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2395 results found

Hidden genetic disorders in children that may present to the otolaryngologist

Background Among the many hundreds of children presenting to the otolaryngology clinic are a few whose symptoms are due to an underlying genetic condition. In most cases the underlying syndrome is obvious and has already been diagnosed, such as the...

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...

Electrocochleography and speech-perception in cochlear implant (CI) patients

It is difficult to predict the speech perception outcomes of cochlear implantation. Previous studies showed that total response electrocochleography (ECochG-TR) may explain the variance in CI performance better than biographic, audiometric, and surgical factors combined. The authors’ objectives were to...

HPV and ENT; should we vaccinate boys?

David Black and Charlie Hall reiterate Vin Paleri’s pleas for a common sense evidence-based approach by those who allocate healthcare resources to the now urgent issue of HPV-related disease. They discuss the merits of different vaccines and the need for...

Cochlear implantation and identity in Deaf families

Cochlear implants are one of ENT’s great success stories. But for some families, the decision to implant is far more complex than audiology alone. When we talk about cochlear implantation, we often lead with the science. Candidacy criteria, age at...

Helicobacter pylori and chronic tonsillitis

Helicobacter pylori infection in the stomach has long been associated with chronic gastritis, duodenal and peptic ulceration and even gastric cancer. Whether laryngopharyngeal reflux (LPR) brings up these organisms and induces chronic tonsillitis is an interesting concept, which the authors...

Hearing loss prevention in musicians - violating one rule of physics

Whilst enjoying music, we also need to be mindful of the potential effect of producing music for the musician. Dr Chasin discusses the development of earplugs for the industry with the added bonus of physics for party goers! Hearing protection,...

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...

Diagnosis and management of acute sensorineural hearing loss: a Japanese perspective

In this paper, the authors set out the clinical guidelines to standardise diagnosis and treatment of acute sensorineural hearing loss in Japan. They categorised acute sensorineural hearing loss into five disorders: idiopathic sudden sensorineural hearing loss (iSSNHL), acute low-tone sensorineural...

Management of patulous eustachian tube dysfunction

Idiopathic sudden sensorineural hearing loss (iSSNHL) is defined as a hearing loss of 30 dB or more at three contiguous frequencies within 72 hours, with acute low-tone hearing loss (ALHL) excluded from this category. Despite standard treatment, outcomes vary: one-third...

Patient-led wax and aural foreign body removal technology – is it safe?

As ENT and audiology professionals, wax impaction and aural foreign bodies are common presentations to our clinic that can cause significant distress to patients and can preclude diagnostic testing such as pure tone audiograms and tympanometry. We often advise patients...

In conversation with Professor Anne Schilder

Flying the flag for research in ENT, hearing and balance Anne Schilder is an NIHR Research Professor and leads the evidENT team at the Ear Institute at University College London. She also holds a Chair in Paediatric ENT at UCL...