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Is benign intracranial hypertension underdiagnosed in patients with spontaneous CSF leaks?

In ENT practice we come across spontaneous CSF leaks. Patients present either as unilateral watery rhinorrhoea or otorrhoea, or sometimes as hearing loss with a watery middle ear effusion. Clinicians, after confirming the diagnosis of CSF leak with beta 2...

Otolith malfunction can be a cause of orthostatic dizziness

This prospective study evaluated otolith function with vestibular evoked myogenic potentials (VEMPs) and subjective visual vertical / horizontal (SVH) tests in 50 adults with normal hearing between the ages of 18 and 50 years. The authors hypothesised that there are...

Organoids in otolaryngology

This interesting review article summarises the status as well as future prospects of organoid technology in our field. Organoids are a mass of cells which are typically cultured in vitro with 3D technology. They simulate miniature tissues and organs and...

Audiological outcomes after CI in patients with inner ear schwannomas

In the last decade, several case series and case reports describing hearing rehabilitation with cochlear implants (CI) in patients with inner ear schwannomas (IES) have been published. This systematic review and meta-analysis studied audiological outcomes from 110 patients (111 ears)...

Elevated intracranial pressure versus migraines versus sinusitis?

This narrative review discusses the challenges faced by an otolaryngologist to differentiate elevated intracranial pressure (eICP), migraines and chronic rhinosinusitis (CRS). Facial pain, pressure, aural fullness, muffled hearing and tinnitus are often common symptoms described by patients with all three...

Keep on moving

This study compared the differences in localisation of sound between those with symmetrical hearing within normal limits (NH) and those with single-sided deafness (SSD). Unsurprisingly, those with SSD took longer to localise sounds and had a higher error rate. Although...

A new tool for assessing otoscopy skills

Medical and audiology students need to be proficient in performing otoscopy in order to undertake the routine practice required of them at work upon graduation. One significant challenge in teaching otoscopy is the lack of objective and validated assessment tools...