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Modified barium swallow studies: what is the radiation risk?

17 February 2020 | | Cancer risks, Deglutition disorders, Fluoroscopy, Radiation exposure
A modified barium swallow study (MBSS), also called a videofluoroscopy swallowing study uses ionising radiation to assist the clinician in visualising swallowing biomechanics from the oral cavity to the oesophagus. This procedure is currently one of the best methods used...

The vitamin D deficiency and recurrent BPPV debate revisited

4 May 2021 | | ENTA - Neurotology, ENTA - Vestibular Disorders
The role of calcium metabolism and disorders of bone mineral density in the evolution and recurrence of BPPV has been debated over the years. As a contribution to this debate, the authors undertook a prospective study into the correlation between...

Effect of COVID-19 on hearing and balance

5 January 2022 | | ENTA - Neurotology, ENTA - Vestibular Disorders
Rhinological symptoms are cardinal features of COVID-19. However there have only been anecdotal reports on the involvement of the ear, the closest neighbour to the nose and throat. The aim of this study was ‘to assess the presence of persistent...

Type 2 diabetes and BPPV

1 July 2016 | | Type 2 Diabetes, benign paroxysmal positional vertigo, hypertension
Previous research has shown an association between BPPV and certain medical conditions such as hypertension, hyperlipidaemia and type 1 diabetes. The authors in this retrospective observational study investigated the interaction between BPPV and type 2 diabetes by examining the ‘role...

Beware the skinny patient…

1 July 2018 | | Arytenoid dislocation, BMI, Cricoarytenoid joint three-dimensional reconstruction, High-resolution computed tomography, Risk factor
The adverse health impacts of an excessive BMI are well known. This study highlights one laryngeal pathology for which a low BMI appears to be a significant risk factor. The records of 28 patients treated for arytenoid cartilage dislocation were...

Does pre-op intratympanic gentamicin improve balance control after vestibular schwannoma surgery?

1 September 2018 | | Schwannoma, gentamicin, postural control, rehabilitation
This retrospective study was based on data from 44 patients selected from a cohort of 153 who had undergone surgical resection of vestibular schwannoma over a 10-year period. The aim was to evaluate the dynamics of the postural control system...

Does vestibular rehabilitation help patients with vestibular migraine? Is this also true if these patients have had a traumatic brain injury?

3 May 2022 | | ENTA - Neurotology, ENTA - Otology
Vestibular migraine (VM) is a common diagnosis in ENT, and there is growing evidence that vestibular rehabilitation therapy (VRT) is an effective treatment, reducing self-perceived dizziness and improving gait. This is a retrospective review of the outcomes of 93 patients...

2020 Unmasked - By Behrad Barmayehvar

2 April 2021 |
The face mask has become part of our lives; an essential item besides your mobile phone that you cannot leave the house without. The mask has also turned into a symbol for the communal resilience that we have all shown...

Running a post-COVID smell clinic

1 July 2021 | | ENTA - Rhinology / Sinus
Over the past year, much of our effort as a speciality has been directed towards crisis management and keeping services afloat. Our practice has changed in untold ways, but unprecedented numbers of patients with smell disorders will increasingly require our...

Endoscopic middle ear surgery for cholesteatoma treatment

1 May 2016 | | ENTA - Otology
A critical question when any new technique is proposed is ‘does it work?’ In this article Daniele Marchioni and Davide Soloperto discuss the success rates of endoscopic ear surgery for cholesteatoma. Introduction Surgical management of cholesteatoma is still a controversial...

Semi implantable bone conduction devices: challenges and developments

6 June 2017 | | ENTA - Audiology - Paediatric, ENTA - Audiology - Adult, ENTA - Audiology - Auditory Implants, ENTA - Otology, ENTA - Paediatrics
Bone conduction mechanisms and history of bone conduction aids Bone conduction hearing devices work by stimulating hair cells via the bone conduction hearing pathways. These pathways are less well understood than the air conduction pathways, but recent research has shown...

Video otology tutorials: how EES changes the game

1 May 2016 | | ENTA - Otology
High definition endoscopic ear surgery (EES) redefines traditional middle ear anatomical perspectives. The surgeon can observe in situ anatomical relationships with angled objectives in a way that the traditional microscopic view, with step-wise removal of structures is unable to achieve....