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Prominauris: Which surgical technique to use?
Otoplasty accounted for 3.2% of all plastic surgical interventions, and 2.6% worldwide in 2015. Patient satisfaction ranges above 95% for prominent ear correction despite the myriad of available techniques in the literature associated with highly variable outcomes. The authors split...Wilde and the foundations of medical epidemiology
William Wilde (father of Oscar) was renowned as an otologist, but less well known for his work in epidemiology. The bedrock of the modern discipline of public health is good data collection, and we hear from our good friend, Ray...Hearing about genes
I have been fortunate in my career to travel as an invited lecturer at many hospitals, universities and professional societies around the world. I have spoken to audiology societies, otolaryngology societies, and university communication disorders programmes in Europe, Asia, Africa,...Middle ear reconstruction in children: why, when and how
Every ear in every child is different. Rob Nash discusses the rationale behind reconstructive ear surgery in children and his philosophy on timing and techniques of reconstruction. It is rare for middle ear pathologies to be life threatening. Indeed, it...Rehabilitation of single-sided deafness with cochlear implants
The relatively recent emergence of cochlear implantation as a potential means of restoring hearing to a deafened ear, in the presence of normal hearing in the other ear, has proved an exciting and yet surprising development. James Tysome explores the...OBITUARY: David Moffat (1948-2020)
David Moffat, one of the leading Otologists of his generation, died on 18 March in Addenbrooke’s Hospital in Cambridge, the hospital to which he had devoted his professional life. Having survived cancer of the prostate, he succumbed to a second...
Reduction in recurrent cholesteatoma rates with bony obliteration tympanoplasty technique
This large retrospective study from the Erasmus Medical Centre in Rotterdam compares outcomes in traditional canal wall up (CWU) and canal wall down (CWD +/- partial obliteration of mastoid bowl) mastoid surgery for cholesteatoma with bony obliteration tympanoplasty (BOT, which...
Blood-sampling prognostic predictors for Bell’s palsy
Bell’s palsy is generally defined as an acute-onset unilateral idiopathic mononeuropathy in the facial nerve. It is of unknown aetiology, however, inflammation is considered a major cause. Electroneurography assessing nerve excitability is the most reliable examination for predicting prognosis of...
Dizziness in OSA patients– is there a link and can CPAP treat it?
This is a small study which proposes an interesting hypothesis - that in patients with both dizziness and OSA, treatment of their sleep disorder can provide resolution of their dizziness symptoms, which were otherwise refractory to standard treatment, particularly in...Measuring the pitch and loudness of tinnitus
Matching the characteristics of tinnitus Many researchers and clinicians have explored the subjective nature of tinnitus by asking people with tinnitus to adjust a sound so that it matches their tinnitus in some way. This can be useful both for...
Antioxidants for bacterial rhinosinusitis
This Turkish laboratory animal-based study looked at the effects of alpha-lipoic acid on inflammation, oxidative status, and tissue integrity in an animal model of experimentally induced acute rhinosinusitis and to compare these effects with antibiotic treatment using cephalosporins. Alpha-lipoic acid...
