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Supporting second language in bilingual children with cochlear implants
There have been mixed reports regarding the benefits of supporting two languages for bilingual children using cochlear implants. With an ever-increasing number of children with hearing loss undergoing cochlear implantation, this study provides timely clinical evidence. The authors studied the...
Imaging and embolisation of paragangliomas
Paragangliomas are rare tumours within the head and neck and any article which succinctly jogs the memory with respect to their existence and subsequent accurate diagnosis is welcome. This article concisely explains the imaging techniques used to diagnose these tumours...
A comparison of cold dissection, coblation and diode laser tonsillectomy
Excellence in tonsillectomy is based on the time taken, blood loss and rapid recovery with minimal pain. In this study, 120 children underwent tonsillectomy by three methods, namely cold dissection, coblation and diode laser dissection in three randomly allocated groups...
Benefits of combined antiviral and corticosteroid therapy in Bell’s palsy and the role of decompression surgery
Early use of steroids has been established as standard management in Bell’s palsy but simultaneous use of antiviral agents has variable acceptance. This review article analyses statistically based evidence to settle the issue. High quality evidence from a 2009 Cochrane...Surgical challenges in advanced or recurrent thyroid malignancy
The management of thyroid malignancy and extent of surgery is controversial, especially considering the limitations of preoperative diagnosis. Neil Tolley provides guidance and reminds us of our responsibility not to over-treat. In the UK, 16% of thyroidectomies are performed for...CROS hearing aids existed 10 years before they were even invented!
We all know the principles of CROS aids and the potential benefits they provide to patients, but did you know they were invented many years before they were officially described in literature? In this engaging article, Neil Bauman explains how...The modern management of Ménière's disease
In this article, John Phillips considers the evolution of management options for Ménière’s disease. Treatment options past and present are discussed, together with an insight into future developments regarding the role of intratympanic steroids. Ménière's disease can be the source...Selecting and optimising hearing aids for tinnitus benefit: a rough guide
Hearing aids have a relatively long history as tinnitus treatment tools. Saltzman and Ersner reported success in suppressing tinnitus with simple hearing aids in a number of cases as early as 1947 [1]. In an early comprehensive approach to tinnitus...
What can the anterior cranial fossa fracture pattern tell us?
This assessment involves 81 patients treated between two regional major trauma centres in the UK. Fifty sustained a predominantly anterior directed force and 31 a lateral impact. They found that anterior impacts reduce the incidence of fracture propagated beyond the...
The middle way: treating idiopathic facial nerve palsy
Whilst the causes of recurrent facial nerve palsy are numerous, in many cases it may be idiopathic. There is no clear consensus on treatment of this condition and conservative management alone may condemn patients to gradually worsening facial nerve function...
