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American Thyroid Association Thyroid Cancer Management Guidelines: utilising risk stratification to optimise patient care
The steep rise in thyroid surgery around the globe, has led to the development of risk stratification to define the indications for surgery and the extent of surgery as well as adjuvant therapies for papillary carcinoma, to avoid over treatment....
Vascular loops found on MRI IAM for tinnitus
This group from the Netherlands looks at the finding of vascular loops found on MRI IAMs requested for tinnitus. It is a common finding for all who request such imaging. This work adds to the body of evidence that such...
Impact of delaying otologic surgery
In this Belgian study, the authors looked at the impact of delaying otologic surgery by sending an online survey to 44 adult patients diagnosed with benign ear pathology whose surgery was postponed due to the COVID-19 pandemic. The questionnaire was...Alfred Alexander: a life in ENT, but mainly music
Your own voice clinic may be filled with teachers, elderly clergy and badly trained pub singers, but it wasn’t always like this... When I was first invited to write an article about opera and ENT for this edition of ENT...
Personal music systems are causing hearing loss
Sitting next to a teenager on a train with their iPod turned up loud enough for the entire carriage to hear is annoying, most will agree. Perhaps I might educate them about the risks of ‘music’ (if you can call...
Persistent postural-perceptual dizziness: a functional neuro-otologic disorder
Persistent postural-perceptual dizziness (PPPD) is a neuro-otological disorder that is the most common cause of chronic vestibular syndrome. It is not a purely structural or psychiatric disease but a functional disorder. The authors reviewed the literature to summarise the diagnostic...
On-call ENT apps
ENT apps for trainees are few and far between. Here are a couple of them which could be useful for the on-call. ENTSHO.com Born out of the website with the same name, this app is a must-have if you work...
Visual vertigo and optokinetic response
This study measured differences in optokinetic responses (sitting, standing, with and without a static visual target) in three groups of people: those classified as having unilateral vestibular loss (n=10), unilateral loss with visual vertigo (n=8) and a control group (n=10)....
The degree of barbecue rotation matters in horizontal canal BPPV
Treatment of horizontal canal BPPV (Hc-BPPV) is not without controversy due to the several repositioning manoeuvres advocated for its treatment. Among the many, barbecue rotation (Br) is perhaps the most commonly used for canalithiasis of Hc-BPPV. Should the rotation be...
Recording of electrode voltages (REVS) to determine extra-cochlear electrodes
Determining whether electrodes are sitting within the cochlea can be difficult as the checks run by the programming software cannot always determine this. In some cases, patients may be unable to give the audiologist detailed feedback which can complicate the...
