Neuro, Ear, nose and throat

Steroids for idiopathic sudden sensorineural hearing loss

Abstract Background This is an update of a Cochrane review first published in The Cochrane Library in Issue 1, 2006 and previously updated in 2009. Idiopathic sudden sensorineural hearing loss (ISSHL) is a clinical diagnosis characterised by a sudden deafness of cochlear or retrocochlear origin in the absence of a clear precipitating cause. Steroids are […]

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Ginkgo biloba for tinnitus

Abstract Background This is an update of a Cochrane review first published in The Cochrane Library in Issue 2, 2004 and previously updated in 2007 and 2009. Tinnitus can be described as the perception of sound in the absence of external acoustic stimulation. At present no specific therapy for tinnitus is acknowledged to be satisfactory […]

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Enteral feeding methods for nutritional management in patients with head and neck cancers being treated with radiotherapy and/or chemotherapy

Abstract Background This is an update of a Cochrane review first published in The Cochrane Library in Issue 3, 2010. For many patients with head and neck cancer, oral nutrition will not provide adequate nourishment during treatment with radiotherapy or chemoradiotherapy due to the acute toxicity of treatment, obstruction caused by the tumour, or both. […]

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Hyperbaric oxygen for idiopathic sudden sensorineural hearing loss and tinnitus

Abstract Background This is an update of a Cochrane Review first published in The Cochrane Library in Issue 1, 2005 and previously updated in 2007 and 2009. Idiopathic sudden sensorineural hearing loss (ISSHL) is common and has a significant effect on quality of life. Hyperbaric oxygen therapy (HBOT) may improve oxygen supply to the inner […]

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Antidepressants for patients with tinnitus

Abstract Background This is an update of a Cochrane review first published in The Cochrane Library in Issue 4, 2006 and previously updated in 2009. Tinnitus is described as the perception of sound or noise in the absence of real acoustic stimulation. It has been compared with chronic pain, and may be associated with depression […]

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Antivirals for idiopathic sudden sensorineural hearing loss

Abstract Background Idiopathic sudden sensorineural hearing loss (ISSHL) is characterised by sudden loss of hearing of cochlear or retro-cochlear origin without an identifiable cause. Antivirals are commonly prescribed, but there is no consensus on the treatment regimen or their effectiveness. Objectives To determine the effectiveness and side effect profile of antivirals in the treatment of […]

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Modifications of the Epley (canalith repositioning) manoeuvre for posterior canal benign paroxysmal positional vertigo (BPPV)

Abstract Background Benign paroxsymal positional vertigo (BPPV) is a syndrome characterised by short-lived episodes of vertigo associated with rapid changes in head position. It is a common cause of vertigo presenting to primary care and specialist otolaryngology (ENT) clinics. BPPV of the posterior canal is a specific type of BPPV for which the Epley (canalith […]

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Repetitive transcranial magnetic stimulation for tinnitus

Abstract Background Tinnitus is the perception of sound, in the ear or in the head, in the absence of any external acoustic stimulation. Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive means of inducing electrical currents in the brain, and has received increasing attention in recent years for the treatment of many neuropsychiatric disorders, including […]

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Anticonvulsants for tinnitus

Abstract Background Tinnitus is the perception of sound or noise in the absence of an external or internal acoustic stimulation. It is a common and potentially distressing symptom for which no adequate therapy exists. Objectives To assess the effectiveness of anticonvulsants in patients with chronic tinnitus. Search methods We searched the Cochrane Ear, Nose and […]

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Intratympanic steroids for Ménière’s disease or syndrome

Abstract Background Ménière’s disease is a disorder characterised by hearing loss, tinnitus and disabling vertigo. The use of intratympanic steroids to reduce the severity of these symptoms has been gaining popularity. Objectives To assess the effectiveness of intratympanic steroids on the frequency and severity of attacks of vertigo, on chronic symptoms such as tinnitus, imbalance and […]

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