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Worldwide picture of candidacy for cochlear implantation
Who should get a cochlear implant? Candidacy is one of the most important and widely discussed topics in the field of cochlear implantation. Here, Chris Raine and Debi Vickers outline cochlear implant candidacy in the UK, and compare this with...
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...
Metaplasia of the concave septum
This group conducted a one year prospective study and sampled mucosa from 42 randomly selected patients with septal deviation at a single centre. They found significantly higher rate of squamous metaplasia and lymphocytic infiltration in septal mucosa on the concave...
Keep the condyle if you can
This is a study of 41 patients who underwent benign tumour resection and reconstruction over a four year period. Patients fell into three groups; condyle preserved, condyle sacrificed, condyle frozen in combination with a DCIA free flap. Following this, they...
High definition tractography to identify cranial nerves
It has always been challenging to visualise cranial nerves on traditional imaging as the cranial nerves have a fine structure and complex anatomy. This is especially true regarding the cochlear nerve. In congenitally hearing impaired children, the visualisation of the...
Quality of life outcomes in paediatric endoscopic sinus surgery
This prospective cohort study evaluated chronic rhinosinusitis patients aged 5-18 years undergoing endoscopic sinus surgery in terms of quality of life. General and chronic rhinosinusitis surveys were completed by the parents and the child pre-ESS and at 30-90 days post-operatively....
CIs and the elderly
Although cochlear implantation (CI) is thought to be a predominantly paediatric procedure, more and more adults are candidates for cochlear implants. This retrospective study was performed on 80 adults aged above 50 who were implanted for at least nine months....
Review of surgical treatments of intractable Meniere’s disease
This is a nice summary of the evidence available for the surgical treatments for intractable Meniere’s disease. To summarise, in five-10 years, over 90% of vestibular neurectomy cases, more than 80% of intratympanic gentamycin treatment, and 70-80% of endolymphatic sac...
TMJ arthrocentesis
This is a paper from Brazil where they attempted to clarify the volume required for an arthrocentesis to the temporomandibular joint. Nineteen cadavers had methylene blue injected into the upper joint space. Conventional arthrocentesis was then conducted with 300ml of...
Identifying congenital CMV: the screening debate
Congenital cytomegalovirus (cCMV) is a significant global public health burden and is the biggest non-genetic cause of childhood hearing loss, as well as being an important cause of neurodevelopmental delay. Despite a study concluding that there was not enough evidence...
What is in the Fountain of Youth?
Does the auditory system have to age? Can we become more like turtles or jellyfish and keep our internals running without degradation? This essay considers the theoretical underpinnings of biological processes in the cochlear, in particular the role of the...
