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Bad splits
This is a meta-analysis of reported risk factors of a ‘bad split’ in a sagittal split mandibular osteotomy. They identified 30 observational articles and therefore acknowledged it is based on low quality studies. It is compounded by the definition of...
Carnoy’s and the KOT
This is a retrospective review of 105 patients with keratocystic odontogenic tumours treated over a 23-year period with a mean follow up of 86 months. The recurrence rate was 11.4%. Permanent neuro-sensory deficit of the inferior alveolar nerve 16%. Younger...
Medical-Legal Evaluation of Hearing Loss
Robert Dobie is a highly experienced and respected international authority in the field of medical-legal assessment in the context of noise induced hearing loss. This book has been written for a broad audience, including otolaryngologists, audiologists and members of the...
Does cholesteatoma surgery affect school performance?
While much focus has been placed on short-term complications associated with cholesteatoma, a lack of knowledge remains about the impact suffering from cholesteatoma in childhood may have on educational outcome. The aim of the study was to investigate whether suffering...
Measuring is understanding: an unsupervised PROM clustering of CRS patients
It has been clear for quite some years, at least for anyone dealing daily with chronic rhinosinusitis (CRS) patients, that CRS is an ‘umbrella’ diagnosis. There are significant differences between patients, including different demographic data, different endoscopic and radiographic images,...
Factors affecting hearing aid recommendations
There is a wide variety of hearing instruments available to the hearing impaired. Hearing care professionals are often confronted with making decisions on which to recommend based on audiometric and non-audiometric parameters (e.g. vision, manual dexterity and vanity). The factors...
Seeking medical attention with tonsillectomy complications depends on who you are. Lessons from the USA
In the current UK model, NHS care is free at point of access so there are no perceived economic barriers to seeking attention with postoperative complications. This study from the US examines surgical and emergency room databases from across California,...
Algorithms to diagnose NIHL
Finding an efficient diagnostic tool for noise-induced hearing loss (NIHL) has been of research interest for a long time. There are several algorithms that compare expected age-related deterioration of hearing with the actual audiogram. This study aimed to compare a...
Non-autologous graft material in paediatric tympanoplasty – is it as good as temporalis fascia and is it cost-effective?
This retrospective case review looks at the experience of a single unit using a variety of autologous (temporalis fascia, n=292) and non-autologous graft material, n=241 (alloderm (human dermis), biodesign (porcine submucosa, $170-$255) and tutoplast (human pericardium, $350). The average patient...
Global incidence of sporadic vestibular schwannoma
The incidence rate of sporadic vestibular schwannoma (VS) has commonly been quoted as one in 100,000. However, since the advent of screening for asymmetrical hearing loss and increased availability of modern MRI scanning, more recent studies have shown the incidence...
Quality of life in children following balloon Eustachian tuboplasty
This study aimed to demonstrate the efficacy of balloon Eustachian tuboplasty (BET) in children by assessing their quality of life with the Otitis Media-6 questionnaire (OM-6). The OM-6 questionnaire is the most frequently used instrument to measure health-related quality of...
