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Botulinum toxin injection for bilateral recurrent laryngeal nerve paralysis
All traditional surgical treatments for bilateral recurrent laryngeal nerve (RLN) paralysis are essentially a balance between maximising airway patency and ensuring adequate phonation / airway protection. This paper highlights the potential role of botulinum toxin (Botox) injection into the cricothyroid...Database WG2. The Tinnitus Patient Database in the TINNET COST Action BM1306
Berthold Langguth describes an innovative project that is creating the world’s largest multi-national patient database containing standardised information on tinnitus and medical history, otological examination and psycho-acoustic measures of tinnitus. A challenge for tinnitus treatment and tinnitus research is the...
Role of high-resolution CT scans in the management of cholesteatoma
This review article has looked at 15 publications, comparing features noted in high-resolution CT (HRCT) scans of patients having cholesteatoma with actual intraoperative findings. This comparison was used to assess sensitivity and specificity of various abnormalities picked up by HRCT...The art and science of acoustic ecology
Aki Pasoulas summarises the diverse forms and approaches of the relatively new and expanding area of acoustic ecology, a discipline that studies the relationship between living beings and their sonic environment. Sound Ecology emerged in the late 1960s through the...
Percutaneous tracheostomy in anticoagulated patients
This Belgian study looked at the risks and complications of bedside percutaneous tracheostomy in patients who received anticoagulant therapy. The 231 tracheostomies included in the study were performed over an eight-year period by two otolaryngologists using bronchoscopic guidance. The mean...
JLO surgical video: right selective neck dissection levels 2-5
Surgical training has become more challenging following the introduction of the European Working Time Directive. The consequences of reducing the amount of time we operate has driven us to look for other resources to fill this gap. These initially began...Pre-hospital care
For those of us that work within the acute hospital system, the sound of the trauma pager going off warning of an incoming casualty with as yet unknown injuries is often the sound of uncertainty and anxiety. When it becomes...
Early cochlear implant activation and its effects on the cochlea
In this article, Alhabib et al consider the changes to electrode impedance with early device activation (day one) compared to conventional activation (day 30). Activation at day 30 is a cautious approach, which has been popular for many years. However,...Current update on vestibular and balance disorders in children
Vestibular and balance disorders in children with hearing loss often go unrecognised. This article describes the significant impact such disorders have on the various aspects of children’s development. Vestibular and balance disorders occur in the paediatric population but can go...
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...
Radiofrequency for tonsillectomy
This Turkish study compared the use of radiofrequency (RF) tonsillectomy to the more traditional cold steel dissection (CD) technique. The authors enrolled 114 patients undergoing tonsillectomy for chronic tonsillitis and tonsil hypertrophy (causing upper airway obstruction) over a 4-month period....
