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Endoscopic stapes surgery - pearls and pitfalls

4 May 2021 | | Otology | Endoscopic ear surgery, Middle ear disease, Stapedotom, Surgical techniques
Endoscopic ear surgery has gained popularity in recent years with wide panoramic visualisation of the operative field one of its key strengths. This article summarises the approach, set-up and outcomes of patients undergoing endoscopic stapes surgery. A key step during...

How to train adults with single-sided deafness and cochlear implants

1 November 2019 | | Speech and Language Therapy | Auditory training, Cochlear implant, Rehabilitation, Single-sided Deafness, Unilateral deafness
Cochlear implantation (CI) in patients with single-sided deafness (SSD) has been carried out in Perth, Australia from 2008. It poses challenges to clinicians and patients who are trying to tune in the poorer ear while still having a normally hearing...

Superstructure-preserving stapes surgery in otosclerosis

1 March 2019 | | Neurotology, Otology | Audiometry, Cohort studies, Otosclerosis, Stapes surgery
Stapedectomy is a well-established procedure for otosclerosis but it has a small risk of a non-hearing ear, which can be devastating for patients. The development of a procedure which is safer and with a less steep learning curve for junior...

Hearing loss and QOL

1 September 2018 | | Hearing loss, Evaluation, Auditory rehabilitation, cochlear implant
This article evaluates the impact of hearing loss and its rehabilitation on the quality of life (QoL) of adults. The authors suggest that the currently used scale, Aphab, is long, complicated and does not take into account minor changes. The...

When you regret an implant!

4 March 2024 | | Otology
Cochlear implants (CIs) offer a solution to hearing loss not helped by conventional hearing aids. CIs help in improving speech recognition scores. While significant, it is not sufficient to provide satisfaction in some implantees. Alignment between expectations and realistic outcomes...

A raised neutrophil / lymphocyte ratio predicts vestibular schwannoma growth

1 September 2016 |
It has long been known that the neutrophil to lymphocyte count ratio (NLR) is a marker of inflammation and that a higher ratio relates to poorer outcomes in some malignant tumours including some head and neck cancers. Neutrophilia (and therefore...

Quick & Efficient Procedures with DTR’s Sterile Single-use Aural Care Range of Instruments

28 September 2022 | Research & Development
DTR Medical’s Single-use Aural Care Instruments have been carefully designed to assist in the restoration of hearing through a Hearing Aid when the mechanism becomes sclerosed or fused together.

Octreotide in the medical management of chyle fistula post neck dissection

1 November 2015 |
Chyle leak, although rare (1% and 2.5%), is a well-documented complication following surgical dissection of the neck. Although the left side of the neck is the most common site, chyle fistulas have been reported in the right side of the...

Improving cochlear-implant performance in the short- and medium-term

1 September 2017 | | Audiology - Adult, Audiology - Paediatric, Audiology - Diagnostic, Auditory Implants, ENT, Otology, Paediatric ENT
Can bespoke cochlear implant programming strategies reduce the variability seen in patient performance with an implant? Bob Carlyon reviews the current situation and gives us a glimpse of the future. Although many cochlear implant (CI) patients understand speech well in...

Listening differences in autistic individuals

3 May 2022 | | Audiology - Paediatric
In this article Erin Schafer, Lauren Mathews and Andrea Dunn outline the common auditory issues that autistic individuals face in comparison with their neurotypical peers and highlight the need to move beyond the traditional audiologic test battery when working with...

Pursuing part-time postgraduate qualifications

6 January 2023 | | Audiology - Paediatric
Thinking of going back to university to do further study? We hear from one audiologist who identified an area of further study and specialisation and took the leap. My career in audiology began in 2003 through a traditional route in...

Diagnosing and managing somatic tinnitus

2 November 2020 | | Audiology - Adult, Audiology - Diagnostic, Tinnitus
Interactions between auditory and somatosensory pathways can lead to interesting tinnitus experiences which can be very bothersome. Dr Sarah Michiels describes her pioneering work in this area, and the possibilities of physiotherapy based therapy. Background Somatic (also called somatosensory) tinnitus...