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Sleep apnoea got your heart in your throat? Perhaps it’s time to ditch the CPAP and fetch the scalpel

The link between obstructive sleep apnoea (OSA) and cardiovascular disease (CVD) is clear. Its well-established association with essential hypertension is thought to link OSA to an increased risk of atherosclerotic and hypertensive sequelae. However, data on the long-term impact of...

aVOR – An Educational Tool

As anyone who has tried to learn the anatomy and physiology of the vestibular system can attest, understanding and visualising the structures and their functions can be quite challenging. Thankfully, there is now a free app called aVOR (iOS, iTunes...

Which bone conduction implant (BCI) device to use?

Bone conduction implants (BCI) are alternatives when the use and benefit of conventional, prosthetic equipment is limited or contraindicated in patients who suffer from conductive, mixed and single-sided deafness. They are broadly divided into two main groups delivering vibration directly...

What are the non-inflammatory causes of a conductive loss?

This retrospective study looked at patients with an intact tympanic membrane with non-inflammatory causes – i.e. otitis media and cholesteotoma. They document their findings based on exploratory tympanotomy. They operated depending on the findings with either a stapedectomy or a...

Primary ossicular chain reconstruction in open-cavity mastoidectomy

The authors performed a retrospective analysis of 21 patients who had undergone primary reconstruction of the ossicular chain during canal-wall-down mastoidectomy. The ossiculoplasty technique used consisted of removal of the malleus head and division of tensor tympani, and rotation of...

Paediatric conductive hearing loss management

This review article discusses the current guidelines for the management of paediatric otitis media, tympanostomy tube placement indications, management of risk factors for chronic otitis media, intraoperative and postoperative management guidelines and the management of complications. The important takeaways include...

Guidelines for management of orbital infections

Orbital infections predominantly affect the paediatric population and complications can be very serious. The cellulitis can be preseptal or orbital and the abscess can be confined within the periosteum or extend into the orbit. Cavernous sinus thrombosis can complicate the...

In conversation with Gregory W. Randolph, President of the AAO-HNS

The American Academy of Otolaryngology – Head and Neck Surgery (AAO-HNS) is the world’s largest otolaryngology, head and neck surgical organisation. Declan Costello caught up with its new President, Dr Gregory W. Randolph. Dr Gregory W. Randolph. Congratulations on your...

Going beyond patient care: discovering alternative roles in audiology

In this article we hear about Husmita Ratanjee-Vanmali’s journey from clinical practice to implementing global strategies for clinical practice, education, and innovation across South Africa, Canada and Denmark. In the constantly evolving dynamic global sector, have you ever considered what...

Long-term results of incus vibroplasty in patients with moderate-to-severe sensorineural hearing loss

The Vibrant Soundbridge (VSB) middle ear implant is now a well-accepted and widely utilised treatment option for patients with sensorineural hearing loss unable to use standard hearing aids. However, as a relatively recent addition to the portfolio of implants available...

Nasal dermoids

This article goes through the fairly specific and unique condition of paediatric midline nasal dermoids. It goes through the epidemiology and then the embryology, reminding the reader that a protrusion of dura extends from the anterior cranial fossa through the...

Salivary pepsin – a simple test for LPR?

A diagnosis of laryngopharyngeal reflux (LPR) can be made on the basis of characteristic symptoms and nasendoscopy findings. Objective tests exist for this condition; for example, 24-hour dual-channel pH-metry which is considered to be the gold standard. Such tests are,...