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3997 results found

Performing a labyrinthectomy

This article takes the reader through the two main approaches for a labyrinthectomy for intractable Meniere’s disease. These are the traditional trans-mastoid and the less well known trans-canal. They state that according to the House clinic, the selection criteria for...

Which is the best graft for myringoplasty?

This is a systematic review and meta-analysis of retrospective studies for type 1 tympanoplasty (myringoplasty) surgery comparing temporalis fascia and cartilage autograft materials for reconstruction. Inclusion criteria was patients with more than 50% perforated tympanic membrane with intact ossicular chain....

SpeechEasy® for stuttering

In this article, the authors describe their experiences with an altered auditory feedback (AAF) device: SpeechEasy® during a random clinical trial. AAF has been reported in other laboratory studies to reduce stuttering events without influencing the rate, intensity or frequency...

Do intratympanic injections require local anaesthesia?

Intratympanic injections are becoming increasingly acceptable in the management of Meniere’s disease, tinnitus and sudden hearing loss. This is because they avoid the need for hospitalisation and can be performed as low-cost outpatient procedures. It is traditional to freeze the...

Minimal or not so minimal?

Parathyroidectomy is usually a straightforward technique when the target gland has been accurately determined. Surgical excision is usually through a small midline incision. With the advent of video assisted surgery, trials have been made to use this technique in parathyroidectomy....

Literature review of experience with the BAHA Attract implant

The authors undertook a literature review for reports on patients who underwent BAHA Attract implantation. Of the 497 PubMed articles, 10 studies met their inclusion criteria. All the studies published were observational studies. There were no randomised control trials. The...

Risk of malignancy in non-diagnostic thyroid FNACs

Thyroid nodules are present in between 21-68% of the general population. The evaluation of these nodules to exclude thyroid carcinoma includes fine-needle aspiration cytology (FNAC) and a non-diagnostic cytology result occurs between 8-20% of the time. This retrospective cohort study...

CI and CP

Quality of life improvement is one of the main goals of cochlear implantation. Mobile phones are now a standard daily tool. For many implanted patients, a mobile phone is used for sending short messages rather than for voice calls. This...

Positive practical communication skills for medics

Communication training for medical students generally focuses on communicating with unimpaired individuals. This article describes how a speech and language therapy department at the University of Gothenburg in Sweden trialled a new approach to teaching medical students. Fifty-nine undergraduate medical...

Reconstruction with scapular tip following hemimaxillectomy and rehabilitation with dental implants

Post ablative defects in the maxilla can be extremely complex, involve all three dimensions and may result in significant morbidity. Rehabilitation may be difficult with either an obturator or surgical reconstruction with a free fibula, Iliac crest or scapula. This...

Does endoscopic stapling for pharyngeal pouch supersede open repair?

Endoscopic stapling for pharyngeal pouch is generally considered to be less invasive, safe and with fewer complications, resulting in quicker recovery and a shorter hospital stay. Whether these factors hold in the long-term follow-up is the subject of this interesting...

Comparison of linguistic profiles in three groups of children with hearing loss and specific language impairment

Spoken language deficits in children with hearing loss early in life are attributed to auditory speech perception limitations. It is assumed that hearing following cochlear implants (CIs) will improve these language deficits. However, the studies have shown that although cochlear...