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2364 results found

Bone anchored hearing devices in very young children

This paper presents results of BC devices in very young children and helps inform an honest discussion of risks / benefit with prospective parents. The authors of this article from Starship Children’s Hospital, Auckland, New Zealand have a series of...

Hearing loss in the contralateral ear after mastoid drilling

It is difficult to conceive that most of the noise generated by drilling the mastoid would not be conveyed to the contralateral cochlea, by direct transmission through the skull bone, where the attenuation factor is only 5-10 dB. Only a...

Patient-reported outcome measures: what do the people say?

Patient-reported outcome measures (PROMs) assess and quantify health outcomes from the patient’s perspective. Defining these questionnaires as outcomes indicates that they are psychometrically sensitive to change. This article describes three PROMS: namely the Patient Reported Outcome Measurement Information System (PROMIS),...

Laryngeal disorders associated with HIV infection

Following the introduction, and now widespread availability, of combined antiretroviral therapy, HIV has become a chronic disease with minimal or indeed no negative impact on life expectancy. As a result, there is a growing public health interest in establishing the...

Impedance for different electrode types

Measuring cochlear implant (CI) electrode impedances is common in CI programming appointments to measure the integrity of the implant e.g. whether there are any open or short electrodes. This is because impedance measures the flow of current between intra and...

How rare is vocal fold paralysis after spinal and epidural anaesthesia – should we be more concerned?

The authors present an unusual case of right vocal fold paralysis. Their patient was a 38-year-old woman who experienced new onset dysphonia following neuraxial anaesthesia (NA) for a caesarean section. Flexible nasendoscopy showed a right VFP with fixation in the...

Navigate me there, to my new CAT

Transcanal endoscopic ear surgery (TEES) has gained momentum with its close-up high definition wide-angled views. Skeptics point out single-handed operating in a 2D view. The authors made use of navigation and augmented reality (AR) to present an additional minimal access...

The use of a tactical throat mic guitar amp system to improve communication in theatre in the COVID era

During the COVID-19 (SARS-CoV2) pandemic, current guidelines dictate that surgical teams wear appropriate personal protective equipment (PPE) in theatre. Currently this is, at a minimum, an FFP3 respirator, a visor, fluid repellent gown and gloves [1]. Many surgeons, particularly in...

Adolescence, drug use and body image

Teenagers are notoriously conscious of how they are perceived by others. Dr Saraiva and colleagues explain how this can lead to problems with substance abuse for both boys and girls, and discuss the different substances they may encounter. Adolescence is...

How should we detect and identify deficit-specific auditory processing disorders?

The human central auditory nervous system (CANS) is complex and highly dependent upon attention and cognitive brain regions. Profs David Moore and Harvey Dillon discuss novel assessment approaches to clarify auditory contributions to listening difficulties in children. How can we...

Breaking barriers in Uganda: the story of Elaine Mukaaya

More than 9% of sub-Saharan Africa’s one billion people live with disabling hearing loss, with children having among the highest rates of childhood hearing loss in the world [1]. Sadly, in concordance with the inverse care law – proposed by...

Selective upper airway stimulation

Obstructive sleep apnoea (OSA) is one of the most common diseases in industrialised countries and is characterised by an intermittent obstruction of the upper airway during sleep. The standard treatment for OSA is continuous positive airway pressure (CPAP) therapy, which...