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Implantable devices and large magnets – do they mix well?

Although all brands are MRI safe at 1.5 T, the active middle ear implant system Vibrant Soundbridge (VSB), is special since it houses two magnets. These include a magnetic floating mass transducer (FMT) and an audioprocessor fixing receiver magnet which...

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....

Optimal timing of radiological follow-up in detection of cholesteatoma recurrence

This is a meta-analysis assessing the optimal timing of postoperative magnetic resonance imaging (MRI) for surveillance in detecting cholesteatoma recurrence. A systematic literature review of searches of articles between 2013 and 2024 in PubMed, Embase and Cochrane were conducted according...

Audiology In This Issue - Identity

Guest Section Editors Crystal Rolfe, BSc, MSc, Associate Director of Strategy - Health, RNID, UK. Teri Devine,Associate Director of Strategy - Inclusion and Employment, RNID, UK. What is deaf identity? There are many variables that impact on deaf identity, such...

An advance in imaging for sinonasal tumours?

Benign sinonasal growths are incredibly common, and malignant sinonasal growths thankfully rare. We know that malignant tumours often present late, and the imaging can sometimes be misleading, so the authors here compare using diffusion weighted imaging (DWI), dynamic contrast enhanced...

Skull base imaging: a review

This excellent review paper describes the anatomy, imaging protocols and differentiating imaging findings on CT and MRI in myriad skull base lesions. Skull base protocol MRI and thin section CT are required to evaluate all skull base lesions. According to...

Incidental findings in paranasal sinus Magnetic Resonance Imaging (MRI) studies

Incidental findings in the paranasal sinuses of mucosal thickening and polyps in MRI studies may cause concerns for clinicians and patients. The authors studied MRIs of 982 participants with a mean age of 58.5 years who randomly and independent of...

Is there a need for magnetic resonance imaging six-month post-radiosurgery for vestibular schwannoma?

With advances in imaging and radiation technologies, small, slowly growing vestibular schwannomas (VS) are treated primarily with either observation or stereotactic radiosurgery (SRS). Routine magnetic resonance (MRI) scans with gadolinium are obtained six months and one year after SRS in...

Nature Communications Medicine publishes positive, real-world data for tinnitus patients treated with unique, FDA approved stimulation device

Nature Communications Medicine has published the first peer reviewed, real-world analysis of U.S. patients treated with Lenire, the only FDA approved tinnitus treatment device of its kind. Results in the paper “Retrospective chart review demonstrating effectiveness of bimodal neuromodulation for...

The tip in rhinoplasty

Getting the tip right (both its position and its shape) is vital in rhinoplasty. George Marcells eloquently gives us his perspective on how to get it right. “Many surgeons overly concentrate on the profile at the expense of the frontal...

High dose betahistine as effective as, but slower acting compared to intratympanic dexamethasone in intractable Meniere’s disease

The management of intractable Meniere’s disease poses a complex conundrum to otolaryngologists. The focus of treatment is decreasing the severity and frequency of vertigo and tinnitus whilst trying to preserve hearing. Betahistine has been used for many years in the...

Lies, damned lies and relative risk reduction

Chris Potter has a thing or two to say about the use of statistics and, in doing so, he takes us to a Friday night steak house that is prone to airway disasters and on a short tour of his...