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One stage nasal reconstruction with local flaps
This is an excellent and authoritative review of an often difficult and controversial (as there are so many options or so few) clinical subject. Better education and earlier diagnosis of skin tumours allows defects with limited size and depth to...
Cost effectiveness and vestibular schwannoma surgery
This is the first cost effectiveness modelling study looking at the three main treatment options for small to medium sized vestibular schwannomas. This study uses the widely accepted cost per quality adjusted life year (QALY) outcome measure to evaluate three...
How can we assess children with complex needs?
In the early days of cochlear implantation, children with additional disorders were being excluded as poor candidates whereas today a large number of children with complex needs are being referred for cochlear implant assessment. However, the related problems include difficulties...
Objective versus subjective – again!
The use of objective measurements of nasal airflow has a long history; however, its clinical application remains, at most, patchy. The main reason for that has been the lack of convincing studies showing a good correlation between the findings of,...
Contralateral OAEs in children
Several studies indicate that small changes in the medial olivocochlear (MOC) reflex may possibly be associated with certain pathologies. This could be measured by using contralateral acoustic stimulation (CAS) and observing suppression in otoacoustic emissions (OEAs). The main aim of...
Risky behaviour: do care homes follow dysphagia recommendations?
A huge proportion of elderly people living in residential care homes will develop dysphagia. In Australia this is estimated at close to two thirds of all residents. It is the role of the speech and language therapist to make recommendations...
Loudness in non-organic hearing loss
Non-organic hearing loss has been of interest to researchers for a long time. In this study the authors compared a loudness rating measured in relation to the sound level for 1000 Hz in normal hearing patients and patients diagnosed with...
Don’t be too apologetic: disclosing communication difficulties
People who stutter are frequently considered less intelligent or less confident, and are often discriminated against. These negative perceptions have been found to differ slightly across different cultural groups. For Hebrew speakers in Israel, having a stutter can have a...
Role of non-echo planar diffusion weighted magnetic resonance imaging in detection of cholesteatoma
Whilst the method of canal wall down and same-session reconstruction is emerging to be more popular, canal wall up procedures are still performed. In either, it is necessary to ensure eradication of cholesteatoma or detect its recurrence. The reliability of...
Effect of age-related changes in voice production and hearing on Voice Handicap Index and Geriatric Depression Scores
The ageing process affects hearing and production of voice. It is not unknown that impairment of these faculties can affect quality of life and also cause depression. The authors have presented an array of actual anatomical and functional changes that...
Inpatient or outpatient thyroidectomy?
This systematic review and meta-analysis discusses the safety of hemithyroidectomy in an outpatient vis-à-vis an inpatient setting. Thyroidectomy has traditionally been performed as an inpatient procedure. Currently, an increasing number of surgeons are performing thyroidectomy in outpatient settings. The main...
