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Pulse synchronous tinnitus
This article reviews the most common neurosurgical causes of pulse synchronous tinnitus. Traditionally, tinnitus has been characterised as subjective vs. objective, or vascular vs. nonvascular. The authors observe that, in some cases, pulsatile tinnitus (PT) is not heard by examiners...
A twitch in time with a flicker of knowledge
The middle ear muscles can be seen as one of the ear’s safety mechanisms, and the interplay between eyes and ears has been established; think vestibular ocular reflex (VOR) or semi-circular canal dehiscence (SCCD). But can this protective mechanism be...
To scan or not to scan, otosclerosis
Otosclerosis can co-exist with other ear pathologies such as superior semicircular canal dehiscence (SSCD). Stapedectomy in this situation can lead to development of SSCD symptoms. Authors conducted an email-based survey involving active members of the American Neurotologic Society (ANS) and...
Softband vs. adhesive adapter in children with unilateral microtia and atresia
A bone conduction device is a well-established treatment indicated for patients with unilateral microtia and canal atresia. There are a variety of nonsurgical bone conduction hearing aids (BCHAs) with different coupling methods (softbands/adhesive adapter/spectacles). There appears to be uncertainty of...
How can we treat a patient with aural fullness?
Aural fullness is a common complaint that we often come across in many of our otology patients. Management of this condition can be quite challenging. Common differentials include eustachian tube dysfunction, patulous eustachian tube dysfunction, otitic barotrauma, superior canal dehiscence...
Audiological outcomes after CI in patients with inner ear schwannomas
In the last decade, several case series and case reports describing hearing rehabilitation with cochlear implants (CI) in patients with inner ear schwannomas (IES) have been published. This systematic review and meta-analysis studied audiological outcomes from 110 patients (111 ears)...
To pack or not to pack!
Ear packing is thought to support grafts, control bleeding and facilitate healing. However, it is not without complications such as fibrosis and infection. The authors aimed at investigating the effect of middle ear packing on graft success rate in myringoplasty...COOL therapy for cisplatin-induced hearing loss
Cisplatin is a commonly used cancer therapy, with nearly 50% of patients undergoing chemotherapy receiving cisplatin as part of their regimen [1]. Depending on the dose, incidence of hearing loss has been reported as 12-100% in adults, and 37-94% in...The evolution in management of microtia and atresia
The management of microtia and atresia has evolved significantly. Ossama Abdelhamid and Amr Abdelhamid explain how a multidisciplinary approach has become standard, with the aim of delivering individualised assessment and intervention that should target functional, structural, cosmetic and psychological aspects...Comparing AutoREM accuracy to NAL-NL2 targets: real patient data and simulator verification
A new study examines how accurately AutoREMs from four major brands hit NAL-NL2 targets, revealing strengths, limits and clinical implications. Automatic real ear measurements (AutoREMs) have emerged as a promising way to make hearing aid fittings faster and more consistent....Near-miss in otolaryngology head and neck surgery
It is recommended by John Fenton that we as a specialty need to embrace the concept of, take responsibility for and learn from all near-miss events, rather than our traditional haphazard approach of an occasional educational anecdote or case report....
