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In conversation with Jane Lea: the journey from athlete to surgeon
Dr Jane Lea is a clinical professor and fellowship director of otology and neurotology at the University of British Columbia. Prior to becoming a doctor, Jane was a semi-professional footballer and represented Canada. As a result of three knee operations,...
Long-term outcomes after (adeno) tonsillectomy
Patient-reported outcome measures (PROMs) are used increasingly to fill an ‘evidence gap’ where healthcare rationing threatens particular treatments. Tonsillectomy is a long-established and effective treatment for recurrent tonsillitis and obstructive sleep apnoea (OSA) in children. The T-14 outcome measure examines...
Preoperative unaided maximum monosyllabic word recognition score as a predictor of CI outcomes
This retrospective study supports early intervention and hearing rehabilitation with hearing amplification for adults. The authors included 103 patients (128 ears), who had undergone cochlear implantation over a seven-year period, in this study. All patients had been assessed for their...
Hearing loss in the contralateral ear after mastoid drilling
It is difficult to conceive that most of the noise generated by drilling the mastoid would not be conveyed to the contralateral cochlea, by direct transmission through the skull bone, where the attenuation factor is only 5-10 dB. Only a...
Medialisation laryngoplasty can relieve pain related to voice use
Odynophonia, or pain associated with voice use, is a relatively uncommon manifestation of glottal insufficiency related to vocal fold motion impairment (VFMI). Its incidence is approximately 15% in patients with vocal fold paresis. Medialisation laryngoplasty (ML) was popularised by Isshiki...
Multiple surgeries for RRP – does a greater number of operations result in a worse voice outcome?
Recurrent respiratory papillomatosis (RRP) of the larynx remains a challenging condition to treat, with a number of affected patients requiring multiple operations to remove recurrent disease over the course of their lifetime. At the most severe end of the spectrum,...
Cochlear Implant Patient Assessment: Evaluation of Candidacy, Performance, and Outcomes – Second Edition
The second edition of Cochlear Implant Patient Assessment aims to become a point of reference for all professionals involved in assessing cochlear implant candidacy and interested in broadening their knowledge to maximise the hearing capabilities of their patients. This book...
Is bone cement a cost-effective solution?
This study looks at the functional results of 52 patients who underwent bone cement ossiculoplasty. Patients were divided into four groups based on ossicular disruption. Group 1 (30 patients) had lenticular erosion only. Group 2 (13 patients) had absent incus....
Outcomes at three years post-implantation of the Bonebridge device
This is a MED-EL-funded study of the hearing outcomes and complication rates of the Bonebridge active transcutaneous bone conduction implant (BCI). The authors have declared no conflict of interest. Follow-up occurred at intervals for 36 months post-implantation in all 57...
Success of butterfly myringoplasty in myringosclerosis
Butterfly inlay myringoplasty is a simple surgical technique used in the repair of tympanic membrane perforation. The authors evaluated the effects of myringosclerosis on the success of surgery by reviewing demographic data, perforation size and hearing outcomes of patients undergoing...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...
