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Cochlear implant, Ménière’s no more
Implanting Ménière’s disease (MD) patients with cochlear implant (CI) may improve their speech recognition, tinnitus and quality of life with comparable hearing benefits to those seen in controls without MD, even if labyrinthectomy has also been performed. Authors investigated the...
Risk factors for postop ventilation following free flap reconstruction
This study, conducted in the United States, analysed 144 patients undergoing free flap surgery. Of these, 51 patients were extubated within 48 hours postoperatively, while 93 remained intubated for more than 48 hours. The mean duration of ventilation was 36...
Endolymphatic sac surgery (ESS) revisited
Ever since the destructive articles by Toss and coworkers, ESS was considered a taboo. However more and more centres are reviving it and report favourable results in properly selected patients. In this article the authors conducted a retrospective, single-centre observational...
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...
How do you actually get therapists to do the therapy you need them to?
Aphasia is an acquired communication disorder that affects approximately a third of people who have a stroke and for which speech and language therapy is the main treatment. However, there are known gaps between evidence-based recommendations and the delivery of...
Starry eyed?
Attentive listening and active listening skills suggest that eye movement is an important factor in subject engagement. Indeed, when asked, AI suggests gaze is held for 70% of the time when listening. Although the route of this percentage is unclear,...
Sinusitis
This beautiful little book is produced by IAPO (Inter-American Association of Pediatric Otorhinolaryngology) and comes at a time when there is growing recognition of the role of nasal and sinus pathology in airway disease. Both adult and paediatic conditions are...
Browning’s Audiology for Clinicians - Third Edition
The third edition of Browning’s Audiology for Clinicians is one of the clearest and most practical audiology texts I’ve used in ENT. It focuses on what matters clinically, presenting audiological principles in a way that supports real decision-making. What stands...Functional Endoscopic Sinus Surgery (FESS) - Part 2
In the first of this two-part series, Martyn Barnes and colleagues discussed indications for functional endoscopic sinus surgery (FESS), the surgical objectives and techniques, patient expectations and the risks of surgery [1]. In this second and final part, the authors...KTP laser in the office
KTP laser surgery offers a new way of selectively targeting microvasculature within laryngeal lesions and leaving normal surrounding tissues like epithelium and lamina propria intact – and thus preserving physiological phonation. This kind of selective photoangiolysis can be performed in...
