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The effect of vertigo on sleep
The authors analysed data of 20,950 individuals who completed the balance and dizziness supplements of the ongoing NHIS survey in 2008. The survey used a strict algorithm to identify individuals reporting vestibular vertigo and information on sleep duration and a...
Reconstructing post-resective auricular defects
The auricle is split into six specific anatomic subunits that vary in skin thickness, contour, structural integrity and the availability of healthy surrounding tissues. It is important to reconstruct an aesthetically pleasing auricle as slight deformities may be prominent. The...
Discharge planning
For a specialty such as ENT in which so many procedures are performed as day case surgery, there is a pressing need for objective discharge criteria to facilitate safe decision making post-op. This review strikes a good balance between prescriptive...
How does the Dizziness Handicap Inventory (DHI) correlate with demographics and symptoms of patients?
The DHI is widely used to assess the self-perceived emotional, functional and physical disability in subjects with dizziness and balance problems. By studying the data of 568 patients retrospectively, the authors sought to determine the gender and age differences in...
Extrapolating lessons from vestibular schwannoma management
This paper presents a delightfully simple and sensible hypothesis for the management of benign schwannomas in the head and neck region. They have taken the approach used for the management of vestibular schwannomas and used the same principles to assess...
BAHAs in single-sided deafness doesn’t improve sound localisation
This systematic review from South Korea nicely summarises what we know about SSD (single-sided deafness) and hearing rehabilitation with BAHAs (Bone Anchored Hearing Aids). SSD was defined as a PTA greater than 90 dB and a normal hearing opposite ear...
More is better
The authors reviewed 119 patients undergoing endoscopic sinus surgery for sinonasal polyposis. Of these, 45 patients were operated upon by a traditional functional technique preserving the middle turbinate and keeping its position. In addition, the second group underwent a partial...
Mondini dysplasia and cochlear implantation
Approximately 20-28% of sensorineural hearing loss in children arises due to a cochlear malformation. Mondini dysplasia includes a cochlear with one and a half turns and an incomplete interscalar septum. Cochlear implantation is a common treatment protocol for children with...
Open hearing-aid fittings or closed
There is always a balance between different types of hearing aids and their advantages and disadvantages that influence choice of device and ultimately user preference. Personal choice also plays a role when deciding on behind the ear or in ear...
The microbiological environment of the paranasal sinuses
This article reviews the ecology of the sinuses and tries to make sense of the confusing literature on the subject. This covers the details of molecular studies, particularly those which attempt to differentiate normal sinuses from those in patients with...
Paediatric lymphadenopathy – helpful decision making
The authors present a very helpful algorithm to manage cervical lymphadenopathy in children. The goal of managing children with inflamed lymph glands is to identify the rare malignant case and not over-investigate the vast majority of benign reactive swellings –...
