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Plasticity with cochlear implants: individual factors in the outcomes

Andrej Kral gives us an overview of neuronal plasticity in congenital hearing loss, and discusses why it is core to our clinical interventions in hearing loss and rehabilitation. The brain is born immature and undergoes extensive shaping during early development....

Cochlear implantation in children with single-sided deafness: rationale and early findings

Cochlear Implantation (CI) in children with single-sided deafness (SSD) is a controversial treatment option. Profs Karen Gordon, Papsin and Cushing discuss the rationale and early findings on the relative success of achieving binaural hearing for SSD with CI. If you’d...

Role of the insula and orbitofrontal cortex in tinnitus related distress

It is estimated that 5% of the population suffer from chronic tinnitus with 17% of those suffering emotional distress. The authors attempted to study the neural correlates of tinnitus-related distress using functional magnetic resonance imaging (fMRI) during an Emotional Stroop...

Cochlear implantation for single-sided deafness and asymmetric hearing loss

Continuing our sub-theme of cochlear implantation candidacy, Richard Irving and Raghu Kumar review the principles and benefits of cochlear implantation in individuals who have an asymmetric hearing loss. It is well known that cochlear implantation improves auditory capacity, and in...

Current considerations on neural development and hearing loss in young children

The young child’s brain has the ability to change in response to new stimuli, resulting in learning, the foundation of adaptive and intelligent behaviour. For children with hearing loss, a reduction or lack of auditory stimuli can have a ‘lifelong...

Wireless accessories for hearing aid users: putting the ‘soul’ back into hearing – a case study

The following case study reports on the experiences of a hearing impaired National Health Service (NHS) patient who was given Bluetooth accessories as part of a study into their benefits when used with hearing aids [1]. The name of the...

CI music: seeking perfection, accepting reality

Having just read about the challenges cochlear implant technology and music appreciation present, the musician Richard Reed beautifully illustrates the realities of this patient journey. An old friend of mine is an ardent music fan, and completely tone deaf. Long...

Volume changes in hemiglossectomy reconstruction

This paper analyses the volume changes in 10 patients, five of whom had hemiglossectomy reconstruction with a radial forearm free flap, whilst the other five patients had reconstruction with an anterolateral thigh flap. Both groups underwent postoperative radiotherapy. The volume...

Hyperacusis-related distress and comorbid psychiatric illness

Research suggests that over 50% of patients presenting with hyperacusis also present with some form of psychiatric disorder. With this in mind, Dr Aazh outlines what tools clinicians can use to screen for psychological disorders and what path to take...

Mindfulness meditation: how personal experience of managing severe pain contributes to understanding tinnitus management

In this interesting article the author describes the potential benefit of mindfulness in the management of tinnitus, using a case report to illustrate this.This may well be an additional direction we can suggest for our patients. Mindfulness is a word...

Can the threshold for drain removal after selective lateral neck dissection be safely raised to an output volume of less than 100 mL in a 24-hour period?

Closed-suction drains are routinely used by most head and neck surgeons after selective lateral neck dissections (SLNDs). A recent survey of more than 360 head and neck surgeons found that more than 60% use a criterion of less than 30...

Pharma chameleon

One morning in September ’95, about a month into my first house job on the South Coast of England, I emerged from the ridiculously early ward round on the coronary care unit feeling a bit dazed and therefore headed off...