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Intratympanic steroids - to give or not to give?
The treatment of idiopathic sudden sensorineural hearing loss (ISSNHL) is controversial and different modes of steroids have been tried without any universal consensus. Various authors have reported combined oral and intratympanic steroid therapy in SSNHL, with consistent results in several...A practical approach to tinnitus
Tinnitus is the perception of sound without an external source. The estimated prevalence in adults is between 10-15% [1]. In patients with significant tinnitus, prompting them to seek medical attention, 50% will have improved to mild or no tinnitus by...Exploring teenagers’ access and use of assistive hearing technology
Children require good signal-to-noise ratios for optimum listening and learning. The use of remote microphone technology can be of benefit, yet older children often resist using it. Jennifer Groth reviews the challenges facing older children in the use of remote...Inter-professional teamwork and hearing care for older adults with cognitive loss
There is growing awareness that hearing loss is linked to dementia [1]. The average first-time hearing aid user is about 70 years old. By this age, approximately 1 in 2 people have hearing loss and 1 in 7 have cognitive...Imaging 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...Triple semicircular canal occlusion and Meniere’s disease: a rising alternative treatment?
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....The emergence of in-office ventilation tubes for the treatment of otitis media in children
In-office tympanostomy tube systems offer a quicker, anaesthesia-free alternative to traditional surgery for children, with promising outcomes and reduced costs. Tympanostomy tube or grommet insertion is the most common surgery performed on children worldwide. Whilst a relatively short and straightforward...Sound advice for staying healthy: promoting holistic health in adults with hearing loss
Hearing loss is linked to chronic conditions like dementia and heart disease. Dr Maidment explores how integrated healthcare can improve outcomes, highlighting the need for a multidisciplinary approach. Emerging evidence suggests that hearing loss is associated with an increased risk...CIICA’s new resources: summaries of the CI information from the WHO World Report on Hearing
The new global network, CI International Community of Action (CIICA) has produced four summaries from the exciting and comprehensive World Report on Hearing 2021. These summarise the information and evidence about cochlear implants (CIs) included in the report which are...
When should revision FESS leave you reaching for the script pad?
This very interesting work from the professorial team in London seeks to define a group of patients with CRSwNP who may benefit from early biological treatment since they are at risk of failure of surgical and conventional medical management. Approximately...
Cochlear implantation in asymmetric hearing loss
Criteria for cochlear implantation (CI) is a constant topic of debate. The UK traditionally had relatively restrictive guidance, although this has been greatly improved by more recent guidance released in 2019. Nevertheless, because of the lack of evidence for cost-effectiveness,...
