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Audiology in this issue...Advances in the Diagnostic Test Battery (Mar/Apr19)

Priya Carling, AuD, Director and Consultant Audiologist,Kent Hearing Ltd, UK. E: priya@Kenthearing.com The 3 March is the World Health Organisation’s World Hearing Day 2019. This year, the theme is ‘check your hearing’ to encourage early identification and management of hearing...

Outcomes of temporal bone-resurfacing for pulsatile tinnitus associated with vascular wall anomalies

This month’s Ed’s choice is an interesting systematic review into the management of pulsatile tinnitus. There are impressive results from resurfacing of symptomatic anatomical abnormalities of the temporal bone and I suspect that referrals for further imaging and otology clinic...

Cognitive function is preserved in episodic vestibular disorders

Cognitive deficit in bilateral vestibular failure in particular, but also in unilateral vestibular failure, is well documented. The authors designed this prospective study to determine if deficits in cognition, as well as anxiety and depression, were present in episodic vestibular...

Dallas Rhinoplasty: Nasal Surgery by the Masters, Third Edition

This newly revised two-volume book is the most comprehensive rhinoplasty book that I have come across for both primary and revision nasal surgery. It is written by recognised pioneers in the field of rhinoplasty surgery and in its third edition...

Practical training courses for otolaryngology trainees

In this extended Trainee Matters, it’s a pleasure to present a trio of excellent articles with a theme of practical training courses for otolaryngology trainees. Miss Rachel Edmiston, Professor Nirmal Kumar and colleagues have written a valuable guide to setting...

Management of necrotising otitis externa

Although uncommon, necrotising (previously malignant) otitis externa (nOE) can be very aggressive, particularly if not managed appropriately. In this study the authors perform a retrospective review of 25 patients admitted with nOE over a four year period at a tertiary...

A systematic review of adjunctive probiotic therapy in the management of chronic rhinosinusitis

It is generally understood that administering substances containing live microbiologically active micro-organisms (probiotics) enhances the treatment of chronic rhinosinusitis. Probiotics manipulate and rebalance the alterations occurring in the local microbiome in chronic rhinosinusitis patients. This results in propagation of healthy...

A 3D-printed endoscopic sinus surgery simulator – validity testing

The challenge of gaining sufficient experiential learning to successfully navigate the learning curve toward competence has long been a challenge in surgical education. The COVID-19 pandemic, and its impact on elective capacity, has presented a further challenge to the acquisition...

Age and sleep disorders as risk factors for Ménière’s disease

Decades after it was first described, the pathophysiology of Ménière’s disease is still a subject for research and discussion, with several controversies regarding its management. Several factors have been reported to cause Ménière’s disease including viral infections, allergies, genetic factors,...

Reviewing Meniere’s disease

This was a sizeable literature review (93 references) of not only the office-based treatments for Meniere’s disease but also the various aetiological theories regarding it. They also highlight the amended International Criteria for Meniere’s disease diagnosis (2015), comparing it against...

Epley Manoeuvre: number of times it is required and its diagnostic value

Benign paroxysmal positional vertigo is a common condition but if inadequately treated or wrongly diagnosed, can prolong the distressing symptoms of momentary dizziness, nausea and visual disturbances which can be due to other causes and deteriorate quality of life. Studies...

Pituitary tumour associated headaches

This longitudinal cohort study presents data with significant clinical implications for patients with headaches and the clinicians and surgeons who treat them. For the study, patients completed a self-administered survey on headache characteristics on initial presentation and after surgery of...