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Endolymphatic duct, a bit more than what meets the eye
It is theorised that the endolymphatic duct (ED) and the endolymphatic sac (ES) system play a role in both the production and absorption of endolymph. This system could be responsible for development of endolymphatic hydrops (EH). Recently, the presence of...
Loudness tolerance levels and misophonia
Misophonia is a prevalent condition, yet its assessment and management remain underrecognised by many audiologists. Current literature highlights the frequent co-occurrence of misophonia with tinnitus and hyperacusis. Hence, the link between loudness intolerance problems and misophonia has been hypothesised by...
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...
Facial paralysis revisited
Facial paralysis grading is a confusing issue. Lots of classifications have been proposed but all are subjective. The authors attempted to automate the Sunnybrook Facial Grading System (SFGS) by training a convoluted neural network (CNN) deep learning system. They used...
Cochlear implant – should we follow the curve?
Slimmer electrodes were developed by cochlear implant companies under the premise of hearing preservation (HP). Electrode types included stylet-curved electrodes sheath-curved electrodes, and straight-flexible electrodes. Previous reviews did not compare sheath and straight electrodes. A systematic review and meta-analysis were...The PMFA Journal - April/May 2019 issue available
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Conductive hearing loss – when and why to scan
Ossicular fixation or discontinuity can occur at any point along the ossicular chain and is estimated to cause conductive hearing loss (CHL) in approximately 55% of patients. Computed tomography (CT) imaging of the temporal bone identifies bony pathologies that contribute...
25 years of forearm free flaps – 1 vein or 2?
This is a prospective 25-year study from 1998 to 2023 of 368 forearm free flaps, 314 of which were radial and 54 ulnar in 364 patients. Of these, 68 had 1 venous anastomosis whilst 238 had 2. These were assessed...
