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4416 results found

Does salvage treatment in sudden sensorineural hearing loss work?

Many treatment strategies for sudden sensorineural hearing loss (SSNHL) have been discussed, but the high spontaneous recovery rate (32-65%) of idiopathic SSNHL and differing treatment guidelines make comparing outcomes difficult. Systemic steroids are the most common first-line therapy with significant...

Cognitive function is preserved in episodic vestibular disorders

Cognitive deficit in bilateral vestibular failure in particular, but also in unilateral vestibular failure, is well documented. The authors designed this prospective study to determine if deficits in cognition, as well as anxiety and depression, were present in episodic vestibular...

Does middle turbinate resection affect olfaction in endoscopic transsphenoidal surgery?

The middle turbinates (MT) are sometimes partially resected during endoscopic transnasal transsphenoidal pituitary surgery to improve surgical access. Some outfracture the middle turbinates instead. This article presents results of the first prospective randomised study, investigating the effects of such surgery...

Persistent postural-perceptual dizziness (PPPD), psychosomatic or not? The debate continues

PPPD continues to provoke debate since the diagnostic criteria emerged in 2017. This review covers two commentaries because they are best considered together: the first one, by HK and BS-U, concluded that PPPD is a psychosomatic disorder (in fact, ‘a...

Metformin, the magical solution!

Both noise-induced hearing loss (NIHL) and vestibular schwannomas (VSs) pose a challenge in terms of management. Metformin was suggested as a potential therapeutic drug for NIHL when the drug-target interaction data was investigated. Additionally, there are studies which demonstrate reduction...

Surgery plus radiotherapy keeps the helical keloid scar away

Keloid scars lead to significant psychological and cosmetic morbidity. As the pinna is a key component of facial cosmesis, pinna keloid scar formation can be aesthetically displeasing. Their stubbornness and high recurrence rate can be challenging to treat. This department,...

Booklet-based supervised vs. non-supervised vestibular rehabilitation

There are conflicting results in the literature about home-based vestibular rehabilitation training (VRT) as opposed to physiotherapist-led training. A randomised controlled trial was designed to interrogate this further. The primary aim was to assess “the effects of a booklet-based exercise...

Nasal allergies and OSA

The first day of June is the meteorological start of summer. As a moderately wet spring slowly blurs to (a damp UK) summer, we can look forward to holidays in the countryside, enjoying the changing pollen seasons from tree to...

Lost and sound: exploring hyperbaric oxygen therapy for refractory SSNHL

Can hyperbaric oxygen therapy (HBOT) offer a breakthrough for patients with refractory sudden sensorineural hearing loss (SSNHL)? SSNHL is defined as acute hearing loss of ≥30 decibels in three consecutive frequencies within three days. Typically, it’s treated with two weeks...

Will getting a rhinoplasty make you feel better?

“The National Health Service is in serious trouble.” This is the opening line of the introduction of Lord Darzi’s report to the Secretary of State for Health in England. His deep dive into the current state of the NHS in...

AI in ENT practice

Artificial intelligence (AI) technologies are becoming increasingly prevalent in our lives and there has been both enthusiasm and caution for using AI in healthcare. A recent article in the Journal of the American Medical Association reported on a trial examining...

Audiometric and Quality of Life comparison between Bonebridge® and Osia®

Bone conduction implants are an alternative to hearing aids for varying reasons. Both Bonebridge® and Osia® are transcutaneous devices maintaining intact skin, establishing a connection between the implanted device and external processor through a magnetic system. Both are described as...