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Single surgery for repair of tegmen defects and superior semicircular canal dehiscence
This retrospective review of 34 patients undergoing repair of the temporal bone defect via the middle cranial fossa approach provides the author’s management strategy for two problems: superior semicircular canal dehiscence and tegmen defects. The incidence of both these pathologies...
Endoscopic transsphenoidal surgery versus dopamine agonist therapy for microprolactinomas
This study addresses the importance of the location of microprolactinomas in determining prognosis after surgery. Long-term dopamine agonist treatment is the current standard of treatment for microprolactinomas. However, patients often seek surgical removal. The authors of this study retrospectively analysed...
Mental practice could be a great COVID-19 solution for delivering swallow rehab
Motor imagery is defined as the process of voluntarily generating a mental image of a motor function without actually doing said function. Mental practice (MP) is the process of doing this repeatedly; practising it. There is some evidence that this...
Hemilaryngopharyngeal Spasm (HeLPS)
The authors report an unusual case of hemilaryngopharyngeal spasm (HeLPS) with glossopharyngeal neuralgia with otalgia in a middle-aged female patient. Her symptoms included left-sided sharp, electric sensation like pain radiating from her left ear to the left side of her...
CRS vs. migraine: which is the culprit in most headaches?
‘Sinus headache’ is a common diagnosis according to patients and primary care physicians, but relatively infrequent in the eyes of otolaryngologists. This study examines 104 patients with a primary headache syndrome (PHS) and 130 patients with CRS, looking at SNOT-22...
Low-frequency air-bone gaps appear to be a true audiological finding in Ménière’s disease
There is a lack of established objective tests in Ménière’s disease (MD) that can provide information about the disease process. The appearance of low-frequency air-bone gaps (LFABGs) in MD is a recognised but unexplored phenomenon. Two theories have been suggested...
Endolymphatic duct, a bit more than what meets the eye
It is theorised that the endolymphatic duct (ED) and the endolymphatic sac (ES) system play a role in both the production and absorption of endolymph. This system could be responsible for development of endolymphatic hydrops (EH). Recently, the presence of...
A ‘smarter’ way to examine the ear?
Otoscopes and endoscopes, essential tools for ENTs, audiologists, and general practitioners, are on the receiving end of a modern twist thanks to smartphone technology. Aimed at adapting smartphones for otoscopic and endoscopic imaging, these reimagined devices might just change the...
Handbook of Otolaryngology, Head and Neck Surgery – Second Edition
The authors and contributors of this book have done a stellar job of updating the content while maintaining the portability essential for any ‘handbook’. They begin with a sound introductory section which presents a comprehensive road map to evaluating the...
Voice change after total thyroidectomy with intact laryngeal nerves – a common but temporary problem
It has been reported that up to 87% of patients have a degree of voice dysfunction after thyroidectomy, even when the laryngeal nerves are preserved. Postoperative inflammation, laryngeal oedema due to vascular congestion, direct damage to the cricothyroid muscles and...
Head injury and prolonged bed rest, but not inner ear disease, predict poorer outcome after Epley manoeuvre in posterior semicircular canal benign paroxysmal positional vertgo (P-BPPV)
This Japanese study included 197 patients with P-BPPV treated over a two and a half year period. The vast majority had idiopathic BPPV (n=157). The remaining 40 had secondary BPPV, eight following head trauma, 14 due to prolonged bed rest...
