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Hearing protectors and speech perception

This study tested 31 subjects using hearing protectors by maintaining a constant intensity level for the speech signal while varying background noise levels. The goal was to use this test to detect speech perceptual abilities under different hearing protectors –...

The relevance of rhinoplasty and septorhinoplasty from the commissioners

The rising costs of running the National Health Service and its overburdened resources has led to the constant monitoring of the low clinical value treatments. The operations of rhinoplasty and septorhinoplasty inevitably fall into this group and are subject to...

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...

Adenotonsillectomy day-case discharge criteria: a systematic review

In this paper, Gowda et al review the literature aiming to answer a long-standing question regarding the criteria for same-day discharge of paediatric patients post adenoidectomy and/or tonsillectomy performed for treatment of obstructive sleep apnoea (OSA). Following PRISMA consensus, they...

mAXIS stapes prosthesis

Since Shea’s first description of stapes mobilisation procedure, improvements in the technique have resulted in the development of alloplastic stapes prosthesis. The authors prospectively conducted a single-centre study to determine the safety and efficacy of the MED-EL mAXIS stapes prosthesis...

Frozen sections; a systematic review

This systematic review and meta-analysis looked at 5 studies assessing the impact of intraoperative frozen section analysis on final margin status, locoregional recurrence and survival in patients with an oral squamous cell carcinoma. The analysis showed no significant difference in...

Commentary: dementia, hearing loss, and the danger of professional rabbit holes

The Lancet, a world-leading general medical journal, has a global impact. Its commissioned report into dementia prevention, intervention and care has been cited over 6000 times and has further been reviewed and updated in 2020 and now 2024. Here, Profs...

Medical and surgical management of performing vocalists

Dr Steven Zeitels is widely recognised as the foremost laryngologist of his generation. He has been at the forefront of innovation for 25 years, and has treated innumerable high-profile singers, most recently Sam Smith and Adele. Here, he gives us...

Vestibular dysfunction after cochlear implantation in children

Whilst vestibular dysfunction is a known outcome of cochlear implant surgery, do we know the risk factors associated with this, particularly in children? In this article a team from University of Tokyo discuss their findings. Cochlear implantation (CI) is an...

Image-Guided Surgery: Fundamentals and Clinical Applications in Otolaryngology

Although not inspired particularly by the concept of the book, I was reassured by the introduction that the theory behind image guided surgery (IGS) would be presented in a way that was accessible, with “all technical descriptions trimmed to the...

Endoscopic Sinus Surgery: Anatomy, Three-Dimensional Reconstruction and Surgical Technique - Fourth Edition

Although nothing can substitute for hands-on training and time in theatre, this book is about as close as any trainee wanting to make up for training time lost to the COVID-19 pandemic, will get. Whether bought as reading for a...

Concussion and vestibular processing deficits

It is well known that patients with mild traumatic brain injury (mTBI), also referred to as concussion, display longstanding vestibular symptoms but often clinical signs and objective vestibular function test abnormalities are lacking. The aim of the study was to...