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Do intratympanic injections require local anaesthesia?
Intratympanic injections are becoming increasingly acceptable in the management of Meniere’s disease, tinnitus and sudden hearing loss. This is because they avoid the need for hospitalisation and can be performed as low-cost outpatient procedures. It is traditional to freeze the...
Vitamin C analgesia for UPPP
Postoperative pain management after uvulopharyngopalatoplasty is a common clinical problem. This well-designed study from Iran describes the novel use of vitamin C as an analgesic. The precise mechanism of action is not clearly defined, but appears to be related to...
Parathyroid surgery in day care
Targeted parathyroid adenoma excision via preoperative ultrasound and radionuclide scanning techniques allow accurate localisation of the affected gland, allowing a minimally invasive surgical approach. The authors reviewed 144 cases undergoing surgery for primary hyperparathyroidism. Of these 67 were eligible for...
Aided speech auditory brainstem response
Auditory brainstem response (ABR) is commonly used for hearing screening and is considered as one of the important means of objective audiometry. Speech ABR is a relatively new concept and is regarded as a marker of speech encoding at the...
A new criterion for diagnosing chronic tonsillitis?
It is essential to establish the diagnosis of recurrent tonsillitis in patients undergoing tonsillectomy. This is based mainly on history which itself can be inaccurate and is supported by clinical findings which are not truly specific. There seems to be...
Accuracy of CT scans for cholesteatoma and its complications
Chronic ear disease with cholesteatoma generally requires active surgical management and the requirement for this needs precise assessment. A retrospective study was conducted to evaluate the accuracy of CT scan findings in terms of predicting cholesteatoma and its associated complications...
A more comprehensive management for eosinophilic chronic rhinosinusitis after FESS
In recent years there has been increasing recognition of eosinophilic chronic rhinosinusitis which, in particular, results in persistent symptoms and recurrence of nasal polyps, even after FESS surgery. It therefore calls for measures adjuvant to FESS to stop persistence of...
