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Maturation of BC attenuation

1 July 2018 | | Bone conduction, bone-anchored hearing systems, forehead attenuation, infant bone-conduction hearing, interaural attenuation, transcranial attenuation
The aim of this study was to clarify the reason for differences between bone-conduction hearing in adults and infants. The authors investigated how the sound pressure level in the ear canal changes depending on the bone-conduction transducer placement. By using...

Practical training courses for otolaryngology trainees

1 March 2017 | | ENT
In this extended Trainee Matters, it’s a pleasure to present a trio of excellent articles with a theme of practical training courses for otolaryngology trainees. Miss Rachel Edmiston, Professor Nirmal Kumar and colleagues have written a valuable guide to setting...

Diagnostic criteria for superior semicircular canal dehiscence syndrome

6 September 2021 | | Neurotology, Vestibular Disorders | Superior canal dehiscence, inner ear, labyrinth, third mobile window
The latest Bárány Society’s consensus document on diagnostic criteria for vestibular disorders is one for superior semicircular canal dehiscence syndrome (SCDS). There are three major categories: (A) Symptoms consistent with a third mobile labyrinthine window; (B) Physiologic tests – clinical...
JIAO journal cover image.

The use of repositioning chairs in the diagnosis and treatment of BPPV

5 November 2021 | | Vestibular Disorders
The authors performed a systematic review assessing the utilisation of multi-axial repositioning chairs, such as the TRV chair and the Epley Omniax Rotator, in the diagnosis and treatment of BPPV. They reviewed nine studies, of which four were prospective studies....

The degree of barbecue rotation matters in horizontal canal BPPV

1 September 2019 | | Neurotology, Vestibular Disorders | HSC-canalithiasis, barbecue rotation
Treatment of horizontal canal BPPV (Hc-BPPV) is not without controversy due to the several repositioning manoeuvres advocated for its treatment. Among the many, barbecue rotation (Br) is perhaps the most commonly used for canalithiasis of Hc-BPPV. Should the rotation be...

Superior semicircular canal dehiscence: transmastoid obliteration

1 September 2017 | | Audiology - Diagnostic, ENT, Head and Neck, Vestibular Disorders, Otology
Sometimes patients with dizziness turn out to have slightly more unusual causes of their problem. Thomas Milner and Georgios Kontorinis describe their technique for managing patients who have a diagnosis of superior canal dehiscence as an identified cause of their...

Cartilage conduction hearing aids: the third pathway for sound transmission and its application

7 January 2020 | | Audiology - Adult
Air-conduction and bone-conduction are familiar terms; now enter ‘cartilage conduction’. This new term offers a novel approach sound transmission. Hiroshi Hosoi explains the concept and proposes some future applications. The new sound pathway ‘cartilage conduction’ can provide various types of...

Surgical challenges in advanced or recurrent thyroid malignancy

1 July 2017 | | ENT, Head and Neck, Thyroid / Parathyroid Surgery
The management of thyroid malignancy and extent of surgery is controversial, especially considering the limitations of preoperative diagnosis. Neil Tolley provides guidance and reminds us of our responsibility not to over-treat. In the UK, 16% of thyroidectomies are performed for...

Diabetes and hearing loss: a review

1 July 2017 | | Audiology - Adult, Audiology - Paediatric, Audiology - Diagnostic
As hearing health professionals we often ask, especially in older patients, if they have diabetes; but what is the link? How is it manifested and should it change current practice? Alec Lapira reviews the changing evidence. Early attempts to establish...

Harnessing head and neck cancer genomics for personalised medicine

1 March 2016 | | ENT, Head and Neck
Luc Morris updates us on the future of cancer diagnosis and treatment, which lies in “personalised oncology”, where specific molecular alterations of each tumour will be identified, and matched with actionable alterations in existing therapies, ushering in the era of...

The future of facial plastics and rhinoplasty

1 November 2017 | | ENT, Rhinoplasty
Interest in facial plastic surgery and in particular rhinoplasty has never been greater. From his wealth of experience in the field, Professor Palma outlines the potential problems of this increasing popularity and how they may be addressed, areas on which...

Vocal cord paralysis: an update

1 May 2018 | | ENT, Laryngology / Swallowing / Voice
The management of unilateral vocal cord paralysis has changed in the last few years: this has largely come about as a result of improvements in technology, meaning that medialisations are quicker and easier to perform than previously. This article will...