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How sight shapes sound: cross-modal plasticity and cochlear implantation

Visual cues support auditory recovery after cochlear implantation, with evidence showing cross-modal plasticity enhances speech perception and rehabilitation outcomes. Traditionally, clinical guidance around cochlear implantation has been shaped by a key concern: that reliance on visual communication, particularly speechreading, might...

Facial pain: the differential diagnosis in an ENT clinic

The patient presenting with facial pain can be a heartsink. Fear not – Bhaskar Ram and Sangeeta Maini are here with a succinct overview of the common non-sinogenic causes of facial pain and headache, and how to manage them. Facial...

The use of repositioning chairs in the diagnosis and treatment of BPPV

The authors performed a systematic review assessing the utilisation of multi-axial repositioning chairs, such as the TRV chair and the Epley Omniax Rotator, in the diagnosis and treatment of BPPV. They reviewed nine studies, of which four were prospective studies....

Dysphagia in people with HPV-related oropharyngeal cancer

Human papilloma virus (HPV) associated oropharyngeal cancers are becoming much more prevalent and, in some geographic areas, have overtaken tobacco as the leading cause of oropharyngeal cancer. HPV-associated cancers are also reported to have better prognosis in general, and research...

Can tympanometry be used to diagnose Ménière’s disease?

The authors proposed multifrequency tympanometry (MFT) as an in-office test which may be able to diagnose Ménière’s disease (MD) that is quicker and more cost-effective than other methods. MFT measures the acoustic admittance of the middle ear and external ear...

Surgical variations in maxillomandibular surgery treating sleep apnoea

This is a scoping review further highlighting the success in curing sleep apnoea with a maxillomandibular complex advancement. The variations outlined are on East and Southeast Asian patients to reduce the aesthetic concern of bi-maxillary protrusion when large advancements are...

Influence of atmospheric conditions on post tonsillectomy secondary haemorrhage

Haemostasis in epistaxis and a good few other conditions outside the field of otolaryngology seem to be affected by the weather. It is generally thought that dry and hot environment encourages secondary post tonsillectomy haemorrhage. Variations in water vapour pressure,...

Predicting the need for salvage laryngectomy

The treatment of laryngeal cancer has seen a shift towards organ preservation strategies with non-surgical treatment offering equivalent survival outcomes. Nonetheless, salvage total laryngectomy (SLT) remains an important curative management option in cases of treatment failure or recurrence. The authors...

Transnasal oesophagoscopy (TNO)-guided secondary tracheoesophageal puncture (TEP) under local anaesthesia

Here, the authors describe a convenient use of the transnasal oesophagoscope to create a new tracheoesophageal puncture in the outpatient clinic setting. Tracheoesophageal puncture (TEP) with voice prosthesis insertion is a reliable and effective technique for surgical voice restoration (SVR)...

Clinical Observations of Otinova in everyday life

Otinova for Otitis Externa or ‘swimmers ear’. When Associate Professor and senior physician Mats Engstrom came across Otinova in his ENT clinic in Lakarhuset, Uppsala, he collected detailed information about the patients who tried the preparation.

A new hearing health scheme for musicians

Joe Hastings, Health & Welfare Manager for Help Musicians UK, discusses the results of the charity’s 2015 survey of musicians’ hearing and plans for a new scheme which will give all professional musicians in the UK affordable access to specialist...

Drug eluting stent vs INCS for CRS

A prospective, randomised study from Finland to compare a drug eluting stent (DES) and intranasal corticosteroids (INCS) in 63 patients as assessed by SNOT-22, VAS, endoscopy, CT and rhinometry pre-treatment, at three and six months post treatment. Recruitment was over...