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Humans’ ability to process sound is a multi-faceted phenomenon. It is a marvel which likely changes through our ageing process and is influenced by a myriad of factors. This paper examines the particulars of the dimensions of sound processing –...

Textbook of Otitis Media: The Basics and Beyond

This book is a comprehensive resource that discusses the multifaceted condition of otitis media. It aims to serve a wide range of medical professionals, including otolaryngologists, audiologists, paediatricians, and medical students, by providing both fundamental knowledge and advanced insights into...

‘Dead ear’ after mastoid surgery

The primary aim of surgery in the management of cholesteatoma is eradication of the disease which can potentially result in serious complications such as intracranial extension, facial nerve weakness and further hearing loss. A profound hearing loss resulting postoperatively considerably...

Office-based otology procedures

This edition of the Otolaryngologic Clinics of North America covers office-based surgery in ENT. This article discusses procedures in otology that could be performed in the outpatient setting and covers innovations in office-based otologic procedures. The endoscope features prominently in...

Treatment of incus lysis with hydroxyapatite bone cement

Middle ear implants provide a suitable alternative for some patients with a certain degree of sensorineural or mixed hearing loss, not wanting a hearing aid. Vibrant SounBridge® (VSB) middle ear implant (MEI), of Med-El®firm, is one such implant. In this...

Transmastoid facial nerve decompression for persistent traumatic facial nerve paralysis

Facial nerve paralysis (FNP) can occur following trauma, with a small number of these patients requiring facial nerve decompression (FND) to aid recovery. The authors shared their experience in decompressing the facial nerve for persistent severe FNP via a transmastoid...

Immunosuppresants and ototoxicity

There is a wide range of immunosuppressant drugs ranging from calcineurin inhibitors (e.g. cyclosporine), anti-folic agents (e.g. methotrexate) to anti-TNF and monoclonal antibodies, many of which could be ototoxic. The authors performed a systematic review assessing ototoxicity secondary to immunosuppressant...

How reliable is non-echoplanar diffusion-weighted MRI in picking up postoperative cholesteatoma in children?

Cholesteatoma occurs more often in children than in adults and is more aggressive, often resulting in ossicular erosion and marked conductive loss, amongst other more serious possibilities. Recurrence happens in all three methods used, namely canal wall up, canal wall...

Middle ear reconstruction in children: why, when and how

Every ear in every child is different. Rob Nash discusses the rationale behind reconstructive ear surgery in children and his philosophy on timing and techniques of reconstruction. It is rare for middle ear pathologies to be life threatening. Indeed, it...

Posterior TM perforations carry greater hearing loss: practical pointers for clinic

This single-centre prospective study of 100 adults with central pars tensa perforations examined how perforation size and quadrant relate to hearing loss. Using video-otoscopy to estimate perforation area and pure tone audiometry for thresholds, the authors found hearing loss in...

Head and Neck Vascular Anomalies: A Practical Case-Based Approach

I was genuinely delighted when this book arrived for review. Usually I get something on vertigo which props up one end of the book case gathering dust. A quick skim through this instantly told me the section editor had blessed...

Temporal Bone Histology and Radiology Atlas

Temporal Bone Histology and Radiology Atlas is an outstanding reference and training manual which will be a rewarding read and purchase for all otolaryngology trainees and, in particular, senior trainees and consultants. Neuro-radiologists and neuro-otologists will enjoy comparing the beautifully-prepared...