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The degree of barbecue rotation matters in horizontal canal BPPV
Treatment of horizontal canal BPPV (Hc-BPPV) is not without controversy due to the several repositioning manoeuvres advocated for its treatment. Among the many, barbecue rotation (Br) is perhaps the most commonly used for canalithiasis of Hc-BPPV. Should the rotation be...
Sham controlled trial: BPPV
I was drawn to this study and it proved an enlightening read; it also is a good example of where recommendations of a Cochrane review for long-term evidence of benefit have been acted upon! The study looked at the efficiency...
Does surgery work for acquired stenosis of the ear canal in the long term?
The surgical treatment of acquired post-inflammatory atresia of the external auditory canal (EAC), namely meatoplasty, is challenging with variable long-term outcome. This study looked at the clinical, audiological data, long-term outcome and patient satisfaction after performing meatoplasty. Sixteen patients were...
Septal surgery made easy?
The injecting of the greater palatine canal has been documented for some time. The authors in this paper expand this to the more common procedure of the septoplasty. They summarise the pros and cons published regarding the technique in sinus...Mastoid surgery for cholesteatoma
Landmark Paper: Toner JG, Smyth GDL. Surgical Treatment of Cholesteatoma: a comparison of three techniques. Am J Otol 1990;11(4):247-9. Canal wall up or canal wall down? Chris Aldren discusses the landmark paper that attempted to provide a definitive answer for...Endoscopic ear surgery in children
The benefits of endoscopes in otologic surgery, which have become increasingly widely appreciated in recent years, are very well suited to the management of paediatric middle ear disease. Although one might imagine that the smaller ear canal of a child...ENT In This Issue - Identity
Guest Section Editor Katherine Conroy, MA (Cantab) MB BChir FRCS (ORL-HNS), Wythenshawe Hospital, Manchester, UK. Identity is a nebulous concept that has engrossed philosophers since ancient times. It is, at once, how we feel about ourselves and how others perceive...Recent changes in vestibular science and assessment
Clinical assessment of the dizzy or imbalanced patient is all about the patient’s history. History, history, history. But what about puzzling cases when we feel we need more information? Sally Rosengren gives us a rundown of the vestibular tests which...
Imagine a future without hearing loss
This article reflects on both the past 20 years and the next 20 years of research and service provision for children who are deaf or hard of hearing. The authors describe how universal newborn hearing screens have had a dramatic...The role of objective measures and imaging to optimise cochlear implant outcomes
Should we be using new or novel objective measures and imaging to assist with our cochlear implant patients? Debi Vickers and Shak Saeed describe current clinical techniques and present advances that have the potential to optimise outcomes. Introduction It is...Implicit bias in audiology and wider healthcare
What is implicit bias and how might it affect patient outcomes in hearing healthcare? Yovina Khiroya provides insight into the terminology and the effect on people and service delivery. As much as possible within healthcare, we try to reduce implicit...
