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Hemilaryngopharyngeal Spasm (HeLPS)
The authors report an unusual case of hemilaryngopharyngeal spasm (HeLPS) with glossopharyngeal neuralgia with otalgia in a middle-aged female patient. Her symptoms included left-sided sharp, electric sensation like pain radiating from her left ear to the left side of her...
Virtual reality surgical simulation for the temporal bone
This prospective study looked at 15 otorhinolaryngology residents in Belgium to see if using the VOXEL-MAN Tempo surgical simulator system improved their understanding of temporal bone radiological anatomy. As a secondary aim, they also assessed whether there was any improvement...
How can we manage children with poor speech discrimination but with normal audiogram
We often come across children and young adults brought in for consultation for suspected hearing loss and having hearing difficulty in noisy backgrounds but who often have normal audiograms. Such patients are suspected to have auditory neuropathy. The term auditory...
Low-frequency air-bone gaps appear to be a true audiological finding in Ménière’s disease
There is a lack of established objective tests in Ménière’s disease (MD) that can provide information about the disease process. The appearance of low-frequency air-bone gaps (LFABGs) in MD is a recognised but unexplored phenomenon. Two theories have been suggested...
Is benign intracranial hypertension underdiagnosed in patients with spontaneous CSF leaks?
In ENT practice we come across spontaneous CSF leaks. Patients present either as unilateral watery rhinorrhoea or otorrhoea, or sometimes as hearing loss with a watery middle ear effusion. Clinicians, after confirming the diagnosis of CSF leak with beta 2...
How do we manage immune deficiency-related ENT disorders
It is not unusual to come across patients with recurrent sinonasal infections, lung infections and recurrent ear infections needing regular antibiotics in the outpatient setting. Physicians need to have a high index of suspicion that patients may have immune deficiency...
Polypharmacy in the vestibular clinic
Polypharmacy is defined as the simultaneous use of five or more medications and its prevalence is increasing. Dizziness or vertigo are common side effects of polypharmacy. Despite advancements in patient data management, there remains limited information on polypharmacy in patients...
Are cardiovascular risk factors associated with hearing loss?
Cardiovascular disease (CVD) risk factors are associated with microvascular damage that can impair molecular transport across capillary walls and cause inflammation and oxidative stress that may damage cochlear structure and function. This study determined, among a population-based sample of Canadian...
Are individuals with vestibular vertigo accessing healthcare more frequently?
Vestibular vertigo is estimated to have an adult lifetime prevalence of 7.4%. Vestibular dysfunction has been linked to physical, cognitive, and psychiatric impairments. There is, therefore, a large economic burden and healthcare usage. Patients with vestibular vertigo are more likely...
How can we treat a patient with aural fullness?
Aural fullness is a common complaint that we often come across in many of our otology patients. Management of this condition can be quite challenging. Common differentials include eustachian tube dysfunction, patulous eustachian tube dysfunction, otitic barotrauma, superior canal dehiscence...
