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Otolaryngology

RCT | Upfront radiosurgery reduces tumor volume vs. a wait-and-scan approach in small- to medium-sized vestibular schwannoma

7 Aug, 2023 | 14:40h | UTC

Upfront Radiosurgery vs a Wait-and-Scan Approach for Small- or Medium-Sized Vestibular Schwannoma: The V-REX Randomized Clinical Trial – JAMA (free for a limited period)

See also: Visual Abstract

 

Commentary on Twitter

 


RCT | Limited antibiotic efficacy in children with sinusitis lacking nasopharyngeal pathogens

27 Jul, 2023 | 13:08h | UTC

Identifying Children Likely to Benefit From Antibiotics for Acute Sinusitis: A Randomized Clinical Trial – JAMA (free for a limited period)

Editorial: Acute Bacterial Sinusitis: Limitations of Test-Based Treatment – JAMA (free for a limited period)

News Release: Bacterial testing in kids with sinusitis could slash antibiotic use – University of Pittsburgh

Commentary: Trial suggests bacterial test could reduce antibiotics in kids with sinusitis – CIDRAP

 

Commentary on Twitter

 


RCT | Hearing intervention fails to impact 3-year cognitive decline in older adults

20 Jul, 2023 | 11:09h | UTC

Hearing intervention versus health education control to reduce cognitive decline in older adults with hearing loss in the USA (ACHIEVE): a multicentre, randomised controlled trial – The Lancet (link to abstract – $ for full-text)

 

Commentary on Twitter

 


RCT | Semont-plus maneuver yields faster recovery than Epley maneuver in posterior canal BPPV

7 Jul, 2023 | 16:26h | UTC

The Semont-Plus Maneuver or the Epley Maneuver in Posterior Canal Benign Paroxysmal Positional Vertigo: A Randomized Clinical Study – JAMA Neurology (link to abstract – $ for full-text)

See also: Visual Abstract

Videos:

Demonstration of the Semont-Plus Self-maneuver for Right Posterior Canal Canalithiasis

Semont-Plus Maneuver for Right Posterior Canal Benign Paroxysmal Positional Vertigo

Demonstration of the Epley Self-maneuver for a Right Posterior Canal Canalithiasis

Commentary: Semont-plus Meneuver Offered Faster Recovery for Benign Paroxysmal Positional Vertigo – Neurology Today

 


RCT | Tonsillectomy shown to be clinically and cost-effective in adults with recurrent acute tonsillitis

23 May, 2023 | 13:06h | UTC

Summary: The NATTINA trial, a pragmatic multicentre, open-label, randomized controlled study, sought to compare the clinical and cost-effectiveness of conservative management versus tonsillectomy in adults with recurrent acute tonsillitis. Conducted across 27 UK hospitals, 453 participants aged 16 or older were randomly assigned to either undergo immediate tonsillectomy or receive standard non-surgical care.

The main finding was that participants in the immediate tonsillectomy group had fewer days of sore throat over a 24-month period than those in the conservative management group (median 23 vs. 30 days). After adjusting for site and baseline severity, the incident rate ratio of total sore throat days in the immediate tonsillectomy group was significantly lower than in the conservative management group (0.53, 95% CI 0.43 to 0.65, p < 0.0001). The most common adverse event related to tonsillectomy was bleeding, which occurred in 19% of participants.

The NATTINA trial is the largest to date assessing the clinical and cost-effectiveness of tonsillectomy in adults. The results indicate that immediate tonsillectomy is clinically effective and cost-effective for recurrent acute tonsillitis. However, patients should weigh the benefits of fewer sore throat days against the risks of surgery.

Article: Conservative management versus tonsillectomy in adults with recurrent acute tonsillitis in the UK (NATTINA): a multicentre, open-label, randomised controlled trial – The Lancet

News Release: Tonsillectomy both clinically and cost effective for adults – Newcastle University

 

Commentary on Twitter

 


Ear-related balance disorders: evidence and resources

11 May, 2023 | 12:14h | UTC

Ear-related balance disorders: evidence and resources – Evidently Cochrane

 


Olfactory dysfunction: etiology, diagnosis, and treatment

11 May, 2023 | 11:50h | UTC

Olfactory Dysfunction: Etiology, Diagnosis, and Treatment – Deutsches Ärzteblatt International

 


M-A | Association of SARS-CoV-2 vaccination or infection with Bell palsy

10 May, 2023 | 16:03h | UTC

Association of SARS-CoV-2 Vaccination or Infection With Bell Palsy: A Systematic Review and Meta-analysis – JAMA Otolaryngology–Head & Neck Surgery

 


RCT | Effectiveness of an over-the-counter self-fitting hearing aid compared with an audiologist-fitted hearing aid

25 Apr, 2023 | 14:47h | UTC

Effectiveness of an Over-the-Counter Self-fitting Hearing Aid Compared With an Audiologist-Fitted Hearing Aid: A Randomized Clinical Trial – JAMA Otolaryngology–Head & Neck Surgery

Author Interview: Effectiveness of Self-fitting vs Audiologist-Fitted Hearing Aids – JAMA

Commentaries:

Self-Fitting, Over-the-Counter Hearing Aids Beneficial – HealthDay

How Do Over-the-Counter Hearing Aids Compare with Those Fitted by Audiologists? – NEJM Journal Watch (free for a limited period)

 

Commentary on Twitter

 


M-A | Test characteristics of ultrasound for the diagnosis of peritonsillar abscess

19 Apr, 2023 | 13:15h | UTC

Test characteristics of ultrasound for the diagnosis of peritonsillar abscess: A systematic review and meta-analysis – Academic Emergency Medicine

