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Cochlear implantation in inner ear schwannoma patients

Inner ear schwannomas (IES) are rare. Patients with IES tend to lose their hearing. Surgery is a treatment option, but it leads to complete loss of hearing. Other treatment options include stereotactic radiosurgery (SRS) and watchful waiting (WW). The authors...

To pack or not to pack!

Ear packing is thought to support grafts, control bleeding and facilitate healing. However, it is not without complications such as fibrosis and infection. The authors aimed at investigating the effect of middle ear packing on graft success rate in myringoplasty...

Congenitally anosmic patients do have fewer olfactory foramina

It has been previously established that patients with Kallman’s syndrome (very much associated with anosmia) have a similar number of cribriform plate foramina when compared to controls. As non-invasive CT assessment of the cribriform plate is now possible in cadavers,...

Cochlear implant – should we follow the curve?

Slimmer electrodes were developed by cochlear implant companies under the premise of hearing preservation (HP). Electrode types included stylet-curved electrodes sheath-curved electrodes, and straight-flexible electrodes. Previous reviews did not compare sheath and straight electrodes. A systematic review and meta-analysis were...

An analysis of laryngeal dysplasia cases in terms of progression to invasive cancer

In this retrospective study, authors assess the rate of dysplasia progression to invasive cancer in a cohort of 221 patients presenting with primary laryngeal dysplasia, followed over a period of over 13 years. Patient demographics and independent risk factors for...

Profiling features of dysphagia in people with moderate to severe Covid-19

Dysphagia arose as a serious concern for many people affected by Covid-19, especially those who required intubation. The authors of this paper used data from an institutional database of 3660 patients (Jan 2020 – March 2022) who presented with moderate...

How do you know what you don’t know?

Auditory processing disorder (APD) has been a subject for discussion for the last 20 years. Though the body of research is growing, it still lacks cohesive diagnostic and management criteria. Similar surveys on APD have taken place in other countries....

Dispelling myths about audiologic counselling: part two

In the second of a two-part series, Drs Clark and English explore how addressing emotions, embracing silence and managing expectations enhance person-centred care. As discussed in part one of this article [1], when we provide patient education, we must monitor...

Otology, Neurotology and Skull Base Surgery Book Review

This concise pocket-sized textbook aims to provide a practical reference that clinicians can use in every day otological and skull base practice. The senior author, Derald Brackmann, is one of the leading neurotologists of the modern era and, together with...

Endoscopic myringoplasty: a promising alternative to microscopic surgery

Endoscopes have revolutionised otitis media surgery in recent years and are increasingly used in the surgical management of cholesteatoma, sinus tympani pathology and facial nerve surgery. Despite this, the development of endoscopic myringoplasty and how this compares to its microscopic...

A single blinded RCT comparing triamcinolone with 5-FU treatment for keloid scars

This single blinded RCT compared 43 patients with 50 symptomatic keloids that were randomised to two matched groups of 25 scars, receiving either 5-fluorouracil (5-FU) or current first line treatment, triamcinolone (TAC). The surgeon administering the injectable treatments was unblinded,...

Cochlear implantation in asymmetric hearing loss

Criteria for cochlear implantation (CI) is a constant topic of debate. The UK traditionally had relatively restrictive guidance, although this has been greatly improved by more recent guidance released in 2019. Nevertheless, because of the lack of evidence for cost-effectiveness,...