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Dizziness questionnaire and telemedicine during Covid pandemic
During the initial phases of the Covid-19 pandemic in 2020, delivery of ENT care adapted significantly. Kaleva et al present their findings of telephone balance consultations during the pandemic with a randomised prospective study utilising a dizziness questionnaire in West...
Transtympanic plugging for chronic patulous eustachian tube
The authors developed a silicone plug (Kobayashi plug) to manage severe intractable patulous eustachian tube dysfunction (PET). This retrospective study investigates ET function after Kobayashi plug surgery, based on postoperative tympanic membrane (TM) findings and active opening (AO) of the...
3D planning of soft-to-hard tissue ratios in orthognathic surgery
This multinational systematic review examined publications over a six-year period up to December 2023, focusing on orthognathic surgery. It follows an earlier review by the same group, which had reported low validity in the use of 3D software for soft-to-hard...
Migraine medication and benign paroxysmal positional vertigo (BPPV)
BPPV is a very common form of dizziness (lifetime prevalence 2.4%) and has been noted to have an association with migraine. The cause of otoconia displacement in BPPV is often unclear. A vascular mechanism theory has been postulated in varying...
Posterior TM perforations carry greater hearing loss: practical pointers for clinic
This single-centre prospective study of 100 adults with central pars tensa perforations examined how perforation size and quadrant relate to hearing loss. Using video-otoscopy to estimate perforation area and pure tone audiometry for thresholds, the authors found hearing loss in...
Robot-assisted paediatric cochlear implantation
Cochlear implantation has a recognised therapeutic role in children with severe to profound hearing loss. The surgery requires expertise in learning the technical skill together with adaptation to variation in anatomy. There is growing interest in healthcare to integrate robotic...
The keystone island perforator flap – expanding the toolbox for aesthetic nasal reconstruction
The complexity of nasal reconstruction lies in its dual objective: restoring structural integrity while preserving subtle contours and symmetry that define facial aesthetics. This retrospective cohort study from a single centre in the United States evaluated the effectiveness of the...
