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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...
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...Portable otoscopy image capture devices – a comparative review
The use of photo documentation in ENT clinics is becoming more common as technological advances have made the hardware required more accessible. There is significant variation in the price of products. Daniel Moualed, Olivia Whiteside and Chris Aldren review the...
Laryngeal and Tracheobronchial Stenosis
Management of patients with laryngeal and tracheobronchial stenosis is extremely challenging and complex and truly requires a multidisciplinary approach in its management. This book, written by experts in their respective fields, provides a detailed and up-to-date overview of the subject...
Head & Neck Endocrine Surgery: A Comprehensive Textbook, Surgical, and Video Atlas
Head & Neck Endocrine Surgery: A Comprehensive Textbook, Surgical, and Video Atlas is a 500-page textbook covering most aspects of thyroid and parathyroid surgery, edited by Prof David Goldenberg, a head and neck surgical oncologist based in Pennsylvania, USA. It...
Epley Manoeuvre: number of times it is required and its diagnostic value
Benign paroxysmal positional vertigo is a common condition but if inadequately treated or wrongly diagnosed, can prolong the distressing symptoms of momentary dizziness, nausea and visual disturbances which can be due to other causes and deteriorate quality of life. Studies...
All about velopharyngeal dysfunction
The velopharynx functionally separates the oral from the nasal cavities. Inadequate or abnormal function of this muscular valve affects speech and swallow. Velopharyngeal dysfunction can be subdivided into insufficiency, incompetence and mislearning. This is a review paper and indeed a...
Horizontal nystagmus: vestibular neuritis or lateral canal BPPV?
A horizontal nystagmus due to lateral canal (LSC) BPPV that is present in the upright position, that changes direction with head turn in the horizontal plane has been termed ‘pseudo-spontaneous nystagmus’ (PSN) because it mimics that of vestibular neuritis. The...
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...
Successful laser treatment of a laryngeal cause of dizziness
Dizziness is often considered to be a condition that is best managed by physicians or otologists. This case report describes an unusual cause of presyncope successfully treated by a laryngologist. The patient in question was a 45-year-old member of the...
