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Reasons for rejection of BAHA in patients with unilateral hearing loss

Ever since Tjellström first developed the procedure of BAHA implantation, the techniques have come a long way towards faster and more convenient surgical methods to offer better hearing for a wide variety of conditions. Unilateral hearing loss has now been...

Serum urea and epistaxis

This was a small retrospective review from Swansea looking at 278 patients who attended a teaching hospital Accident and Emergency department with a diagnosis of epistaxis. Only 119 of these patients had their serum urea measured. The investigators found that...

Hearing aids or grommets for children with OME?

Otitis media with effusion is a highly prevalent condition in children and recurrence often occurs after surgical treatment with grommets. Repeated grommet insertion has its own problems of infection, perforation and scarring of the tympanic membranes, and continuity of providing...

When ears go bad

Whilst rare, squamous cell carcinoma is the commonest primary malignancy of the temporal bone and is discussed in this review article. This tumour frequently presents with otalgia, ottorhoea and hearing loss; less commonly, with facial palsy or parotid mass. Investigations...

The artificial eardrum: how an eggshell membrane fed a German ENT family

In the pre-antibiotic era, purulent otitis media often resulted in a permanent eardrum perforation with hearing loss. In addition to pig or fish bladders, eggshell membranes and cigarette paper were used as eardrum prostheses. I have vivid personal boyhood memories...

Early DCR may be better than delayed in acute dacrocystitis?

Traditionally, acute dacrocystitis has been treated conservatively with antibiotics, analgesia and warm compresses, with surgery reserved for later when the infection has subsided. This meta-analysis looks at early vs. late endonasal dacrocystorhinostomy (DCR) in the treatment of acute dacrocystitis, looking...

Safety factors in use of balloon tuboplasty

Various medications used to restore eustachian tube function have unpredictable results and these are often disappointing. Balloon dilatation of eustachian tube came around 2010 but has not really gained momentum, mainly due to apprehended complications. In this review article, the...

Cambodian Otology Fellowship report

Further to a Humanitarian News article published in the November/December 2014 issue of ENT and Audiology News (see article here), this is a report of Charlie Huins’ six-month experience as the first ENT Fellow at the Children’s Surgical Centre (CSC),...

The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management - Second Edition

Medical coding has been complex, evolving, and less understood by many, although it affects every medical practitioner practice in the United States. This book presents with the essentials of coding and billing for the otolaryngologist, thereby making it efficient and...

Hearing: An Introduction & Practical Guide

Hearing: An Introduction & Practical Guide presents a concise overview of the anatomy, physiology, and assessment methods of hearing. It then goes on to delineate and explore the most common pathologies, disorders and management approaches related to hearing impairment. This...

Transoral laser microsurgery (TLM)

This review article describes the surgical technique of transoral laser microsurgery (TLM) for the piecemeal removal of tumours of the upper aerodigestive tract using carbon dioxide laser. This technique gained acceptance after Wolfgang Steiner published his paper on the treatment...

Prognostic value of neutrophil-to-lymphocyte ratio in HPV-positive oropharyngeal cancer

The authors propose that high neutrophil-to-lymphocyte ratio (NLR) is associated with poor disease-free survival (DFS) in patients with human papillomavirus positive (HPV+) oropharyngeal cancer (OPC). This is a retrospective study that compared the outcomes of 43 patients treated for HPV+...