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Auditory neuropathy spectrum disorder
This is a concise summary of auditory neuropathy and current knowledge of the disorder through review of a recently published article. The terminology of this hearing disorder implies the site of the lesion is neural; however the characteristic electrophysical signature...
How best to manage single-sided deafness?
Nowadays there is a plethora of options for patients with single-sided deafness (SSD) including: Bluetooth contralateral routing of signal (CROS) aids; in-the-ear bone conduction hearing aids (TransEar); intra-oral bone conduction aids (SoundBite) and bone-anchored technologies (BAHA). Unilateral cochlear implantation is...
The initial management of nasal trauma
Fractures of the nose are the most common facial fractures and reported to be the third most common fracture of the human skeleton. Nasal trauma can lead to obvious or more subtle loss of function or form and cosmetic compromise....
Outcome measures for hearing loss
This short editorial explores some possible options in measurement of quality of care in audiology. We traditionally tend to use clinician-related outcomes in place of patient-reported outcome measures and so we could miss a wealth of data on the impact...
Benefits of combined antiviral and corticosteroid therapy in Bell’s palsy and the role of decompression surgery
Early use of steroids has been established as standard management in Bell’s palsy but simultaneous use of antiviral agents has variable acceptance. This review article analyses statistically based evidence to settle the issue. High quality evidence from a 2009 Cochrane...
The stubborn polyp cases are ‘different’
The widely different behaviour of nasal polyp disease between patients is a major feature of rhinology practice and makes counselling of patients difficult when approaching their first operative intervention. Setting aside aspirin sensitivity (Samter’s triad), which is known to be...
Preoperative tumour embolisation
This review article analyses the role of preoperative endovascular tumour embolisation in the treatment of a variety of hypervascular head and neck lesions including juvenile nasal angiofibroma, glomus tumour, carotid body tumours, and meningioma. Although the concept of tumour embolisation...
Thyroid nodule update
This excellent article summarises the current diagnostic difficulties with an endocrine gland that frequently produces nodules, some of which may harbour malignancy. At 50 years of age and over there is about a 50% chance of having a nodule; at...
Nasal peak inspiratory flow (NPIF) as a diagnostic tool for differentiating decongestable from structural nasal obstruction
Identification of the cause of nasal obstruction is critical before surgical intervention such as septoplasty. This study assesses changes in nasal peak inspiratory flow (NPIF) as a tool for discriminating decongestable versus structural obstruction. A cross-sectional study of 52 patients...
Controlling tinnitus
The absence of sufficient evidence for the use of integrated sound generators for the management of tinnitus led the authors to conduct a randomised blind clinical trial in which they compared the use of a conventional hearing aid with a...
An analysis of 60 treated cystic lesions in children
This is a retrospective single-centre study of 60 consecutive cases in children. Children aged four months to 14-years-old underwent intervention under general anaesthetic from 2000 to 2012. As one might expect, most of these cysts were mucoceles and ranulas. Of...
