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Military acoustic trauma: incidence and management
This is a retrospective study on the effects of acute acoustic trauma on the hearing thresholds of 225 military personnel. The main symptom after acute acoustic trauma due to firearm use was tinnitus. The authors consider it as the main...
Round window niche drilling with intratympanic for ISSHL. A new option for salvage?
This paper from China compares the technique of widening the round window via a posterior tympanotomy approach and steroid-soaked gelatin sponge with intratympanic steroids alone for salvage therapy in severe idiopathic sensorineural hearing loss. Salvage therapy was defined as patients...
Double layer graft in endoscopic tympanoplasty
This Turkish retrospective study looked at the success rates following endoscopic tympanoplasty using the double layer graft technique. This involves using a tragal cartilage and perichondrium composite graft and a separate perichondrial graft for closure of the perforation. The crescent...
Possible correlation of ABR changes with prognosis in sudden sensorineural hearing loss
A sensorineural hearing loss (SNHL) of 30dB or more affecting at least three frequencies and occurring over less than three days is classified as ‘sudden’ SNHL (SSNHL). Treatment is urgently undertaken with systemic and/or intra-tympanic steroids, and ijn some cases...
How interaural level differences differ between children with bilateral cochlear implants and their normally-hearing peers
A group in the Netherlands investigated interaural level differences (ILDs) in children who were bilaterally implanted with cochlear implants (CIs) and compared their performance to their normally-hearing peers. ILDs are used to localise sound and rely on the high-frequency cues....
How do mermaids hear?
When the imagery of childhood fairy tales meets the more clinically analytical mind of an adult, there may at some point come the question, ‘how do mermaids hear’? Luckily a department of biology in Denmark has sought to furnish such...
Sound levels in our daily public places
Hearing conservation and noise safety are significant public health issues globally. Drinkwater’s article describes a wide variety of initiatives which contribute to healthier sound levels in public spaces and daily environments. One of particular interest is hearing assistive technology (HAT)...
The cocktail party conundrum
I feel, with slight sadness and disappointment, that a good cocktail party, dresses, punch bowls and all is not currently in its heyday and, therefore, opportunity of attending is slim. However, from what I remember, they tend to be a...
Temporal bone fractures in children – are we doing enough?
This is a retrospective study which assessed clinical presentation and prognosis in 91 children under the age of 18 who developed temporal bone fractures from trauma, the commonest of which was falls from heights followed by motor vehicle accident. The...
