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Small vestibular schwannomas (VS) – is waiting the right thing to do?

3 September 2024 | | ENTA - Neurotology
VS management can be surgical, by radiosurgery or watchful waiting. Middle fossa approach (MCF) can be implemented in small and some medium-size tumours, and has the potential to preserve hearing. The authors measured quality of life of VS patients who...

Persistent postural-perceptual dizziness: a functional neuro-otologic disorder

6 November 2024 | | ENTA - Otology, ENTA - Vestibular Disorders
Persistent postural-perceptual dizziness (PPPD) is a neuro-otological disorder that is the most common cause of chronic vestibular syndrome. It is not a purely structural or psychiatric disease but a functional disorder. The authors reviewed the literature to summarise the diagnostic...
American Journal of Rhinology & Allergy cover image.

Intra orbital treatment to save the eye!

7 January 2025 | | ENTA - Maxillofacial Surgery, ENTA - Rhinology / Sinus
Invasive fungal sinusitis can be a devastating condition, and accepted management is surgical debridement of infected tissue, systemic antifungal treatment and reversal of immunosuppression. Orbital involvement is common, affecting up to 75% of cases, and in advanced disease orbital exenteration...
Audiology and Neurotology journal cover image

Current AI audiology knowledge

4 March 2025 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Audiology - Paediatric, ENTA - Neurotology, ENTA - Otology, ENTA - Vestibular Disorders
Artificial intelligence (AI) tools are becoming increasingly popular and can be utilised by patients, healthcare professionals and students. The performance of chatbots can be variable between different AIs and, indeed, different topics. There is no current consensus for the best...
Hearing, Balance and Communication journal cover image.

Cognitive development in children with cochlear implants

2 July 2025 | | ENTA - Auditory Implants, ENTA - Otology, ENTA - Paediatrics
This systematic review investigates the comparative cognitive outcomes in children using bilateral versus unilateral cochlear implants, as well as those using cochlear implants versus hearing aids. The review synthesises findings from 30 studies involving a total of 11,986 children and...

Budesonide nasal irrigation for chronic rhinosinusitis: is it effective and safe?

2 July 2025 | | ENTA - Rhinology / Sinus
Budesonide respules used in nasal irrigations as part of chronic rhinosinusitis management are usually at a dose of 0.25 mg to 2 mg, which is substantially higher compared to budesonide nasal spray, typically ranging from 64 to 256 micrograms. Hence,...

Have we reached our limits in endoscopic skull base surgery?

1 November 2017 | | ENTA - ENT, ENTA - Head & Neck, ENTA - Skull Base Surgery
As being an anterior skull base surgeon becomes the aspiration of many ENT trainees, Professor Nicolai gives his personal insights into the future for this exciting subspeciality. Having been directly involved in the evolution of transnasal endscopic surgery (TES) since...

Anaesthesia for free-flap surgery

1 November 2019 | | ENTA - ENT
Adel Hutchinson is one of those calm and controlled anaesthetists for whom nothing seems too difficult. In this article, she describes the key perioperative factors for one of the highest complexity operations in ENT; free-flap surgery. It makes good reading...

Patient-centred audiological rehabilitation: facilitating and hindering factors for implementation

29 June 2017 | | ENTA - Audiology - Adult, ENTA - Audiology - Paediatric
Introduction Patient-centred care in the health sector is a worldwide concern [1, 2]. Patient-centred rehabilitation is characterised by availability, appropriateness, preference, and timelines [3]. A consensus report by the Institute of Medicine [4] defines a patient-centred approach as ‘providing care...

Conspiring together: tinnitus and hearing loss

1 January 2016 | | ENTA - Audiology - Adult, ENTA - Tinnitus
In this special feature, Nic Wray of the British Tinnitus Association and Zheng Yen Ng of The Ear Foundation present the results of their report into managing tinnitus for people with hearing loss. In September 2015, the British Tinnitus Association...

Drug side-effects on audiological and vestibular testing

1 November 2016 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Vestibular Disorders
Are they a malingerer? Or perhaps they are inattentive? It may be their drugs! Robert DiSogra considers the side-effects of medication on the test subject. The audiogram serves many purposes in clinical practice. For the audiologist, it helps to differentiate...

Mindfulness and tinnitus: a path to peace in the present

3 September 2024 | | ENTA - Tinnitus
How does training the mind to be present in the here and now help patients with troublesome tinnitus? James Jackson discusses mindfulness and its place in tinnitus management. Although definitions can be more complex, tinnitus is the perception of sound...