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Modified subciliary approach to the orbital floor
Fractures involving the lateral midface and orbital floor are routinely treated by maxillofacial surgeons. The surgical management requires access to the facial skeleton to reposition and free the soft tissues. There are three main approaches to the orbital floor: infraorbital;...
Auditory processing disorder (APD): knowledge and practice in hearing healthcare
Awareness and practice for children and adults presenting with APD is variable across healthcare practice. Recently reported experiences of individuals and their families affected by APD show difficulty accessing referral and overall lack of recognition, and note that audiologists show...
Association of tinnitus with dementia
In this large case-controlled study, the authors have compared the presence of tinnitus prior to the diagnosis of dementia in the study group with those without dementia. Dementia patients were selected from the National Health Insurance group. The control group...Sleep apnoea in children with craniofacial syndromes
Whilst snoring and obstructive sleep apnoea are relatively common diagnoses in paediatric ENT, children with craniofacial syndromes take the problem to the next level. Robert Nash and Michelle Wyatt describe the Great Ormond Street multidisciplinary approach to treating this complex...The evolving role of OAEs in newborn hearing screening
An admission on emissions from James Hall! OAEs hold an established place in the screening of infants; Professor Hall introduces how OAEs established this position and the advances keeping the test relevant to today’s infant screening battery. Introduction Truthfully, when...Surgical challenges in advanced or recurrent thyroid malignancy
The management of thyroid malignancy and extent of surgery is controversial, especially considering the limitations of preoperative diagnosis. Neil Tolley provides guidance and reminds us of our responsibility not to over-treat. In the UK, 16% of thyroidectomies are performed for...Taking a fresh look at otoacoustic emissions
So what has changed in four decades of OAEs? Do we now have all the answers? Have we reached our optimum recording ability? Professor Kemp explains what we know, what we don’t know and what’s to come. In the 40...
Four (more) ways to reduce turbinates
Setting aside the issue of when/if to reduce inferior turbinates, the issue of how to reduce turbinates is a never-ending story. This edition of rhinology carries two articles looking at this subject, both prospective randomised trials comparing two different methods...
Is Gamma Knife Surgery effective for intracanalicular vestibular schwannomas?
Vestibular schwannomas (VSs) are rare, occurring in approximately five per 100,000 adults a year. In circa 8% of cases, the VS is contained within the internal auditory canal, i.e. intracanalicular (iVS). Although radiosurgery is a recognised treatment modality for VSs,...
