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Absorbing the hurt
In this article, taken from his blog, ENT surgeon John McGarva reminds us that while we can’t fix everything, we may still be able to help. It was a long time ago. I was a scarily young Houseman, barely 22,...
Loudness in non-organic hearing loss
Non-organic hearing loss has been of interest to researchers for a long time. In this study the authors compared a loudness rating measured in relation to the sound level for 1000 Hz in normal hearing patients and patients diagnosed with...
How can we manage children with poor speech discrimination but with normal audiogram
We often come across children and young adults brought in for consultation for suspected hearing loss and having hearing difficulty in noisy backgrounds but who often have normal audiograms. Such patients are suspected to have auditory neuropathy. The term auditory...
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 preservation after Gamma knife in vestibular schwannomas
This retrospective study reports the outcomes of hearing preservation up to three years after Gamma knife radiosurgery for Gardner-Robertson Class I (SDS>70% and PTA <30dB) patients with vestibular schwannomas. The authors report that patients with no subjective or objective hearing...
Loudness tolerance levels and misophonia
Misophonia is a prevalent condition, yet its assessment and management remain underrecognised by many audiologists. Current literature highlights the frequent co-occurrence of misophonia with tinnitus and hyperacusis. Hence, the link between loudness intolerance problems and misophonia has been hypothesised by...
Say what you don’t mean: cognitive difficulties in Parkinson’s can worsen intelligibility
Hypokinetic dysarthria, seen in 70–90% of people with Parkinson’s, causes reduced range of movement during speech production, reduced volume, rate, pitch and intelligibility. This study aimed to explore the role of higher cognitive function in speech production by asking 20...
The Surgical Manual of Common Otological Implants
This surgical manual provides a basic overview of the indications, devices and surgical steps for cochlear implants, vibrant soundbridge, bonebridge and bone anchored hearing aids. The text is concise and easy to follow and includes high-quality annotated clinical photographs accompanying...
Is there a limitation for excising parapharyngeal tumours transorally?
The parapharyngeal space is a complex anatomical space bounded medially by the oropharynx and laterally by the mandible. It is conceptualised as an inverted pyramid extending from base of skull above to the hyoid bone below. The space is divided...
Efficacy of stereotactic radiosurgery for facial nerve schwannoma
This international multicentre study reviewed the results of stereotactic radiosurgery (SRS) in 63 patients with facial nerve schwannoma over three decades. The facial nerve schwannoma were distinguished from vestibular schwannoma based on intraoperative findings or typical temporal or extra temporal...
Two reliable endoscopic myringoplasty techniques for anterior tympanic membrane perforations
Difficulties that arise in closing anterior perforations in the tympanic membrane are due to a narrow isthmus of the external auditory canal and an anterior wall bulge which obscures the most anterior part of the tympanic membrane. The conventional microscopic...
