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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...

Mental practice could be a great COVID-19 solution for delivering swallow rehab

Motor imagery is defined as the process of voluntarily generating a mental image of a motor function without actually doing said function. Mental practice (MP) is the process of doing this repeatedly; practising it. There is some evidence that this...

Cochlear implant use in young children

There are clear and well-established links between those identified and fitted with amplification early and good spoken language outcomes, but how much does the time an appropriately fitted hearing instrument is used each day contribute to this? During the first...

Hearing outcomes after retrosigmoid resection of smaller vestibular schwannomas are better

The authors reviewed published literature reporting hearing outcomes in patients after retrosigmoid (RS) resection of vestibular schwannoma (VS). Aggregate hearing preservation of 31% and 35% under fixed and random models respectively was observed in the 2034 patients meeting eligibility criteria...

Percutaneous tracheostomy in anticoagulated patients

This Belgian study looked at the risks and complications of bedside percutaneous tracheostomy in patients who received anticoagulant therapy. The 231 tracheostomies included in the study were performed over an eight-year period by two otolaryngologists using bronchoscopic guidance. The mean...

Sinus implants to treat recalcitrant polyps

It is well established that the burden of chronic rhinosinusitis on healthcare costs and patients’ quality of life is high, and that current mainstream treatment options of oral or topical steroids are not without problems. This paper compares two RCTSs...

ENT surgical training in Belgium

The authors aimed to identify strength and gaps in ENT training in Belgium through a national survey amongst ENT Belgian trainees. They attempted to contact 94 trainees, with a response rate of 59.5%. Of the respondents, 35.7% rated their level...

Lingual tonsils and obstrucive sleep apnoea syndrome (OSAS)

Obstructive sleep apnoea can be due to narrowing of the retrolingual space by hypertrophic lingual tonsils. The authors studied 11 patients (five males and six females with a mean age of 44.3 years and a mean BMI of 28.6). All...

The role of cVEMPs in the diagnosis of Meniere’s disease

This study sets out to determine the most useful metrics to use from cervical-vestibular evoked myogenic potential (c-VEMP) tests when the diagnosis of Meniere’s disease (MD) is unclear, or as a follow-up tool. It is known that cVEMPs can detect...

Do you feel me? Emotional processing post-traumatic brain injury

Traumatic brain injury (TBI) accounted for just under three million accident and emergency admissions in the US in 2013, with common causes including falls, traffic accidents and assaults. Difficulties processing and expressing affective communication is a common sequela of TBI...

Soft tissue changes following maxillary osteotomy: comparison of three computer programmes

This small group of seven patients had a Le Fort I advancement maxillary osteotomy with vertical repositioning and alar base cinch sutures. They were assessed with cone beam CT’s three months preoperatively and one-year postoperatively. A clinical comparison between the...

Soft tissue changes following maxillary osteotomy, comparison of three computer programmes

This small group of seven patients had a Le Fort I advancement maxillary osteotomy with vertical repositioning and alar base cinch sutures. They were assessed with cone beam CT’s three months preoperatively and one year postoperatively. A clinical comparison between...