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ENT ARTICLES

DR NIRMAL PATEL

Vestibular Schwannoma

Assessing the Quality of Patient Information for Vestibular Schwannoma

Patients frequently use the internet to gain information and make decisions about their health condi- tions. This work aims to assess the quality of information about Vestibular Schwannoma on a popular video sharing platform, YouTube (Alphabet Inc.).

Protympanum Final Article_Jufas Patel-1

Endoscopic Anatomy of the Protympanum

The protympanum, or bony portion of the eustachian tube (ET), is a middle ear space that lies anterior to the mesotympanum. The space is also confluent with the epitym- panum superiorly, hypotympanum inferiorly, and the cartilaginous ET anteriorly.

Endoscopic Management of Early Stage Middle Ear Paragangliomas

To analyze the outcomes of the endoscopic transcanal approach for removal of early stage middle ear paraganglioma tumors (MEPT).

Micro-CT Annular Ligament of stapes paper

Micro-CT Annular Ligament of stapes paper

The oval window region has recently been identified as a potential route for drug diffusion into the inner ear. Locally applied gadolinium and trimethylphenylam- monium (TMPA) have been shown to directly diffuse into the vestibule through the oval window region.

Intracanalicular Vestibular Schwannoma

To perform a systematic review and meta- analysis summarizing the current evidence on the manage- ment of intracanalicular vestibular schwannoma.

Endoscopic Stapedius and Facial nerve

The stapedius muscle, tendon, and pyramidal eminence are structures within the retrotympanum. In cholesteatoma surgery, the retrotympanum is a common site of residual disease.

Endoscopic Stapedectomy Australian experience

Endoscopic Stapedectomy Australian Experience from a Large Australian Center

Introduction: Endoscopic stapes surgery is a technically demanding procedure that is increasing in popularity. Surgi- cal outcomes and complication rates have been demonstrated to be comparable to traditional microscopic techniques.

Caution in Transnasal Balloon Dilation of the Eustachian Tube

Caution in Transnasal Balloon Dilation of the Eustachian Tube

To investigate the degree to which transnasal eustachian tube (ET) dilation balloon catheters are able to be passed through the ET in a cadaver model.

BDET for ETD_Sydney Cohort_2021

Balloon dilation eustachian tuboplasty for dilatory dysfunction

Eustachian tube dysfunction (ETD) is a common clinical condition encountered by otolaryngologists. The severity and duration of symptoms range from the mild and transient to the chronic and severe along with secondary pathologies.

Assessing the quality of youtube for cholesteatoma

Assessing the quality of youtube for cholesteatoma

Cholesteatoma is common chronic ear condition that usually requires surgical treatment and long-term follow-up. The In- ternet helps patients find information about their medical conditions and assists in shared clinical decision making.

3D Modelling of Fissula Ante Fenestram cover

X-ray microtomography study of otic capsule deficiencies

The postulated sites of perilymph fistulae involve otic capsule deficiencies, in particular, at the fissula ante fenestram. Histological studies have revealed this to be a channel extending from the middle ear, and becoming continuous with the inner ear medial to the anterior limit of the oval window.

Tympanic membrane perforations: thesafe versus the unsafe

Tympanic membrane perforations: the safe versus the unsafe

Tympanic membrane perforations are seen frequently in general practice. Some perforations can be associated with significant disease, such as cholesteatoma which may cause major morbidity.

Hearing loss in the elderly

Hearing loss in the elderly

ONE in six Australians are currently affected by hearing loss, and as many as one in four are anticipated to be affected by 2050 as the population ages.

Endoscopic Management of Paediatric Cholesteatoma

Endoscopic Management of Pediatric Cholesteatoma

Pediatric cholesteatoma occurs in one of two forms: congenital cholesteatoma or acquired cholesteatoma, associated with a focal defect in the tympanic membrane.

Getting started in endoscopic ear surgery

Getting started in endoscopic ear surgery

Endoscopic ear surgery (EES) with the wide viewing angle of modern endoscopes, overcomes many of the limitations of the traditional microscopic approaches.

IgG4 disease of the ear: Report and review

In recent years, an immune-mediated disorder involving IgG4 has been described, which targets multiple organs.

