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The importance of hearing aid validation in infants with hearing loss
Hearing aid validation requires that speech discrimination be measured, yet there are no validated methods of measuring speech discrimination in infants and toddlers. Prof Uhler describes two related approaches that are showing promise. Speech discrimination is the gold standard for...
Predicting life-threatening complications in deep neck space infections
Deep neck space infections, arising usually from tonsils and lymph nodes in children and dental source and salivary glands in adults can be life threatening. It is therefore important to recognise the variables which indicate immediate intervention to prevent fatalities....
Endovascular management of cavernous and paraclinoid aneurysms
This review discusses management of aneurysms arising from the internal carotid artery from the entrance into the cavernous sinus until just before the take off of the posterior communicating artery. Whilst paraclinoid aneurysms do not tend to have ENT presentations,...
An eye-opening resection technique
It is widely accepted that the gold standard treatment of inverted papilloma of the maxillary sinus (IPMS) is endoscopic excision via medical maxillectomy or mega antrostomy, and these approaches can be augmented by a Caldwell-Luc or canine fossa trephination if...
Speedy speedy: people with MND chew faster but speak slower
Motor Neurone Disease (MND) is a progressive neurological condition that affects motor neurons in the brain, brainstem and spinal cord, affecting the control of skeletal muscles for speech, chewing and swallowing. There are two variants of MND, with symptoms typically...
Helmets make a difference in bicycle injuries
This is a meta-analysis of maxillofacial injuries arising from riding a bicycle. The incidence of maxillofacial fractures in cycling accidents varies from 3-20% and, whilst the effectiveness of helmets in preventing traumatic brain injuries is well known, their protective effect...
Not to be mis-underestimated
It is a very rare occurrence to find a paper looking at NF2 and the auditory system. There seems to only be a couple on NF2 prevalence in the population, so this is unsurprising. As far as I can recall...The artificial eardrum: how an eggshell membrane fed a German ENT family
In the pre-antibiotic era, purulent otitis media often resulted in a permanent eardrum perforation with hearing loss. In addition to pig or fish bladders, eggshell membranes and cigarette paper were used as eardrum prostheses. I have vivid personal boyhood memories...Cutting burr otoplasty and conchal setback to correct prominent pinna: a ‘step by step approach’
Prominent ears can cause significant social and psychological effects on an individual. The two most common anatomical defects for a prominent pinna are an underdeveloped anti-helical fold and / or enlarged conchal bowl. In the senior author’s practice over the...
When should revision FESS leave you reaching for the script pad?
This very interesting work from the professorial team in London seeks to define a group of patients with CRSwNP who may benefit from early biological treatment since they are at risk of failure of surgical and conventional medical management. Approximately...
Braci PRO – Alerts for the Hearing Impaired
The honk of a car. An ambulance siren. A fire alarm. The ring of a doorbell. These alerting sounds are used to communicate information of varying levels of importance to us in our homes on a daily basis. Unfortunately this...
