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Cochlear implant, Ménière’s no more

Implanting Ménière’s disease (MD) patients with cochlear implant (CI) may improve their speech recognition, tinnitus and quality of life with comparable hearing benefits to those seen in controls without MD, even if labyrinthectomy has also been performed. Authors investigated the...

Challenging steps of virtual cortical mastoidectomy

This prospective study investigated which steps of cortical mastoidectomy were challenging for 10 medical students and 10 intermediate surgeons (surgical trainees) compared to 10 experienced expert surgeons. Each participant performed cortical mastoidectomy on eight different virtual temporal bone models. The...

Role of high-resolution CT scans in the management of cholesteatoma

This review article has looked at 15 publications, comparing features noted in high-resolution CT (HRCT) scans of patients having cholesteatoma with actual intraoperative findings. This comparison was used to assess sensitivity and specificity of various abnormalities picked up by HRCT...

New ENT Trans-oral NEO Needle from Soluvos Medical

Soluvos Medical proudly introduces the new ENT Trans-oral NEO Needle –supporting surgical and office-based procedures. Order now: REF: 3080-1000-11-SOL • Malleable needle for OR or office-based procedures • A much smaller needle tip of 23 G • Less internal volume...

Lip sensory disturbance in osteotomy patients

Neurosensory disturbance resulting from inferior alveolar nerve injury during a sagittal split osteotomy (BSSO) is a well-recognised complication. This paper from Türkiye looked at 20 patients with neurosensory disturbance >12 months after a bimaxillary osteotomy including a BSSO surgery and...

Higher revision rates with coblator after paediatric partial tonsil-adenoidectomy

Coblator is a preferred option in many institutions for tonsillectomy as it is associated with significantly less blood loss and intraoperative time. This retrospective cohort study compared the revision rates after paediatric partial intracapsular tonsillectomy and adenoidectomy (PITA) with microdebrider...

Word-finding difficulties in Parkinson’s are as important as speech

Parkinson’s is typically considered to progressively affect speech and voice, with up to 89% of people with the diagnosis experiencing symptoms such as reduced articulatory coordination and a hoarse or breathy voice quality. Despite 80% of people with Parkinson’s experiencing...

The comparative roles of fine-needle aspiration cytology, histopathology and MRI in the diagnosis of parotid tumours

The three modalities commonly used to diagnose parotid masses are fine-needle aspiration cytology, histopathology and MRI. The significance of each of these and a correlation between the three, along with one’s clinical input, takes one closer to a correct diagnosis...

Wellbeing – a Scandinavian perspective

The Swedish concept of ‘fika’ is a state of mind and can help to promote wellbeing in teams. But what is it, and how can it help? It is an interesting thought that being well is not the same as...

The curse of Sports Illustrated

“Not a supernatural curse, but a basic statistical concept of blinding simplicity.” What is ‘regression to the mean’? I am reliably informed that our former North American colonies publish a periodical known as Sports Illustrated (note, incidentally, the characteristically incorrect...

The tip in rhinoplasty

Getting the tip right (both its position and its shape) is vital in rhinoplasty. George Marcells eloquently gives us his perspective on how to get it right. “Many surgeons overly concentrate on the profile at the expense of the frontal...

The challenges in the risk stratification of thyroid nodules and cancers: the role of molecular testing

Around the world, molecular testing is becoming more widely used to personalise the management of thyroid nodules. Thyroid nodules are relatively common. They are palpable in ~5% of the population, while high-resolution ultrasound (US) incidentally finds them in 19–68% of...