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Early detection pathways for congenital cytomegalovirus for infants referred from the newborn hearing screen

4 March 2024 | | ENTA - Audiology - Paediatric, ENTA - Audiology - Diagnostic
This article discusses requirements for an early congenital cytomegalovirus (cCMV) detection pathway to ensure children do not miss out on the opportunity for timely diagnosis and treatment. The pathways described are currently in use in England and apply to well...

Hearing rehabilitation after vestibular schwannoma surgery

27 February 2020 | | ENTA - Otology, ENTA - Vestibular Disorders
Hearing rehabilitation is a key focus of the management of patients with vestibular schwannoma. But how do we rehabilitate hearing when the cochlear nerve has been damaged by tumour, irradiation, or resective surgery? Mathieu Trudel, Scott Rutherford and Simon Lloyd...

Imaging tinnitus

1 May 2014 | | ENTA - Audiology - Adult, ENTA - Tinnitus
Tinnitus is a common sensation with a reported prevalence of 7-32%. The British National Study of Hearing recorded that 10% of adults suffered from prolong spontaneous tinnitus, and approximately a quarter of these are subsequently referred to hospital for investigation...

SCOTLAND preoperative tympanomastoid CT temporal bone mnemonic system

2 November 2020 | | ENTA - Head & Neck, ENTA - Imaging
Learning how to interpret a CT scan of the temporal bones can be a daunting task, especially for a head and neck surgeon like me! However, to make life easier, the authors have devised a useful system to help cover...

Triple semicircular canal occlusion and Meniere’s disease: a rising alternative treatment?

7 January 2021 | | ENTA - Head & Neck, ENTA - Otology, ENTA - Vestibular Disorders
Patients with dizziness form a large part of the workload for ENT surgeons. In the overwhelming majority of cases, management will be medical and successful. However, occasionally some patients present a challenge when they have not responded to conventional treatments....

FESSing up

7 January 2026 | | ENTA - Rhinology / Sinus
This story is dedicated to my dear friend and much-missed colleague, Heinz Stammberger, with whom some of these moments were shared (or endured). Having used a rigid endoscope in my postgrad thesis in the early 1980s to show that the...

Radiology of referred otalgia

1 May 2014 | | ENTA - Neurotology, ENTA - Otology
Otalgia is a common presenting complaint to Ear Nose and Throat Departments. Otalgia is either primary or secondary (referred) [1]. Referred otalgia is a ‘red flag’ symptom and can be a diagnostic challenge for clinicians and radiologists as the pathology...

Superior semicircular canal dehiscence: transmastoid obliteration

1 September 2017 | | ENTA - Audiology - Diagnostic, ENTA - Head & Neck, ENTA - Vestibular Disorders, ENTA - Otology
Sometimes patients with dizziness turn out to have slightly more unusual causes of their problem. Thomas Milner and Georgios Kontorinis describe their technique for managing patients who have a diagnosis of superior canal dehiscence as an identified cause of their...

How cognition influences hearing aid use

26 June 2017 | | ENTA - Audiology - Adult, ENTA - Neurotology
Introduction Hearing aids are designed to provide amplification for individuals with poor auditory sensitivity. Signal processing algorithms are designed and implemented in hearing aids to further enhance speech intelligibility and to improve listening comfort by attenuating unwanted background noise. Sarampalis...

Combined use of a hearing aid and a cochlear implant: a case study

1 July 2015 | | ENTA - Audiology - Adult, ENTA - Audiology - Auditory Implants
When multi-channel cochlear implants (CIs) were first introduced in the 1980s, their use was restricted to people who derived no benefit from conventional amplification. Over the past three decades, however, the criteria for CIs has been relaxed considerably, and it...

Clinical utility and practical interpretation of the video head impulse test

1 November 2015 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Vestibular Disorders
The head impulse test (HIT) is an essential bedside test to detect peripheral vestibular deficits. The video head impulse test (vHIT) is a new tool quantifying the HIT. In this article Maria Heuberger and colleagues point out the clinical utility...

What’s hidden in hidden hearing loss?

1 March 2018 | | ENTA - Audiology - Diagnostic
In order to truly understand the many key aspects of acquired sensorineural hearing loss, the role of cochlear synaptopathy or ‘hidden hearing loss’ must be considered. Dan Guo and Sharon Kujawa review and summarise what we know to date, including...