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Speech in noise hearing difficulties
The phenomenon of speech understanding in noise in normal hearing people attracts the interest of researchers continuously. This study’s aim was to further explore the possible reasons behind these difficulties. The participants were 50 adults that reported having normal hearing...
Hierarchy of orthognathic surgical stability
This study was designed as “an overview” of secondary studies and analysed 15 articles. Two procedures were considered highly unstable: a bilateral sagittal split osteotomy for clockwise rotation of the mandible with bi-cortical screw rigid internal fixation, and posterior maxillary...
A cost reducing protocol for magnetic resonance imaging in patients suspected to have acoustic neuroma
Magnetic resonance imaging is the ‘gold standard’ for screening patients suspected to have an acoustic neuroma. However, inappropriate referrals for imaging are not helpful, especially with the growing need to reduce costs. In this study the authors compared two audit...
Cochlear implants in single sided deafness
Whilst the benefit of a second cochlear implant in people with bilateral deafness is well established, the benefits of implantation for single sided deafness with normal contralateral hearing have been much more modest. The reasons for this are varied, in...
Is canal wall down with obliteration a useful compromise between canal wall up procedure and open mastoid cavities?
Controversy has raged for many years between open mastoid cavity procedures and canal wall up techniques in terms of postoperative recidivism and ear discharge. It is generally believed that canal wall up procedures can miss hidden cholesteatoma but preserve useful...
Hearing outcomes after retrosigmoid resection of smaller vestibular schwannomas are better
The authors reviewed published literature reporting hearing outcomes in patients after retrosigmoid (RS) resection of vestibular schwannoma (VS). Aggregate hearing preservation of 31% and 35% under fixed and random models respectively was observed in the 2034 patients meeting eligibility criteria...
Audiometric outcomes following endoscopic stapes surgery
Adding to the evidence base for endoscopic stapes surgery, this systematic review and analysis of outcomes sought to establish the efficacy and safety of this approach. This review included 14 studies with a pooled sample of 314 adult patients. The...
Brown classification of a maxillary defect and prognosis
This is a retrospective study from Peking over the 10-year period, 2000-2010, for 137 patients with maxillary squamous cell carcinoma assessed. The overall survival rate was comparable with other studies at 64.8%. The most common Brown maxillary defect was 2b...
Persistent symptoms of smell loss after COVID-19 infection
Anosmia as a result of COVID-19 infection is well recognised. This timely and topical French paper looks at 115 patients with proven SARS-CoV-2 infection, who were contacted with specific questions about olfactory and gustatory disturbance. They found 81% of patients...
Swallowing it whole: the physical and psychological consequences of dysphagia
Living with dysphagia in the real world can be extremely challenging, both practically and psychologically. Long-term changes in taste due to chemo-radiation treatment for head and neck cancer, fatigue due to Parkinson’s disease, and physically impaired structures due to stroke...
CATE in people with dementia
Behavioural hearing tests may be difficult to perform for people with dementia. The aim of this study was to investigate if the cortical automatic threshold estimation (CATE) may be used as an alternative to the pure tone audiometry test. Six...