Commentary: How Good is Ultrasound at Diagnosing PTA? – RebelEM

 


Cohort Study | Association between hearing aid use and all-cause and cause-specific dementia

17 Apr, 2023 | 13:07h | UTC

Association between hearing aid use and all-cause and cause-specific dementia: an analysis of the UK Biobank cohort – The Lancet Public Health

Commentaries: Preventing dementia through correcting hearing: huge progress but more to do – The Lancet Public Health

News Release: Hearing aids may protect against a higher risk of dementia associated with hearing loss, study suggests – Lancet

Related:

M-A | Association of hearing aids and cochlear implants with cognitive decline and dementia

Dementia and hearing-aid use: a two-way street – Age and Ageing

Association of Hearing Loss With Dementia – JAMA Network Open

 

Commentary on Twitter

 


RCT | Targeted hypoglossal nerve stimulation may benefit patients with obstructive sleep apnea

11 Apr, 2023 | 14:07h | UTC

Targeted Hypoglossal Nerve Stimulation for Patients With Obstructive Sleep Apnea: A Randomized Clinical Trial – JAMA Otolaryngology – Head & Neck Surgery

 

Commentary on Twitter

 


Consensus Paper | Best management of patients with an acute sore throat

6 Apr, 2023 | 13:32h | UTC

Best management of patients with an acute sore throat – a critical analysis of current evidence and a consensus of experts from different countries and traditions – Infectious Diseases

 


Cochrane Library | Hearing conditions: evidence, experience and resources

4 Apr, 2023 | 13:36h | UTC

Hearing conditions: evidence, experience and resources – Evidently Cochrane

 


SR | Etiologies of vertigo in the elderly

31 Mar, 2023 | 13:38h | UTC

Vertigo in the Elderly: A Systematic Literature Review – Journal of Clinical Medicine

 


M-A | Test characteristics of ultrasound for the diagnosis of peritonsillar abscess

30 Mar, 2023 | 14:19h | UTC

Test characteristics of ultrasound for the diagnosis of peritonsillar abscess: A systematic review and meta-analysis – Academic Emergency Medicine

 


International consensus statement on allergy and rhinology: allergic rhinitis

16 Mar, 2023 | 13:19h | UTC

International consensus statement on allergy and rhinology: Allergic rhinitis – 2023 – International Forum of Allergy & Rhinology

 


Evidence Analysis | Menière’s disease: experience, evidence gaps & treatment choices

9 Mar, 2023 | 14:21h | UTC

Menière’s disease: experience, evidence gaps & treatment choices – Evidently Cochrane

New Cochrane Reviews:

Systemic pharmacological interventions for Ménière’s disease – Cochrane Library

Intratympanic gentamicin for Ménière’s disease – Cochrane Library

Intratympanic corticosteroids for Ménière’s disease – Cochrane Library

Positive pressure therapy for Ménière’s disease – Cochrane Library

Lifestyle and dietary interventions for Ménière’s disease – Cochrane Library

Surgical interventions for Ménière’s disease – Cochrane Library

 


Cross-sectional study | Risk factors for hearing loss at birth in newborns with congenital CMV infection

28 Feb, 2023 | 13:20h | UTC

Risk Factors for Hearing Loss at Birth in Newborns With Congenital Cytomegalovirus Infection – JAMA Pediatrics (link to abstract – $ for full-text)

Commentary: Factors ID’d for Hearing Loss in Newborns With Congenital Cytomegalovirus – HealthDay

 

Commentaries on Twitter

 


Consensus Statement | Standardized imaging and reporting for thyroid ultrasound

24 Feb, 2023 | 13:52h | UTC

Standardized Imaging and Reporting for Thyroid Ultrasound: Korean Society of Thyroid Radiology Consensus Statement and Recommendation – Korean Journal of Radiology

Related: ACR Thyroid Imaging, Reporting and Data System (TI-RADS): White Paper of the ACR TI-RADS Committee

 


SR | Tranexamic acid for the reduction of bleeding during functional endoscopic sinus surgery

24 Feb, 2023 | 13:39h | UTC

Tranexamic acid for the reduction of bleeding during functional endoscopic sinus surgery – Cochrane Library

 


M-A | Complications of percutaneous tracheostomy in critically ill adults with obesity

13 Feb, 2023 | 12:37h | UTC

Complication Rate of Percutaneous Dilatational Tracheostomy in Critically Ill Adults With Obesity: A Systematic Review and Meta-analysis – JAMA Otolaryngology-Head & Neck Surgery (free for a limited period)

 


Guideline | Diagnosis and management of otitis media with effusion in children

6 Feb, 2023 | 13:23h | UTC

Clinical practice guidelines for the diagnosis and management of otitis media with effusion (OME) in children in Japan – 2022 update – Auris Nasus Larynx

 


Podcast | Hearing loss, tinnitus, and Meniere’s disease

31 Jan, 2023 | 13:46h | UTC

#379 Hearing Loss, Tinnitus, and Meniere’s Disease – The Curbsiders

 


RCT | Effects of a web-guided system for self-treatment of recurrent benign paroxysmal positional vertigo

23 Jan, 2023 | 13:43h | UTC

Effect of Self-treatment of Recurrent Benign Paroxysmal Positional Vertigo: A Randomized Clinical Trial – JAMA Neurology (free for a limited period)

Related Video: Web-Guided Canalith Reposition Maneuver – JAMA

Commentary: Web-Based System Works Well for Diagnosis, Treatment of Recurrent Vertigo – HealthDay

 

Commentary on Twitter

 


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