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Results of hypoglossal-facial nerve anastamosis techniques for facial palsy
Preserving facial nerve function is of prime importance in acoustic neuroma surgery. A comprehensive knowledge of anatomy, experience and surgical precautions can reduce the incidence significantly. Important considerations are when and how to repair if injury occurs. Several options include:...
SPECT-CT imaging improves surgical efficiency in sentinel lymph node biopsy in melanoma
Sentinel lymph node biopsy is used in clinically lymph node negative, primary cutaneous melanoma. A combination of planer lymposcintigraphy using a radiolabelled colloid detected intra-op by gamma probe, and cutaneous injection of blue dye is used. However, with lymphoscintigraphy spillage...
Using SNOT-22 to predict revision sinus cases
A simple way of predicting which patients will require revision endoscopic surgery does not yet exist. This study, which is a prospective, longitudinal cohort study, part of the UK national audit, aims to predict this by using a relatively simple,...
Cochlear microphonics in children
Cochlear microphonics (CM) are generated mainly from outer hair cells and are routinely tested in children with hearing loss in some parts of the world. In this retrospective study, the aim was to compare the cochlear microphonics features (mainly CM...
Harnessing technology for the benefit of children with significant communication difficulties
This article describes future needs in provision and research in the field of augmentative and alternative communication (AAC) aids for children with significant communication difficulties. The authors highlight the needs of users and the opportunities that technology could provide in...
Outpatient closure of CSF leaks: a good idea or a step too far?
After day-case septoplasty, day case thyroidectomy, now day case CSF leak repair – has the pendulum moved too far? The authors put forward a convincing case for what, only 10 years ago, would have sounded like a provocation. They quote...
Role of sentinel lymph node biopsy in managing papillary thyroid cancer
Although studies have shown that the presence of lymph nodes metastases in papillary thyroid carcinoma does not alter survival, other studies have shown that it increases morbidity and mortality and that the presence of cervical lymph node metastasis at diagnosis...
The role of imaging in differentiating rare temporal bone neoplasms
This paper provides a useful tool to assist in determining the diagnosis of benign neoplasms of the temporal bone using readily available imaging modalities. Specifically, this group have looked at chondrosarcoma, an expansile hypermetabolic mass lesion usually found in the...
British English speech test for occupational hearing assessment
It is very important to properly assess occupational fitness for several occupations such as police officer, military personnel or fire fighter. The aim of this study was to develop a British English speech in noise (SiN) test as a tool...
Self-report of hearing aids handling difficulties
The authors have raised an interesting subject concerning the ability of customers to self-assess their hearing aid handling skills. Previous studies showed that 96% of customers when asked if they are able to manage their hearing aids answered ‘yes’. However,...
How to talk about hearing aid costs?
Money is always a controversial topic if discussed in reference to healthcare. This study raises the interesting topic of difficulties when it comes to discussing the costs of hearing aids with customers. Sixty-two audiological appointments were recorded and discussions concerning...
