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Should all patients with BPPV have an MRI?

1 July 2018 | | Aetiology, Algorithm, BPPV, Demographic, Dix-Hallpike, Epley manoeuvre, European, Incidental finding, Infection, MRI, Scan, Semicircular canal, Surgery, Trauma, Tumour, Vertigo
This paper describes an interesting series of 500 patients over a 10-year period with posterior canal BPPV, who had been investigated with MRI. The female to male ratio was 1.6:1 with a mean age of 56. There was a right...

To monitor the nerves or not?

1 November 2017 | | Neuromonitoring, Recurrent laryngeal nerve, Surgery, Thyroid, Voice
Whilst intraoperative nerve monitoring has become the standard of care for mastoid and parotid surgery, its benefit in thyroid surgery remains unclear. In the UK NICE was agnostic on the subject in 2008, stating that it was potentially helpful and...

What are the non-inflammatory causes of a conductive loss?

1 May 2016 | | Conductive hearing loss, Exploratory tympanotomy, Tympanic membrane
This retrospective study looked at patients with an intact tympanic membrane with non-inflammatory causes – i.e. otitis media and cholesteotoma. They document their findings based on exploratory tympanotomy. They operated depending on the findings with either a stapedectomy or a...

Robot controlled mastoid surgery!

1 May 2016 | | Image guidance, Mastoidectomy, Warning system
This is a fascinating piece of work by a Korean team developing a human-robot collaborative control. Their model uses image guidance surgery to locate the drill tip’s position. Important structures can be highlighted – in this case the facial nerve....

Risk factors for post laryngectomy fistula

1 March 2016 | | Meta-analysis, Pharyngocutaneous fistula, Risk factor, Total laryngectomy
This is a meta-analysis looking at the postoperative pharyngocutaneous fistula rates following total laryngectomy. The authors ended up with 34 studies with about 2500 patients. The most striking finding was that preoperative radiotherapy was a significant risk factor as well...

Going beyond patient care: discovering alternative roles in audiology

3 July 2023 | | Audiology - Adult
In this article we hear about Husmita Ratanjee-Vanmali’s journey from clinical practice to implementing global strategies for clinical practice, education, and innovation across South Africa, Canada and Denmark. In the constantly evolving dynamic global sector, have you ever considered what...

Mobile technologies to support global ear and hearing care

4 May 2021 | | Audiology - Adult, Otology
By combining mobile technology with artificial intelligence, more people can access ear and hearing care. The World Health Organization (WHO) estimates that worldwide, nearly half a billion people have moderate or worse hearing loss [1]. The vast majority of people...

What does functional neuroimaging tell us about tinnitus?

24 May 2017 | | Audiology - Diagnostic, Imaging, Neurotology, Tinnitus
One of the most common causes of tinnitus is noise exposure, be that either cumulative day-to-day exposure over a lifetime or experience of acute noise trauma such as a loud concert or shooting incident. Observational data indicate that up to...

Inter-professional teamwork and hearing care for older adults with cognitive loss

27 June 2017 | | Audiology - Adult
There is growing awareness that hearing loss is linked to dementia [1]. The average first-time hearing aid user is about 70 years old. By this age, approximately 1 in 2 people have hearing loss and 1 in 7 have cognitive...

Evidence based practice in paediatric audiology

1 January 2015 | | Audiology - Paediatric
Audiology, like most of the health sciences professions, has been working on integrating evidence-based practice principles since the mid-1990s [1]. Professional organisations and regulatory colleges have produced evidence-based clinical practice guidelines, disseminated them to audiologists and collaborated with practitioners to...

Utilisation of cortical auditory evoked potentials in the paediatric population

1 January 2015 | | Audiology - Diagnostic, Audiology - Paediatric
Introduction Early identification of hearing loss in infants followed by prompt intervention is well established as the key to maximising the development of speech, language and psychosocial skills. Many countries have already adopted early hearing detection and intervention (EDHI) programs,...

A psychophysical perspective on single-sided deafness and its treatment by cochlear implants

1 September 2015 | | Audiology - Adult, Auditory Implants
Bob Carlyon gives us a psychophysical perspective on the hearing benefits that can and cannot be achieved for patients with single-sided deafness with a cochlear implant, and discusses some of the challenges in maximising the effectiveness of the treatment. He...