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Power tools dance off
The use of the harmonic scalpel is popular with some head and neck surgeons. This study looked at selective neck dissections for 40 patients with oral cavity carcinoma. They were randomised into harmonic scalpel (HS) use and monopolar electrocautery. The...The HEARO Procedure for cochlear implantation
Cochlear implants have become the state-of-the-art treatment for profound to severe sensorineural hearing loss. Since its popularisation, many aspects of this technology have constantly been optimised. Processors have become smaller, are worn behind the ear and are even water resistant....
Hidden disabilities and cochlear implantation under 12 months of age
There has been a global shift to providing children with severe-profound deafness cochlear implants (CIs) before they are 12 months old. Early intervention is critical and one of the overriding factors in successful outcomes for children with CIs. Early implantation...Current update on vestibular and balance disorders in children
Vestibular and balance disorders in children with hearing loss often go unrecognised. This article describes the significant impact such disorders have on the various aspects of children’s development. Vestibular and balance disorders occur in the paediatric population but can go...Making the case for multidisciplinary ENT vasculitis clinics
How can combined ENT vasculitis clinics improve diagnosis, treatment and ongoing care for patients with AAV? This article outlines a multidisciplinary approach. Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitides (AAV) are a group of rare autoimmune conditions characterised by inflammation of small-...Transnasal oesophagoscopy (TNO) and balloon dilatation under a local anaesthesia
Many of us are becoming more and more familiar with the use of transnasal oesophagoscopy. It has a number of well-described uses in the outpatient setting and is well tolerated by our patients. Yakubu Karagama describes taking this technique a...
Persistent postural perceptual dizziness following stroke: the risk factors
The primary motivation for the study, as stated by the authors, was that the factors behind persistent postural perceptual dizziness (PPPD) have not been clearly determined in stroke patients. To that end, a prospective study of adults presenting to a...The emotional weight of tinnitus
Health professionals often overlook the considerable impact tinnitus has on the individual, from its emotional burden to its complex relationship with the nervous system. Tinnitus, which is defined as the perception of sound without an external source, affects an estimated...
Centralisation of care for acoustic tumour surgeries?
Several factors are responsible for readmission after acoustic tumour removal. The authors retrospectively studied the association between hospital, patient and insurance factors with the rate of readmission following acoustic tumour removal in the United States using the Nationwide Readmission Database...Aspirin desensitisation for aspirin-exacerbated respiratory disease (AERD)
In this article, the authors describe the importance of identifying aspirin-exacerbated respiratory disease in patients with chronic rhinosinusitis refractory to standard medical treatment. This can then open the door to considering aspirin desensitisation treatment which, in their hands, has proven...
Is dissection of level IV necessary in patients with negative neck oral cancer?
Supraomohyoid neck dissection (SOHND) refers to the removal of lymph nodes contained in levels I-III and is currently referred to as a selective neck dissection levels I-III. This type of neck dissection has been frequently used in the management of...
