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Are we all in the matrix?

In the entirety of training and in further practice, we are instilled with the premise of patient-centred care and individualised management plans based on informed consent. The question in the new age of telehealth/e-health is how to mimic that personalisation...

Are cardiovascular risk factors associated with hearing loss?

Cardiovascular disease (CVD) risk factors are associated with microvascular damage that can impair molecular transport across capillary walls and cause inflammation and oxidative stress that may damage cochlear structure and function. This study determined, among a population-based sample of Canadian...

Transverse venous sinus stenosis – a risk factor for CSF leak in patients with idiopathic intracranial hypertension

This was a multicentre (six French tertiary hospitals) retrospective case-controlled study aiming to investigate the rate of transverse venous sinus stenosis (TVSS) in patients with idiopathic intracranial hypertension (IIH) with nasal cerebrospinal fluid (CSF) leaks. They compared the preoperative MRI...

Acute mastoiditis pre- and post-Covid-19 pandemic

This retrospective single centre study evaluated the influence of non-pharmaceutical interventions (NPI) like use of face masks, hand hygiene, and contact restrictions on the incidence and severity of acute mastoiditis during the Covid-19 pandemic. The study collected data of acute...

Put the maxilla in the right place

This is a paper from Singapore where they attempted to validate the position of the maxilla in the sagittal plane against several reference lines arising from the position of the forehead in orthognathic surgery. The position of the maxilla was...

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...

Audiological symptoms in children with 18q deletion

18q deletion is a rare genetic condition that occurs in approximately one in 40,000 live births. Those born with this deletion often are born with a range of symptoms, including developmental delay, facial dysmorphism, autoimmune disorders and hearing loss. The...

Factor favouring the need for revision FESS in chronic sinusitis with polyps – a multivariate analysis including phenotypes

Chronic rhinosinusitis with polyposis is a type 2 inflammation with risks of recurrence and need for revision operations. This is known to depend on the endotype and phenotype factors. This is a retrospective study of 212 patients. Of these, 112...

Hearing impairment awareness in primary school teachers

Early intervention of hearing loss is crucial in school-age children to avoid delay in development of communication, cognition, language and social skills. Teachers play a crucial role in identification and support in cases of progressive or late-onset hearing loss. Using...

Swallowing their words: translating and adapting swallowing questionnaires to other languages

Dysphagia (swallowing difficulties) is increasingly relevant given the ageing population. Yet measuring or assessing dysphagia is challenging and often costly when exploring instrumental examination. The aim of this study was to translate and validate a patient-reported swallow questionnaire; the Sydney...

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...