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Unexplained dizziness in elderly patients
How do we explain unexplained dizziness in elderly patients? How far should we go with investigations? And most importantly, how should we manage this challenging and expanding group of patients whose balance affects their safety? Richard Ibitoye and Diego Kaski...Questionnaires to measure tinnitus severity
The handicap associated with tinnitus can arise from any combination of stress, anxiety, depression, emotional distress, insomnia, difficulties concentrating, or impairments in quality of life or everyday functioning. Measuring such handicap and determining clinical need is therefore far from trivial....Outreach to build capacity for surgical ear care in low-resource settings: challenges and opportunities
There are successful models for delivering complex ear surgery where resources may be more limited. Ear, nose and throat conditions are frequently overlooked when global health issues are considered, but hearing loss is the world’s most common sensory deficit, and...Outreach to build capacity for surgical ear care in low-resource settings: challenges and opportunities
There are successful models for delivering complex ear surgery where resources may be more limited. Ear, nose and throat conditions are frequently overlooked when global health issues are considered, but hearing loss is the world’s most common sensory deficit, and...
Tinnitus and Sound Sensitivity Case Book
This book, as the title suggests, is full of case studies written by health wprofessionals involving patients who are experiencing tinnitus and/or sound sensitivity. There are 29 different case studies spanning both adults and paediatrics (though mainly adults). Each case...
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...
Inpatient or outpatient thyroidectomy?
This systematic review and meta-analysis discusses the safety of hemithyroidectomy in an outpatient vis-à-vis an inpatient setting. Thyroidectomy has traditionally been performed as an inpatient procedure. Currently, an increasing number of surgeons are performing thyroidectomy in outpatient settings. The main...
Wisdom teeth and mandibular osteotomies
This is a systemic review and meta-analysis from Italy and Brazil where they try to clarify the role of wisdom teeth and complications in a sagittal split mandibular osteotomy. Whilst, like many other papers, they outline the quality of evidence...
How to manage the cheek in gender affirming surgery
This publication discusses cheek augmentation surgery related to gender-affirming facial surgery. The publication describes the difference between the common male cheek anatomy and the desired ideal feminine appearance and how to achieve it. In the author’s experience, gender-affirming surgery patients...
Cochlear implantation in enlarged vestibular aqueduct patients
In this systematic review, the authors describe the complications and outcomes of cochlear implantation in patients with enlarged vestibular aqueduct (EVA). The authors reviewed five major databases and included 4035 patients from 34 studies. Of these, 853 patients (21.14%) had...
Day case orthognathic surgery
This paper analyses whether patient safety is maintained when orthognathic surgery is performed as an outpatient. This Swedish paper reviewed 165 patients, 107 of whom were to have what was termed outpatient care, and of which 101 (94%) were able...
