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How to tackle the problem of ciprofloxacin-resistant ear infections?

1 March 2019 | | Neurotology, Otology, ENTA - Skull Base Surgery
The growing issue of ciprofloxacin-resistant ear organisms is certainly a pertinent one. The situation here in the UK, where ototoxic topical drops are frequently given initially in the presence of pus and a perforation, differs markedly from elsewhere where fluoroquinolones...

Hearing provides cues for the maintenance of balance

1 May 2017 | | Balance, audition, hearing, posturography, proprioception, stability, sway, vestibular
It is well known that balance relies on the integration of vestibular, visual and proprioceptive cues. However not much mention or attention has been given to the importance of auditory cues for balance maintenance. The authors set up experiments to...

Cognitive function is preserved in episodic vestibular disorders

4 September 2023 | | Neurotology, ENTA - Vestibular Disorders | Meniere’s disease, anxiety, cognition, depression, vestibular migraine
Cognitive deficit in bilateral vestibular failure in particular, but also in unilateral vestibular failure, is well documented. The authors designed this prospective study to determine if deficits in cognition, as well as anxiety and depression, were present in episodic vestibular...

The future of inner ear drug delivery

1 May 2017 | | ENTA - Audiology - Adult, ENTA - Audiology - Paediatric, ENTA - Otology
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,...

Precision and personalised genomic and epigenomic medicine in audiology/hearing loss

1 July 2021 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic
A detailed look at the pathogenesis of acquired hearing loss due to exposure to ototoxicity during pregnancy or shortly after birth. Insights from genomic medicine have shown that, along with environmental factors causing epigenetic alterations, hearing loss may be caused...

Endolymphatic sac surgery: controversial procedure for the treatment of Ménière’s disease

5 January 2022 | | ENTA - ENT, ENTA - Otology
Landmark Paper: Thomsen J, Bretlau P, Tos M, Johnsen NJ. Ménière’s disease: endolymphatic sac decompression compared with sham (placebo) decompression. Ann N Y Acad Sci 1981;374:820-30. Of all of the chapters in the Landmark Papers book, the chapter that discussed...

Protheses for patients with severe bilateral vestibular loss

4 March 2025 | | ENTA - Vestibular Disorders, ENTA - Neurotology
In February 2003, I met a patient with severe bilateral vestibular loss due to gentamicin toxicity, and I felt disheartened. Despite the fantastic diagnostic vestibular lab we had at Maastricht University Hospital, what could I truly offer her? She had...

Staying safe during endoscopic ear surgery

1 May 2016 | | ENTA - ENT, ENTA - Otology
There is growing interest in using rigid endoscopes rather than traditional operative microscopes to perform transcanal middle ear surgery. Rigid endoscopy provides a high resolution, wide-angle view of the tympanic cavity through minimally invasive surgical portals. In this article, Elliott...

Anaesthesia for excision of vestibular schwannomas

27 February 2020 | | ENTA - ENT, ENTA - Otology
The ‘shared airway’ relationship between ENT surgeons and anaesthetists is well documented. But ENT surgery and anaesthesia interact in numerous other ways, particularly in complex skull base surgery. What do our anaesthetic colleagues want us to know about vestibular schwannoma...

Intratympanic treatments for subjective idiopathic tinnitus

24 May 2017 | | ENTA - Audiology - Adult, ENTA - ENT, ENTA - Otology, ENTA - Tinnitus
Direct application of medication into the ear is long established, going back as far as written records. In the modern era, greater understanding of aural anatomy revealed that drugs instilled in the middle ear could potentially diffuse into the cochlea...

Clinical utility and practical interpretation of the video head impulse test

1 November 2015 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Vestibular Disorders
The head impulse test (HIT) is an essential bedside test to detect peripheral vestibular deficits. The video head impulse test (vHIT) is a new tool quantifying the HIT. In this article Maria Heuberger and colleagues point out the clinical utility...

Audiological monitoring in ototoxicity - Are we doing enough?

1 November 2016 | | ENTA - Audiology - Adult
In this article Ghada Al-Malky explores the dichotomy of life-saving, yet hearing loss-causing medication, and questions whether the hearing healthcare community is doing enough to prevent preventable hearing loss. Ototoxicity is the damage to hearing and / or balance functions...