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2622 results found

Non-surgical and surgical management of arytenoids granuloma

Arytenoid granulomas are often a sequelae of laryngopharyngeal reflux (LPR). Unless there is suspicion of malignancy, they require a very balanced approach between conservative management and surgical intervention. The authors present a series of 62 patients with whom the primary...

Do intranasal corticosteroids resolve eustachian tube dysfunction?

Eustachian tube dysfunction is a widely prevalent problem, both in children and adults. In many ways, it affects the quality of life in terms of earaches, feeling of blockage and variable hearing. Use of intranasal corticosteroids is customary but whether...

Temporal bone fractures in children – are we doing enough?

This is a retrospective study which assessed clinical presentation and prognosis in 91 children under the age of 18 who developed temporal bone fractures from trauma, the commonest of which was falls from heights followed by motor vehicle accident. The...

The future of inner ear drug delivery

The techniques for delivering drugs to the inner ear system are evolving. Jeffrey Harris considers the myths, the facts and the potential for drug delivery innovations and how they can improve tomorrow’s hearing outcomes. The inner ear’s delicate membranous structure,...

The first nine months: why early hearing matters more than ever

Why 1-3-6 and 9? They are arguably crucial intervention stages. Here, new science is explored which weaves together the threads of early intervention. Imagine a newborn gazing at their caregiver’s face, hearing their voice and feeling the rhythm of their...

Cochlear Implant Patient Assessment: Evaluation of Candidacy, Performance, and Outcomes – Second Edition

The second edition of Cochlear Implant Patient Assessment aims to become a point of reference for all professionals involved in assessing cochlear implant candidacy and interested in broadening their knowledge to maximise the hearing capabilities of their patients. This book...

Identifying CN IX and X using endotracheal tube electrodes

This clinical study describes the possible usefulness of endotracheal tube electrodes in monitoring vocal cord function during cerebellopontine angle surgery in 20 patients. Lower cranial nerves, especially IX and X are at risk of injury during skull base surgery although...

Waiting for smell to recover after post-viral hyposmia

The patient with post-viral anosmia will always want to know how long they must wait to reach a plateau. This study from South Korea of a comparatively small group (20 controls and 63 patients) tells us that favourable prognostic indicators...

Management of patients with advanced otosclerosis

This paper discusses the management options of advanced otosclerosis. There are several definitions for advanced otosclerosis in the literature but, more recently, the diagnosis of advanced otoscletosis has been reserved for patients who have less than 30% aided speech discrimination...

Effect of stimulation levels on speech recognition and auditory threshold performance

When programming a Cochlear® device, two measurements are normally assessed. T levels relate to the quietest sound the CI user can hear i.e. thresholds, and C levels are comfortable levels which are tolerable for the CI user. If these levels...

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,...

Auricular acupuncture for tinnitus

Acupuncture has long been suggested as a complementary option for tinnitus, but its effectiveness remains uncertain. This systematic review analysed 57 studies published between 1975 and 2023, drawn from an initial 167 identified. The studies were highly variable, ranging from...