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Should we be doing earlier MRIs in sudden sensorineural hearing loss?
There is recognised variation between ENT departments in exact imaging protocols for the workup of idiopathic sudden sensorineural hearing loss (ISSNHL) but a routine MRI to exclude retrocochlear pathology is standard, usually following immediate treatment with oral +/- intratympanic steroids....
Systemic steroids for sensorineural hearing loss
This Japanese retrospective study looked at whether the dosage of prednisolone affects the response rate in patients with idiopathic sudden sensorineural hearing loss. The authors included a total of 159 patients over a 14-year period who were treated with 200mg/day...
Can PRP injections treat atrophic rhinitis?
As we all know, atrophic rhinitis is a thankfully rare but debilitating condition characterised by nasal obstruction, dryness, crusting and foul smell (ozaena). There are currently minimal treatment options available, none of which have proven particularly effective. The authors present...
Do in-office steroid injections help for idiopathic subglottic stenosis?
Idiopathic subglottic stenosis (iSGS) is a narrowing of the trachea of unknown cause, usually affecting middle-aged Caucasian women. In-office intralesional steroid injection (SILSI) is a recent advance in minimally invasive treatment aiming to reduce inflammation and scarring. The authors of...OTC hearing aids: where are we now?
The ‘Over-the-Counter Hearing Aid Act’ of 2017 set in motion plans for a long-debated shift in the hearing care market. In 2021, the FDA released draft guidance which will allow hearing aids in the US to be sold direct to...Ultramarathons, frostbite and running with wolves
“I could just keep going when most sane people would stop”- the secret to success in head and neck surgery? In August 2015 I crossed the finish line of La Ultra - The High. A small camp of tents and...William Hunter’s work on the anatomy of the human ear
The Hunterian Society offers an annual award for an essay and presentation on a subject of relevance to John or William Hunter, or medicine in the 18th Century. This article is based on Emma Stapleton’s 2014 winning essay, which was...Ossicular reconstruction
Ossicular reconstruction often yields disappointing results, even for the most experienced and skilled of otologists. John Dornhoffer and David Walker explain that the most important determinant of outcome is the patient’s middle ear environment, and offer some valuable words of...Endotypes in chronic rhinosinusitis: clinical relevance
Identifying endotypes enables personalised therapies that target specific pathophysiological processes, potentially resulting in better treatment outcomes for patients. The contemporary model of chronic rhinosinusitis (CRS) pathogenesis revolving around endotype, in combination with an expanding toolbox of diagnostics and therapeutics, enables...Intraoperative nerve monitoring: 2017
Having written the definitive text on laryngeal nerves, Gregory Randolph and Dipti Kamani describe the benefits of intraoperative neural monitoring and, importantly, how to proceed if the nerve is pathologically involved or there is loss of signal. Over the years,...
