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Quinsy and culture
Peritonsillar abscesses are frequently encountered in clinical practice. Standard treatment includes empirical medical treatment and drainage. This study aimed at evaluating the value of culture and sensitivity testing of the aspirate in guiding antibiotic treatment. Patients received empirically amoxycillin, amoxycillin...
Facial paralysis revisited
Facial paralysis grading is a confusing issue. Lots of classifications have been proposed but all are subjective. The authors attempted to automate the Sunnybrook Facial Grading System (SFGS) by training a convoluted neural network (CNN) deep learning system. They used...
Management of traumatic facial palsy
Most traumatic facial palsies resolve with conservative management. Early facial nerve decompression is indicated in acute complete traumatic facial palsies. House–Brackmann (HB) classification is used universally to classify the severity of the facial nerve injury, but few centres have availability...
Bell’s palsy outcomes
Bell’s palsy is a common, idiopathic, unilateral facial paresis or paralysis of sudden onset. This retrospective study reviewed the records of 193 patients diagnosed with Bell’s palsy. The patient’s clinical data, House-Brackman (h-B) grade, and data from five electrophysiological tests...
Does topical dual steroid therapy improve vertigo in refractory Ménière’s disease?
This prospective study investigated the role of simultaneous application of methylprednisolone and dexamethasone-soaked gelatin sponge to the endolymphatic sac surface and dexamethasone sponge to the short process of incus in 20 patients with refractory Ménière’s disease (MD) undergoing endolymphatic sac...
Challenging steps of virtual cortical mastoidectomy
This prospective study investigated which steps of cortical mastoidectomy were challenging for 10 medical students and 10 intermediate surgeons (surgical trainees) compared to 10 experienced expert surgeons. Each participant performed cortical mastoidectomy on eight different virtual temporal bone models. The...
Large septal perforation repair
Repair of large nasal septal perforations (NSP) can be challenging due to limited availability of surrounding nasal tissue, mucosal tension and diminished vascularity. The authors of this manuscript included 38 studies involving 408 patients with large NSP, with aetiologies ranging...
For a better evaluation of neonatal hearing loss
The authors conducted a retrospective observational study on 112 neonates tested with auditory brainstem response (ABR) and auditory steady-state response (ASSR). The main aim was to compare hearing thresholds obtained by ASSR, ABR and behavioural audiometry at different frequencies and...
Platelet-rich plasma-cartilage tympanoplasty
This systematic review and meta-analysis of five studies (n=234 patients) reports the effectiveness of type I tympanoplasty with cartilage and platelet-rich plasma (PRP) compared with type I cartilage tympanoplasty alone for closure of dry tympanic membrane perforations. This is an...
More markers for sinonasal diseases
In this study, nasal mucus cystatin SN levels were compared in patients with controlled and uncontrolled chronic rhinosinusitis (CRS). Cystatin SN is an epithelium-derived cytokine which regulates cysteine proteases and enhances IL-5 mediated activation of eosinophils. The study included 98...
