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Vascular vertigo and dizziness: diagnostic criteria

3 November 2022 | | Neurotology | Vertigo, brainstem, cerebellum, dizziness, imbalance, infarction, stroke
This diagnostic criteria is one of the latest produced by The Bárány Society. It is a useful addition to previous ones for vestibular disorders. Vascular vertigo/dizziness by definition is caused by stroke, transient ischaemic attack (TIA), isolated labyrinthine infarction/haemorrhage and...

Narrow band imaging in laryngopharyngeal reflux

27 February 2020 | | Head and Neck, Laryngology / Swallowing / Voice | Crypt inflammation, Laryngopharyngeal reflux, Lingual tonsil hypertrophy, Reflux finding score
Narrow band imaging (NBI) is a tool on the Olympus endoscopic systems that uses blue and green wavelengths to enhance visualisation of mucosal vasculature. It has been used to aid in the early diagnosis of upper aerodigestive tract cancers. A...

Intratympanic steroids in Ménière's disease: what’s the evidence?

2 September 2022 | | ENT, Audiology - Diagnostic, Audiology - Adult, Otology
The days of drastic surgery for Ménière's disease are long gone. We know that intratympanic injections can deliver high doses of medication to the inner ear with minimal discomfort and minimal risk. But how do we choose from the myriad...

Some guidelines for treating rhinological patients during the COVID-19 pandemic

7 July 2020 | | Rhinology / Sinus, COVID-19
This is a very interesting and informative multinational European guide to the treatment of rhinology patients during the current pandemic, describing the safe delivery of a rhinological service to patients. Much of this has become well understood and standard practice...

Audiology in this issue...Hyperacusis (Jan/Feb19)

1 January 2019
Audiologists, otologists, and auditory neuroscientists are accustomed to dealing with problems of hearing loss but, until recently, little attention has been given to the experience of hearing sound too intensely. This experience is variously given the names hyperacusis, and reduced or decreased sound tolerance, and the affected individual finds everyday sound intensely and excruciatingly loud, rendering workplaces, shops, and social spaces intolerable.

Migraine related vertigo

1 November 2015 | | ENT, Vestibular Disorders
Migraine is one of the commonest conditions an otologist will have to manage with up to half of migraineurs displaying vestibular symptoms. David Selvadurai provides an overview and management plan for this increasingly well recognised disorder. Migraine is a common...

Vestibular rehabilitation therapy: diagnosis based strategies

1 November 2015 | | Audiology - Adult, Audiology - Diagnostic, Vestibular Disorders
In his second article on this topic (see here for the first article), Richard E Gans explains how to use vestibular rehabilitation therapy to treat vestibular patients, and demonstrates why this method of diagnosis based strategies has proved so successful....

Patient initiated follow-up in head and neck cancer

3 May 2024 | | ENT, Head and Neck
Is it time for a change in the way we follow up head and neck cancer patients after treatment? Paul Nankivell and Hisham Mehanna explain the rationale for the PETNECK2 trial. After completion of curative intent treatment, clinical follow-up currently...

Decreased sound tolerance in autism: understanding and distinguishing between hyperacusis, misophonia, and phonophobia

3 May 2022 | | Audiology - Diagnostic, Audiology - Paediatric
Decreased sound tolerance (DST) affects a significant proportion of autistic people throughout their lifetime and, as Zachary J Williams explains, it is important that clinicians are aware of the three distinct subtypes of DST when making a diagnosis. Autism spectrum...

Facial pain: the differential diagnosis in an ENT clinic

1 July 2016 | | ENT, Rhinology / Sinus
The patient presenting with facial pain can be a heartsink. Fear not – Bhaskar Ram and Sangeeta Maini are here with a succinct overview of the common non-sinogenic causes of facial pain and headache, and how to manage them. Facial...

Congenital CMV: investigations and management in the audiology setting

1 July 2017 | | Audiology - Paediatric, Audiology - Diagnostic, Vestibular Disorders
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...

Psychogenic vestibular disorders: understanding and management

1 May 2019 | | Audiology - Adult, Vestibular Disorders
‘Psychogenic vestibular disorders’, also known as ‘functional vertigo and dizziness’, are common causes of dizziness and balance difficulty. Although our understanding of their underlying pathophysiology remains incomplete, Drs Diego Kaski and Amy Edwards outline how early identification and positive diagnosis...