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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...

Ears Wide Open: the why and how to protect your ears

This book offers a clear, comprehensive and highly approachable introduction to the world of hearing, making it a valuable resource for both newcomers to the field and those seeking to broaden their understanding of auditory science. It is attractively illustrated...

How to feel happier: kindness, gratitude and self-care

The number of students experiencing mental health difficulties has risen dramatically, sometimes attributed to the widespread intrusion of social media in our lives, increasing social pressures on performance, and recent other societal factors. This article describes a study undertaken with...

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...