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Relationship between high resolution radiological features of the otic capsuleand audiometric parameters in patients with otscerosis
The audiometric pattern in patients with otosclerosis and outcomes of stapedectomy are variable. Whether this has anything to do with the number of sites affected by otosclerosis in the otic capsule and the disease pattern according to foci location, foci...
Hearing preservation in CI, any predictors?
The electrically evoked compound action potential (eCAP), obtained non-invasively from cochlear implant (CI) recipients, represents a population response of the auditory nerve to electrical stimulation. The eCAP characteristics include threshold (the lower the better), growth of response (the steeper the...
How long after head and neck cancer diagnosis do patients need opioids?
With the advances in the management of head and neck cancer (HNC), patients tend to survive longer after their diagnosis. These people face the burden of chronic pain management which is strongly associated with HNC. A HNC team in Portland...
Storytelling is good for your memory
Mild cognitive impairment (MCI) presents a challenging frontier in healthcare due to the limited availability of effective drugs. Despite its prevalence and potential progression to dementia, there remains a notable gap in pharmacological interventions targeting MCI. This month’s Editors’ Choice...
Bones, stones and surgical moans: rethinking PTH dynamics in parathyroid surgery
Intraoperative parathyroid hormone (IOPTH) testing has revolutionised minimally invasive unilateral parathyroidectomy (MIP) as the gold standard treatment for primary hyperparathyroidism, replacing old-timey four-gland exploration. IOPTH testing ensures reliable excision of all hypersecreting glands, including those pesky hard-to-find ones, without relying...
Dysplasia at the margins of laryngeal cancer specimens following laser resection – is conservative management appropriate?
Transoral laser microsurgery (TOLM) remains the cornerstone of treatment for early laryngeal squamous cell carcinomas. Whilst the hope is always to achieve a complete surgical excision with clear margins, it is sometimes the case that on histological analysis, disease is...
Improving music perception in cochlear implant users
Can you imagine a world without music? In the words of Hans Christian Anderson, a prolific 19th-century Danish author, “Where words fail, music speaks.” This quote highlights music’s importance as a language of emotions that transcends linguistic barriers. This case...
Can PRP injections treat atrophic rhinitis?
As we all know, atrophic rhinitis is a thankfully rare but debilitating condition characterised by nasal obstruction, dryness, crusting and foul smell (ozaena). There are currently minimal treatment options available, none of which have proven particularly effective. The authors present...
Transoral coblation surgery – a viable option for early laryngeal cancers involving the anterior commissure?
Transoral laser microsurgery is widely considered to represent the ideal treatment modality for early (T1a) laryngeal cancers. With disease involving the anterior commissure however, radiotherapy is often advocated on account of perceived superior voice and airway outcomes, plus potential difficulty...
Environmental sounds and hearing disability in auditory neuropathy
This cross-sectional study examined whether environmental sound perception contributes to self-perceived hearing abilities in individuals with auditory neuropathy spectrum disorder (ANSD). In total, 42 participants with ANSD completed the Speech, Spatial and Qualities of Hearing Scale (SSQ), alongside measures of...
The keystone island perforator flap – expanding the toolbox for aesthetic nasal reconstruction
The complexity of nasal reconstruction lies in its dual objective: restoring structural integrity while preserving subtle contours and symmetry that define facial aesthetics. This retrospective cohort study from a single centre in the United States evaluated the effectiveness of the...
