not just about academic education for teenagers with TBI

Research has shown that many traumatic brain injuries are sustained before the age of 25. This article aims to examine the need for speech and language support for students with traumatic brain injury (TBI) beyond the issues a student may...

Use of technological aids and interpretation services

Hearing loss attracts large interest among researchers all over the world due to its prevalence and negative psychological side-effects. Usually hearing loss is managed with hearing aids. However, there are several additional technologies that can be of great help for...

A raised neutrophil / lymphocyte ratio predicts vestibular schwannoma growth

It has long been known that the neutrophil to lymphocyte count ratio (NLR) is a marker of inflammation and that a higher ratio relates to poorer outcomes in some malignant tumours including some head and neck cancers. Neutrophilia (and therefore...

When should that child’s wet ear be operated on?

The team from Birmingham have provided a meta-analysis to answer the question of when to perform a type 1 tympanoplasty on chronic paediatric perforations (under 18 year olds). Forty-five studies were included which resulted in 2609 cases. Closure rate at...

Clinicopathological features of follicular variant of papillary thyroid carcinoma

The follicular variant (FV) of papillary thyroid carcinoma (PTC) is characterised by the presence of nuclear features of PTC together with a follicular growth pattern. It is currently reported to make up 11.8% to 53.3% of all PTC cases. It...

Congenital CMV: investigations and management in the audiology setting

Congenital cytomegalovirus (cCMV) is the only cause of congenital sensorineural hearing loss (SNHL) for which there is a medical treatment available to prevent further hearing loss. Dr Simone Walter discusses cCMV infection, cCMV-related hearing loss, and how to facilitate their...

Speculating on saliva during endoscopy

It has been noted that the presence of saliva in the pharynx and larynx during flexible endoscopic evaluation of swallowing (FEES) can be an indicator of increased risk of aspiration and consequent pneumonia, as well as weight loss and malnutrition....