Direct cost comparison of totally endoscopic versus open ear surgery

Totally endoscopic ear surgery is a relatively new method for managing chronic ear disease.

How I do it—endoscopic composite cartilage graft tympanoplasty

Tympanic membrane perforations can be challenging depending on their location and on the anatomical characteristics.

Prevention of Otic Barotrauma in Aviation: A Systematic Review

Prevention of Otic Barotrauma in Aviation: A Systematic Review

To conduct a systematic review of the published evidence relating to the prevention of otic barotrauma in aviation.

Isolated Traumatic Fracture of the Malleus Handle Causing Hearing Fluctuation

Handle of malleus fracture is a rare condition with <100 cases having been reported.

acute otitis externa dr nirmal patel

Acute Otitis Externa

While acute otitis externa is a relatively common condition, treating it can still present some unexpected twists and turns...

Anatomical Characteristics of the stapedial annular ligament

Anatomical Characteristics of the Stapedial Annular Ligament

The oval window region has recently been identified as a potential route for drug diffusion into the inner ear. Locally applied gadolinium...

Ear Exostoses Dr Nirmal Patel

Ear Exostoses

This abnormal bone growth within the ear canal - common in swimmers, scuba divers and surfers...

Endoscopic Anatomy and Surgical Implications

Endoscopic Anatomy and Surgical Implications

The round window region is of critical importance in the anatomy of the middle ear. The aim of this paper is to describe its anatomy from an...

Endoscopic Anatomy of the Protympanum

Endoscopic Anatomy of the Protympanum

The protympanum, or bony portion of the eustachian tube (ET), is a middle ear space that lies anterior to the mesotympanum...

endoscopic ear surgery dr nirmal patel

Endoscopic Ear Surgery

Exciting advances in endoscopic surgery techniques offer useful new options for otology patients...

Endoscopically Guided Transtympanic ET Balloon Catheter Dilatation

Endoscopically Guided Transtympanic ET Balloon Catheter Dilatation

The Eustachian tube (ET) is a unifying passageway between the nose and ear and its function remains incompletely understood...

Eustachian Tube Redefined Dr Nirmal Patel

Eustachian Tube Redefined

Since its first description by Eustachius, the concept of the Eustachian tube as partly bony structure has taken deep roots in our understanding of its anatomy...

Hearing Loss in Children

HEARING loss in children is a common problem that encompasses a broad differential diagnosis. Knowledge of normal auditory developmental milestones...

hearing loss in ageing patients dr nirmal patel

Hearing Loss in the Ageing Patient

Hearing loss in the ageing patient is common. In recent Australian surveys, 26.6% of the population have some hearing impairment...

SEES Video Tutorial Article ENT News May 2016

SEES Video Tutorial Article ENT News May 2016

The strength of endoscopic ear surgery (EES) is that it allows high definition visualisation of middle ear anatomy in an in situ and intact way...

single sided deafness dr nirmal patel ent surgeon

Single Sided Deafness

Single-sided deafness refers to significant or total sensorineural hearing loss unilaterally. There are about 200 new cases...

ent tonsil article dr nirmal patel

Sleep Apnoea

Tiredness and fatigue are common reasons for presenting to GPs. Obstructive sleep apnoea (OSA) is one...

Tonsillectomy, Adenoidectomy, Adenotonsillectomy in Childhood

Tonsillectomy, Adenoidectomy, Adenotonsillectomy in Childhood

Clinicians should recommend watchful waiting for recurrent throat infection if there have been fewer than 7 episodes in the past year...

tonsillectomy in children dr nirmal patel

Tonsillectomy in Children

Tonsillectomy is one of the most common surgical procedures in the United States, with more than 530 000 procedures performed annually in children younger than 15 years...

transtympanic balloon dilatation eustachian tube

Transtympanic Balloon Dilatation in Eustachian Tube

Balloon catheter dilatation treatments have resulted in successful outcomes in various specialties and have been used in many...

tympanic membrane perforations dr nirmal patel

Tympanic Membrane Perforations

Tympanic membrane perforations are holes in the eardrum that most commonly occur as a consequence of either ear infections or trauma to the ear...

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