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Accuracy of CT scans for cholesteatoma and its complications
Chronic ear disease with cholesteatoma generally requires active surgical management and the requirement for this needs precise assessment. A retrospective study was conducted to evaluate the accuracy of CT scan findings in terms of predicting cholesteatoma and its associated complications...
Does the season affect the diagnosis of vestibular disorders?
There are mixed results in the literature regarding seasonal variation in the presentation of various peripheral vestibular disorders. In this large population study involving over 20,000 patients recruited from 116 ENT practices across Germany, the authors analysed the demographic characteristics...
Promising surgical technique for pulsatile tinnitus caused by sigmoid sinus dehiscence?
Pulsatile tinnitus (PT) can be caused by sigmoid sinus dehiscence (SSD). The authors report the results of 17 patients who underwent sandwich surgical technique for sigmoid sinus (SS) wall reconstruction for the treatment of pulsatile tinnitus caused by sigmoid sinus...
Endoscopic stapes surgery
This retrospective Turkish study looked at the audiological and surgical outcomes of 40 patients who underwent endoscopic stapes surgery over a three-year period. To assess the learning curve, the patients were divided into two groups based on the date of...
Horizontal canal PPV: is Gufoni manoeuvre better than barbecue manoeuvre?
Benign paroxysmal positional vertigo (BPPV) is the most common kind of vertigo that we come across in our out-patient clinic. Horizontal canal BPPV (HC-BPPV) accounts for 10–30% of total BPPV. Two techniques, namely Guffoni and barbecue roll manoeuvres, are generally...
Persistent symptoms of smell loss after COVID-19 infection
Anosmia as a result of COVID-19 infection is well recognised. This timely and topical French paper looks at 115 patients with proven SARS-CoV-2 infection, who were contacted with specific questions about olfactory and gustatory disturbance. They found 81% of patients...
Pretend placements: simulation is as good as the real thing
Clinical placements are now, more than ever during the COVID-19 pandemic, a huge time and personnel commitment. Recently, allied health students have had huge changes to their placements, often undertaking them entirely remotely. This article describes a novel method of...
Earlier intervention to correct anosmia?
This is an interesting study aimed to determine the timing for successful surgical intervention in improving the sense of smell in patients with chronic rhinosinusitis with nasal polyps (CRSwNP). A total of 86 CRSwNP patients with loss of smell and...
Canal wall up mastoid defects - can they be usefully reconstructed with hydroxyapatite cranioplastic cement?
Standard canal wall up (CWU) mastoid surgery leaves a mastoid defect of varying size, commonly covered by soft tissue. Rarely, this bony defect can cause discomfort, cosmetic issues or other problems. To mitigate these, the defect can be filled either...
The impact of bilateral implantation on language outcomes
An American study retrospectively looked at the language outcomes of 204 children implanted either bilaterally, sequentially or unilaterally. All children received their first implant before the age of three years, and language measures were collected when the children were aged...
Patients with auto-immune Meniere’s disease more likely to respond to intratympanic steroids
The authors retrospectively reviewed the duration of symptom control after intratympanic dexamethasone (IT) injections in 27 patients with Meniere’s disease (MD) over a six-year period. The patients received two IT injections of 3.3mg/ml of dexamethasone one-to-two weeks apart. Eleven patients...
