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Detecting postoperative cholesteatoma with diffusion weighted magnetic resonance imaging

Middle ear cleft cholesteatoma is an inflammatory disease that erodes local bony structures and can cause otorrhea, hearing loss, vertigo and intracranial complications. It is usually treated with surgery, typically canal wall up (CWU) or canal wall down (CWD) surgery....

Octreotide in the medical management of chyle fistula post neck dissection

Chyle leak, although rare (1% and 2.5%), is a well-documented complication following surgical dissection of the neck. Although the left side of the neck is the most common site, chyle fistulas have been reported in the right side of the...

Otology training in low- and middle-income countries: a view from within

It is recognised that hearing loss and ear disease are far more common in less affluent parts of the world, and that those countries are often least able to provide treatment; so how can we prioritise care for these patients?...

Adult Audiology Casebook (2021)

Diagnostic audiology is one of my passions so, naturally, the title of this book was an attractive proposition for the clinician in me – and I wasn’t disappointed! It is seldom that you will learn so much in both the...

Canal wall down with obliteration of cavity for paediatric cholesteatoma

The authors present evidence that canal wall down (CWD) surgery with primary obliteration is an effective way to treat paediatric cholesteatoma. Fifty-eight ears were operated on and follow-up was for five years on average. Residual cholesteatoma rate was 9.9% with...

Performing ethnic aesthetic rhinoplasty

This article reviews principles of performing rhinoplasty in non-Caucasian patients, exploring patient expectations based on differences in race, ethnicity and culture. One of the main challenges is a lack of well-established ideal facial measurements for different non-Caucasian groups. The authors...

Precision and personalised genomic and epigenomic medicine in audiology/hearing loss

A detailed look at the pathogenesis of acquired hearing loss due to exposure to ototoxicity during pregnancy or shortly after birth. Insights from genomic medicine have shown that, along with environmental factors causing epigenetic alterations, hearing loss may be caused...

OAEE UPDATE - Urgent Call for Surgical Supplies in Ukraine

UK professionals have called for aid in sending surgical equipment to Ukraine during Russian invasion.

Choosing instrumental assessments of swallowing for children

Swallowing disorders in children are increasingly common due to advances in medical care allowing them to survive prematurity or complex health conditions. Careful assessment of eating and drinking is necessary to ensure that children are managed both safely and with...

Getting DAP’d at concerts, museums and more

Recently, I had the opportunity to speak with Dr Nir Fink and Yami Thor about their products at Bettear and their new deep audio processing (DAP) AI-based technology. The purpose of Bettear is to improve inclusivity and accessibility for those...

Digital otoscopy with AI diagnostic support: making diagnosis of ear disease more accessible

Following Carolina Leal’s interview with Prof De Wet Swanepoel on the HearScope system, Spotlight on Innovation asked Dr Jenny Nesgaard Pedersen to review the new AI feature in HearScope system’s capabilities. In the last decade, artificial intelligence (AI) and machine...

Outcomes in endoscopic sinus surgery

This study assessed the effect of endoscopic sinus surgery with regard to olfactory function and nasal obstruction, in chronic rhinosinusitis (CRS) patients with, and without, nasal polyposis. One hundred and thirteen patients entered the study, and assessments were performed pre-...