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Do anticoagulanis and facial plastic surgery mix?
Some surgeons think that antiplatelet and anticoagulant therapies (aspirin, warfarin sodium and clopidogrel bisulphate) increase perioperative bleeding and infections. However, the current evidence base provides conflicting data with respect to the risk of true complications. In this case-control study a...
Psychoacoustics: Perception of Normal and Impaired Hearing with Audiology Applications
The field of psychoacoustics and the practice of audiology have always been curious bedfellows. In the clinic, we commonly assess patients’ hearing ability through pure-tone detection, a classic psychoacoustical phenomenon, but just one of the many, many ways in which...How trainees can make major contributions to practice
At a time when many of our trainees feel poorly supported and disheartened, the formation of a National ENT Trainee Research Network (Integrate) has been a major advance, enabling them to develop and execute research projects directly relevant to clinical...Trachealator balloon™ outline awarded GOLD MEDAL in the 2021 MDE Awards
TrachealatorBadge™ outline Non-occlusive Airway Dilation Balloon, from DISA Medinotec (Pty) Ltd, has been awarded a GOLD MEDAL in the 2021 Medical Design Excellence Awards (MDEA) in the ER & OR Tools, Equipment & Supplies category.
Otolith dysfunction in congenitally deaf adults
This paper helps to further define the profile of ocular and cervical vestibular-evoked myogenic potentials (o and c VEMPs) in patients with congenital profound sensorineural hearing loss (PSHL). It highlights the prevalence of otolith (saccular and utricular) dysfunction that exists...
Management of the ear in cleft lip and palate
The management of patients with cleft lip and palate includes a focus on effective speech and language function. Poor eustachian tube function and middle ear dysfunction mean over 90% of children suffer from otitis media with effusion. This article provides...
Current management of facial fractures in the preadolescent
This article reviews the trends in management of preadolescent facial fractures – a challenging population due to the need to consider growth, dynamic changes in dentition, and evolving fracture patterns. In summary, conservative management is preferred in all fractures in...
Do personal listening devices cause cochlear synaptopathy?
Cochlear synaptopathy is a condition in which noise interrupts the synaptic communication between sensory inner hair cells and low spontaneous rate cochlear nerve fibres. Since these nerve fibres are associated with signal coding in noisy backgrounds, their disruption leads to...
‘Acoustic shock’
Development of hearing loss due to traditional and steady state noise in working environments has well defined medical, physical and legal implications in the present times. Organisations not complying with ‘Noise at Work Regulations 1989’ are liable for compensation if...
DVT prophylaxis in cranial procedures
Deep vein thrombosis (DVT) is a result of disturbed balances in blood flow patterns, blood clotting factors promoting coagulation and vessel wall endothelial injury. The subsequent disruption of coagulation and fibrinolysis mechanisms lead to venous clot formation and propagation. The...
