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Electrocochleography and speech-perception in cochlear implant (CI) patients

3 November 2022 | | ENTA - Neurotology
It is difficult to predict the speech perception outcomes of cochlear implantation. Previous studies showed that total response electrocochleography (ECochG-TR) may explain the variance in CI performance better than biographic, audiometric, and surgical factors combined. The authors’ objectives were to...

Does vestibular rehabilitation help patients with vestibular migraine? Is this also true if these patients have had a traumatic brain injury?

3 May 2022 | | ENTA - Neurotology, ENTA - Otology
Vestibular migraine (VM) is a common diagnosis in ENT, and there is growing evidence that vestibular rehabilitation therapy (VRT) is an effective treatment, reducing self-perceived dizziness and improving gait. This is a retrospective review of the outcomes of 93 patients...

Do we need contrast MRI when screening for vestibular schwannoma?

2 November 2020 | | ENTA - Skull Base Surgery, ENTA - Neurotology, ENTA - Otology
Gadolinium contrast enhanced T1-weighted (gT1w) MRI images of the internal acoustic meati have long been considered the gold standard in the diagnosis of vestibular schwannoma (VS). However, the addition of contrast to the MRI examination increases the cost and time...

Consequences of Meniere’s Tumarkin crises

1 March 2019 | | ENTA - Neurotology, ENTA - Vestibular Disorders
Many will be familiar with reports of frightening drop attacks without loss of consciousness experienced by some Meniere’s disease (MD) patients. This study analysed data from an electronic survey of over 600 members of a national Meniere’s society. The aim...

Non-absorbable synthetic material for middle fossa repair using a combined transmastoid/middle fossa approach

4 May 2023 |
Repair of CSF leaks can be a challenging technical undertaking. In this article, the authors describe their use of a synthetic material to help with the successful repair of these leaks from the middle cranial fossa. Erosion of the middle...

The ‘bus stop’ incision for bone-anchored hearing aid placement: a step-by-step approach to soft tissue preparation

1 January 2017 | | ENTA - Neurotology, ENTA - Otology
There have been many descriptions of soft tissue preparation in the era when subcutaneous tissue was routinely removed with the Nijmegen technique [1] or with the dermatome [2]. More descriptions continue to evolve with the advent of tissue preservation techniques,...

The role of macrolide antibiotics in chronic rhinosinusitis

1 July 2016 | | ENTA - ENT, ENTA - Rhinology / Sinus
The use of long-term antibiotics in the treatment of chronic rhinosinusitis is a contentious issue, not only because of the increasing problem with antibiotic resistance but also because of the potential cardiac risks, including sudden death. In this article, Anders...

Are ENT patients who research their symptoms online better informed?

1 September 2017 | | ENTA - ENT
All our patients look up their symptoms online before they visit us, don’t they? And patients who do so are better informed than those who don’t, right? Well, that’s not actually the case… The ‘information era’ More information is now...

Audiological management of autistic children

3 May 2022 | | ENTA - Audiology - Paediatric
Philippa James and Lucy Shiels explain the development of the ‘Autism Listening Clinics’, highlighting a recommended clinical approach for audiologists, the importance of remote microphone technology and sharing some wonderful caregiver experiences. Auditory challenges in autistic children Autism spectrum disorder...

Across the pond: a tale of two fellowships

1 September 2016 | | ENTA - ENT
Where in the world is Halifax? Many outside of Canada have never heard of the Maritime Canadian town of Halifax. Before leaving to start a year-long fellowship there, we both had to answer many questions from family and friends about...

What’s the appetite for clinical risk?

1 September 2018 | | ENTA - ENT
The first Professor and Chair of Medical Professionalism at RCSI and BSHS, Dubhfeasa Slattery provides an overview of how a desire for better healthcare at all levels can be harnessed and nourished, leading to a potential life-long interest in reducing...

Tele-audiometry – a ShoeBOX solution

1 July 2014 | | ENTA - Audiology - Diagnostic, ENTA - Audiology - Paediatric, ENTA - Auditory Implants
Access to hearing assessment is a global challenge. In relation to the global burden of hearing loss World Health Organisation’s (WHO’s) recent estimate (2013) is that 360 million people in the world have disabling hearing impairment. Two-thirds of these people...