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Well drilling vs. subperiosteal pocket for cochlear implants – comparison of operative time, complications and cost-effectiveness

1 July 2021 | | ENTA - Neurotology, ENTA - Otology
The choice of method for securing the receiver/stimulator (R/S) package during cochlear implant surgery is usually dependant on several factors, but primarily surgeon preference. The initial recommendation from manufacturers was to drill a bony well (WD technique) and use bony...

Which scan for children with bilateral sensorineural hearing loss? Keeping the debate going…

6 September 2021 | | ENTA - Auditory Implants, ENTA - Paediatrics
There have been years of debate about the appropriate imaging strategy for children with bilateral sensorineural hearing loss. For those children undergoing cochlear implant surgery, CT may provide some assistance to surgical planning, although this is not necessary in children...
Annals of Otology, Rhinology & Laryngology journal cover image.

Can amplification preserve auditory function?

5 November 2021 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Neurotology, ENTA - Otology
Hearing loss is a noted modifiable risk factor for dementia, and is also associated with depression, decreased quality of life and isolation. Hearing aids are the main intervention for presbycusis and a 2017 Cochrane Review showed that they have a...

REVISIONS acronym for preoperative imaging review in revision endoscopic sinus surgery

6 January 2023 | | ENTA - Rhinology / Sinus | chronic rhinosinusitis, endoscopic sinus surgery, preoperative imaging review, revision sinus surgery
The authors have developed an acronym to aid evaluation of preoperative sinus CT imaging in revision endoscopic sinus surgery (RESS). To determine which pertinent aspects of anatomy to include, a systemic review of studies that investigated anatomic contributions to persistent...
JAMA Network web page image.

COVID vaccination and its relation to Bell’s palsy

4 September 2023 | | ENTA - Otology
The SARS-CoV-2 virus outbreak in 2020 continues to be investigated as well as its after-effects on those infected by it. The vaccines created for the public were groundbreaking achievements, evidenced by the lives saved by them and the return to...
JPRAS journal cover image.

Surgery plus radiotherapy keeps the helical keloid scar away

8 January 2024 | | ENTA - Otology
Keloid scars lead to significant psychological and cosmetic morbidity. As the pinna is a key component of facial cosmesis, pinna keloid scar formation can be aesthetically displeasing. Their stubbornness and high recurrence rate can be challenging to treat. This department,...
The Hearing Journal cover image.

Case study suggesting mtDNA mutation as a tinnitus factor: ND1:m.3394T>C

7 January 2025 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic
Konadath et al report a genetic case study of a 24-year-old female experiencing reduced hearing sensitivity and tinnitus along with a blocked sensation in her right ear, sudden onset one year prior with no other otological complaints. Standard audiometry along...

Achieving consensus on candidacy for cochlear implantation

1 September 2017 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Audiology - Paediatric, ENTA - Auditory Implants, ENTA - ENT, ENTA - Otology
The British Cochlear Implant Group’s candidacy working group recently ran a national exercise, working towards a consensus on candidacy for cochlear implantation in the UK. Padraig Kitterick and Debi Vickers were instrumental in this exercise, and in the article below,...

Reducing hierarchy for individuals and teams across ENT

3 May 2022 | | ENTA - General
Alexander Pope said that “to err is human”, but medical errors can have serious consequences. How can better communication minimise the risk of them occurring in the first place? Allowing all members of the surgical team to feel empowered to...

Old age is hard to swallow

4 May 2023 | | ENTA - Laryngology / Swallowing / Voice
This article takes us through the diagnosis and management of swallowing problems common in older age. As our global population continues to grow and live longer, dysphagia will continue to be a global problem which needs to be recognised, understood...

Psychogenic vestibular disorders: understanding and management

1 May 2019 | | ENTA - Audiology - Adult, ENTA - Vestibular Disorders
‘Psychogenic vestibular disorders’, also known as ‘functional vertigo and dizziness’, are common causes of dizziness and balance difficulty. Although our understanding of their underlying pathophysiology remains incomplete, Drs Diego Kaski and Amy Edwards outline how early identification and positive diagnosis...

Developments in diagnostic approaches for acutely dizzy patients

27 February 2020 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Otology, ENTA - Vestibular Disorders
The acutely dizzy patient can be a diagnostic and management dilemma for emergency departments and general practitioners, with many patients consequently having delayed access to specialised assessment and treatment. David Jay tells us about HINTS, a bedside test that can...