Neuro, Ear, nose and throat

Restriction of salt, caffeine and alcohol intake for the treatment of Ménière’s disease or syndrome

Abstract Background Ménière’s disease or syndrome is a chronic inner ear disorder that results in sporadic attacks of vertigo, sensorineural hearing loss, aural fullness and tinnitus. There is no definitive treatment for Ménière’s disease and treatmentoptions range from dietary modification through medication to surgery. Modification of diet, including restriction of salt, caffeine and alcoholintake, is […]

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Betahistine for tinnitus

Abstract Background Tinnitus is a symptom defined as the perception of sound in the absence of an external source. In England alone there are an estimated ¾ million general practice consultations every year where the primary complaint is tinnitus, equating to a major burden on healthcare services. Clinical management strategies include education and advice, relaxation […]

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Sound therapy (using amplification devices and/or sound generators) for tinnitus

Abstract Background Tinnitus affects 10% to 15% of the adult population, with about 20% of these experiencing symptoms that negatively affect quality of life. In England alone there are an estimated ¾ million general practice consultations every year where the primary complaint is tinnitus, equating to a major burden on healthcare services. Clinical management strategies […]

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Sound therapy (using amplification devices and/or sound generators) for tinnitus

Abstract Tinnitus affects 10% to 15% of the adult population, with about 20% of these experiencing symptoms that negatively affect quality of life. In England alone there are an estimated ¾ million general practice consultations every year where the primary complaint is tinnitus, equating to a major burden on healthcare services. Clinical management strategies include […]

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Immunonutrition for patients undergoing surgery for head and neck cancer

Abstract Background Patients with head and neck cancer are often malnourished. Surgery for such cancers is complex and may be undertaken after a course of radiotherapy. As a result, patients may have postoperative complications such as fistulae and wound infections, as well as more generalised infections such as pneumonia. One possible way to enhance recovery, […]

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Therapeutic exercises for affecting post-treatment swallowing in people treated for advanced-stage head and neck cancers

Abstract Background Head and neck cancer treatment has developed over the last decade, with improved mortality and survival rates, but the treatments often result in dysphagia (a difficulty in swallowing) as a side effect. This may be acute, resolving after treatment, or remain as a long-term negative sequela of head and neck cancer (HNC) treatment. […]

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Zinc supplementation for tinnitus

Abstract Background Tinnitus is the perception of sound without external acoustic stimuli. Patients with severe tinnitus may have physical and psychological complaints and their tinnitus can cause deterioration in their quality of life. At present no specific therapy for tinnitus has been found to be satisfactory in all patients. In recent decades, a number of […]

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Betahistine for symptoms of vertigo

bstract Background Vertigo is a symptom in which individuals experience a false sensation of movement. This type of dizziness is thought to originate in the inner ear labyrinth or its neural connections. It is a commonly experienced symptom and can cause significant problems with carrying out normal activities. Betahistine is a drug that may work […]

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Amplification with hearing aids for patients with tinnitus and co-existing hearing loss

Abstract Background Tinnitus is described as the perception of sound or noise in the absence of real acoustic stimulation. In the current absence of a cure for tinnitus, clinical management typically focuses on reducing the effects of co-morbid symptoms such as distress or hearing loss. Hearing loss is commonly co-morbid with tinnitus and so logic […]

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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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