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Semicircular canal dehiscence and cochlear implantation
Semicircular canal dehiscence (SCD) is thought to occur in 3% of the population, it is mostly asymptomatic, but patients may present with sound-induced vestibular symptoms, low-frequency conductive hearing loss, autophony, hyperacusis and aural fulness. With the increasing utilisation of cochlear...
Hyperbaric oxygen therapy a treatment for sudden sensorineural hearing loss
Cochlear ischaemia has been postulated as one of the potential aetiologies for sudden sensorineural hearing loss. Hence, increasing oxygen delivery to the cochlea by hyperbaric oxygen therapy has been explored as a potential treatment to reverse hearing loss. The authors...
Diagnostic criteria for superior semicircular canal dehiscence syndrome
The latest Bárány Society’s consensus document on diagnostic criteria for vestibular disorders is one for superior semicircular canal dehiscence syndrome (SCDS). There are three major categories: (A) Symptoms consistent with a third mobile labyrinthine window; (B) Physiologic tests – clinical...
Continuous Ambulatory Vestibular Assessment (CAVA)
This article presents initial test findings using a novel system called CAVA - Continuous Ambulatory Vestibular Assessment. Akin to the 24-hour ECG tape to identify cardiac arrhythmias, this system aims to continuously monitor the presence of a nystagmus pattern in...
What characterises dysphagia in unilateral vocal fold impairment?
The closure of the vocal folds during swallowing is known to contribute to airway protection along with epiglottic inversion and closure of the false vocal folds. It is therefore plausible to expect that unilateral vocal fold impairment without complete closure...
Is a hemithyroidectomy as effective as a total thyroidectomy for compressive symptoms?
The claim made in the title of this paper, that hemithyroidectomy is equally as successful as total thyroidectomy in alleviating compressive symptoms from goitres, is certainly intriguing. And with the inclusion of 45,539 subjects, it would at first glance seem...
Effects of diet and exercise on tinnitus
Subjective tinnitus is the perception of sound without any external stimulus. There is no consensus on the aetiology of tinnitus. Obesity is one condition that has been associated with subjective tinnitus. The authors conducted a randomised controlled trial to assess...
Relationship between high resolution radiological features of the otic capsuleand audiometric parameters in patients with otscerosis
The audiometric pattern in patients with otosclerosis and outcomes of stapedectomy are variable. Whether this has anything to do with the number of sites affected by otosclerosis in the otic capsule and the disease pattern according to foci location, foci...
Retrospective review of paediatric salivary gland tumours
As is the case with adults, primary tumours of the salivary glands in children comprise a heterogeneous collection of different histological types. This paper presents a retrospective review of primary salivary gland tumours in children treated over the course of...
How are swallowing and voice affected following anterior cervical discectomy and fusion (ACDF)?
Anterior cervical discectomy and fusion (ACDF) requires an anterior transcervical approach (ACA) to allow decompression of the cervical spine and nerve roots. This approach is also occasionally used for corpectomy and osteophyte removal. Key neurovascular structures related to swallowing and...
Diagnosis and management of acute sensorineural hearing loss: a Japanese perspective
In this paper, the authors set out the clinical guidelines to standardise diagnosis and treatment of acute sensorineural hearing loss in Japan. They categorised acute sensorineural hearing loss into five disorders: idiopathic sudden sensorineural hearing loss (iSSNHL), acute low-tone sensorineural...
