The Australian Journal of Otolaryngology, peer-reviewed scientific journal, and Official Journal of the Australian Society of Otolaryngology/Head&Neck Surgeons.
Australia
Joined February 2019
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Cochlear implant revisions remain uncommon: a 10-year Victorian review reported a 3.8% revision rate, with medical causes accounting for 74.6% of revisions.
#CochlearImplant #Otology #ENT #HearingLoss theajo.com/article/view/5182…
Water beads: a “growing” problem for ENT surgeons.
72 reports, 13,466 exposures: ear, nose & airway cases often need early ENT intervention.
Samiha Arulshankar & @DrEricLevi
@MonashUni Melbourne Uni @RCHMelbourne
theajo.com/article/view/5179…
🚨 Can rapid access clinics reduce delays in head & neck cancer care?
🏥 John Hunter Hospital study:
⏱️ Referral to review: 38→16 days
🔬 Diagnosis: 14→6 days
💊 Treatment: 49→36 days
By Boot et al., @Uni_Newcastle
📖 #AJO #HeadNeckCancer
theajo.com/article/view/5181…
🤖 Can AI answer parents’ questions about paediatric tonsillitis? Singh et al. compared ChatGPT & Gemini with clinical guidelines.✅ High accuracy⚠️ Readability remains a challenge. AI shows promise, but isn't yet a substitute for clinical advice.
theajo.com/article/view/5140…
Two decades of choanal atresia surgery at @WestmeadKids show a shift towards mucosal preservation.Mucosal flaps were associated with fewer revision surgeries, while a novel bi-directional flap technique showed promising early results. theajo.com/article/view/5148…
Can selected adults safely go home on the day of cochlear implant surgery? Same-day discharge achieved high patient satisfaction (~85%), with readmission rates comparable to overnight stay and no complications directly attributed to early discharge.
doi.org/10.21037/ajo-25-41
Can tonsillectomy outreach work in very remote settings?
An 11-year Longreach study found post-tonsillectomy haemorrhage in 6.7% of patients. Five required aeromedical retrieval, but none needed surgery or transfusion.
doi.org/10.21037/ajo-25-66ht…
Can mastoid obliteration improve outcomes in tropical populations? Chopra et al report improved hearing, low rates of discharge, better quality of life, and no cholesteatoma recurrences following modified radical mastoidectomy obliteration in North Qld doi.org/10.21037/ajo-25-62
Can audiometry help predict cholesteatoma stage?
In this study of middle ear cholesteatoma, worsening disease stage was associated with greater hearing loss, with significant differences in air-conduction thresholds and air–bone gap.
doi.org/10.21037/ajo-25-37
Surgery plus adjuvant radiotherapy for high-risk primary salivary gland malignancies achieved excellent long-term patient-reported quality of life, durable local control (5-year local failure 3%) and low treatment regret (90%). #HeadAndNeckCancer
theajo.com/article/view/5154…
Coblation intracapsular tonsillectomy may offer important advantages in paediatric practice. In a 5-year regional cohort (n=782), ICT was associated with lower post-tonsillectomy haemorrhage, fewer readmissions and shorter hospital stays than ECT theajo.com/article/view/5126…
Can complex head & neck flap reconstruction be safely delivered in a regional centre? A 10-year review from Toowoomba found comparable outcomes for free and regional flaps, supporting decentralised specialist care while highlighting follow-up challenges. theajo.com/article/view/5131…
Do costly intranasal dressings improve outcomes after inferior turbinate reduction? 👃
In 200 patients, dressing use and cost varied substantially, with no corresponding difference in secondary haemorrhage or complications.
@Macquarie_Uni @UNSW theajo.com/article/view/5134…
Could #dimethicone be the best option for removing hard ticks from the ear? 🦻 This study found it inactivated hard ticks in just 75 seconds—far faster than olive oil, coconut oil or 2% xylocaine. A simple, safe option for otoacariasis? doi.org/10.21037/ajo-25-61 #ENT #Otoacariasis
Can AI chatbots provide high-quality patient information for head & neck surgery? Kwun et al evaluated patient information. Reliability was only "fair", while readability remained at a difficult level, highlighting barriers for many patients. theajo.com/article/view/5085…
23-year cohort (n=103) found Asian ethnicity, T4 disease & distant metastases were associated with poorer relapse-free survival. Despite excellent primary treatment response >25% of recurrences occurred after 5 years, supporting 7–10 years follow-up. theajo.com/article/view/5096…
Māori and Pacific children accounted for 61.6% of paediatric CSOM cases requiring mastoid surgery in Auckland, highlighting persistent health inequities. Encouragingly, children with pre-operative hearing loss ≥35 dB HL gained a mean 18 dB HL after surge
theajo.com/article/view/5095…
Rare but important! Foregut duplication cysts should be considered in the differential diagnosis of congenital cystic head & neck masses in children. In this case series + systematic review, complete surgical excision had low recurrence. theajo.com/article/view/5097… @RCHMelbourne
Webb et al. from the Victorian Cochlear Implant Program @EyeandEar report cochlear & osseointegrated implants are safe and effective hearing rehabilitation options following head & neck cancer, with low complication rates and encouraging speech outcomes. theajo.com/article/view/5083…