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Hearing preservation after Gamma knife in vestibular schwannomas
This retrospective study reports the outcomes of hearing preservation up to three years after Gamma knife radiosurgery for Gardner-Robertson Class I (SDS>70% and PTA <30dB) patients with vestibular schwannomas. The authors report that patients with no subjective or objective hearing...
Endoscopic Sinonasal Dissection Guide: Second Edition
Unlike many endoscopic dissection books, this dissection manual focuses exclusively on surgery without reference to the physiology or medical treatment of sinus disease. For trainee surgeons that are keen to improve on surgical skills alone, this definitely fits the brief....Anaesthesia for free-flap surgery
Adel Hutchinson is one of those calm and controlled anaesthetists for whom nothing seems too difficult. In this article, she describes the key perioperative factors for one of the highest complexity operations in ENT; free-flap surgery. It makes good reading...Universal newborn hearing screening: a global health perspective
Intuitively, as health professionals, we know that universal newborn hearing screening (UNHS) makes sense. Bolajoko Olusanya outlines how UNHS fits in with global health priorities, as well as illustrating how such programmes can help to deliver additional benefits to communities....
The right kit matters… How important is video recording in FEES?
As a portable alternative to videofluoroscopy, fibreoptic endoscopic evaluation of swallowing (FEES) is often carried out at the patient’s bedside. The authors of this paper have chosen to examine the reliability of the penetration-aspiration ratings (Rosenbek scale) of FEES examinations...
Damage to the cochlear nucleus with electrocautery to the cochlear nerve
This study is of importance to neurotologists and neurosurgeons. It is unclear why patients with NF2 have poorer outcomes with an auditory brainstem implant compared to non-tumour patients. This effect is postulated to be due to damage to certain cells...
The right to choose: the how-to of practicable supports
Providing all practicable supports to enable a person to participate in decision-making is one of the five key principles of the English and Welsh Mental Capacity Act 2005. This article (set in the Canadian legal framework, which has many similarities...
Vascular disease and sudden sensorineural hearing loss
Oussoren et al performed a systematic review and meta-analyses of current literature on the above topic: specifically, cardiovascular risk factors for developing idiopathic sudden sensorineural hearing loss (iSSNHL), the presence of white matter hyperintensities in patients with iSSNHL and the...
How safe is sinonasal surgery for the operating surgeon in times of COVID-19?
I’m sure we have all wondered how safe we are in the operating theatre from virus circulating in the room and therefore the risk of subsequent COVID-19 infection. The authors addressed this by measuring the airborne particle concentrations in the...A snapshot of UK newborn hearing screening services during the COVID-19 pandemic
During the COVID-19 pandemic, new guidance for newborn hearing screening programmes and management of audiology referrals was released by Public Health England [1,2]. There was also joint guidance from the UK professional bodies [3] and guidance from NHS England regarding...
Implications of tonsillectomy in very young children
This is a comprehensive study comprising 157 children who underwent tonsillectomy below the age of two years, mainly for sleep-disordered breathing (86.6%) and recurrent tonsillitis (7%). With relatively recent understanding of OSAS, the indications for tonsillectomy in children under two...
