Great suggestion! Yes, we will add it to our list

Thank you for your question! In the UK, cochlear implantation eligibility follows the NICE criteria, which require both ears to have thresholds worse than 80dB at two frequencies between 500-4000Hz. Additionally, only one implant is funded, so choosing which ear to implant is a complex decision. Factors that influence this choice include the hearing history of each ear, any functional or anatomical issues, and patient preference. 1. Residual Hearing in Both Ears: If both ears lost hearing at the same time, some patients prefer to implant the worse-hearing ear. This allows them to retain some residual hearing in the better ear, should the implant’s performance not meet expectations. 2. Recent vs. Long-Standing Hearing Loss: If one ear has been deaf for a long time while the other has experienced a more recent loss, it can be advantageous to implant the ear with the recent loss. This ear is likely to have more robust central neural pathways, which respond better to stimulation, whereas the pathways from an ear with long-standing deafness may be less adaptable. I hope this answers your question!

Thanks for the comment, please check out our video on 'Vestibular Function Testing' for VEMP info!

Thank you Madhavi!

Thanks Jerry, although not specifically on ET dysfunction, check out the following on Middle Ear Pressure homeostasis kzbin.info/www/bejne/eZzPgY2Bi9N7eJo

That’s a very good question. While steroids are often prescribed empirically, it’s important to recognise that a course of high dose steroids is not without its own drawbacks both in the short term (side effects) and longer term. A lifetime dose of 500mg- 1g Prednisolone increases one’s risk of osteoporosis, HTN, Obesity, T2DM, Cataracts and fracture, and so its important to counsel the patient about these potential risks and to balance these against the potential to improve hearing. Provided the patient understands and accepts these risks, I would consider steroids for patients with a strong history of SSNHL, in whom the thresholds aren’t quite 30dB but have other factors (occupational, social etc.) that shift the risk/benefit balance in favour of steroids. For the exam though a threshold change of 30dB is a good threshold to set. Hope that’s helpful!

Thank you! That’s a great suggestion, we’ll get working on it!

Thank you, glad you enjoyed it!

Thanks a lot for the feedback!

Thanks so much, great to know you’re enjoying them, plenty more to come!

Great suggestion, will get working on it, though it may be better suited for the second, operatively oriented channel www.youtube.com/@LondonENTSurgery

You're welcome 😊

Thank you, new videos each week :)

Thank you Kieran, it was a pleasure meeting you and I’m glad you found the video helpful!

Thank you for the feedback! Yes, PPPD is surprisingly common both in primary and secondary care, though is often not recognised. Understanding the underlying mechanism, and recognising that PPPD is often concurrent with other vestibular disorders is key

Thank so much for the feedback, we’re glad you find the videos helpful :)

Thanks so much! Glad you found it helpful :)

Thank you! Glad you found it useful :)

Thank you and glad to hear you’re finding them helpful. Let us know if you have any requests for future topics

You're welcome 😊 let us know if you have any requests for future videos

Thanks Neil! That sounds like a great idea for a video, we’ll get onto it

Thanks for the comment, glad it was helpful!

Thank you for the feedback, let us know if you’d like us to cover any particular topic :)

Hi, thanks for your feedback, we’re glad that you found the video to be useful! The Middle fossa craniotomy would involve creating a small craniotomy the inferior limit of which would be the temporal line (a horizontal line continuing posteriorly from the root of the zygoma). The middle cranial fossa would be entered, without breaching the dura. The temporal lobe would be gently retracted enabling the surgeon to follow the floor of the middle cranial fossa until they come onto the dehiscent superior semicircular canal. This would then be resurfaced in a similar way to the transmastoid approach described above.