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However, despite widespread use of oral corticosteroids for CRS, there are few randomized trials.

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The efficacy and safety of Dymista Nasal Spray in seasonal allergic rhinitis was evaluated in 3 randomized, multicenter, double-blind, placebo-controlled clinical trials in adult and adolescent patients 12 years and older with seasonal allergic rhinitis.

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The use of steroids has been the topic of a recent Cochrane review with some RCTs supporting use of intra tympanic steroid injections for improving symptoms and hearing outcomes.

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However, because of the primary or mixed dentition in this age group, alternatives to traditional tooth-anchored intermaxillary fixation may be required.

It was observed that direct involvement of a senior trainee resulted in a statistically significant rise in the number of patients completely discharged and a significant reduction in the number of children requiring the operating theatre.

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Similar inadequacies have been pointed out for speech tests and the caloric vestibular test, which is like “testing vision with lightning and hearing with thunder”!

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House dust mite sublingual immunotherapy: a double-blind, placebo-controlled study in elderly patients with allergic rhinitis.

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This study is very interesting as it assesses whether trainee participation, among other factors, influences operating room time in cochlear implant surgery.

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There was a significant difference in post-operative mode of communication; 82% of isolated AN children used an oral mode of communication whereas 89% of multiply-involved children used a non-oral one.

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The techniques of epigenetic analysis of tumour markers such as p16 and DAPK as well as using optical techniques of autofluorescence or topical fluorescent agents with high resolution micro-endoscopes may one day help intraoperative delineation of the dysplastic margin at a molecular level.

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Seemingly a simpler procedure, we should remember that extracapsular dissection is as demanding as a superficial parotidectomy and the surgeon should avoid breaking the capsule or damaging the crossing facial nerve branches to achieve this result.

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Initial results with image-guided cochlear implant programming in children.

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The post-operative pain was assessed by allocating pain scores in the recovery room, two and five hours post-operatively, first post-operative day and finally on the seventh post-operative day by a telephone questionnaire.

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Cumulatively, 337 patients were included in the analysis with consistent use of visual analogue scores in all studies.

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Overall, adverse reactions were 16% in the DYMISTA treatment group, and 12% in the placebo group.

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This study, for the first time, attempts to evaluate the effects of this approach on sinonasal symptoms, olfaction and mucociliary transport (MCT).

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However, there are no large series exploring the outcome of cochlear implantation in affected individuals.

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However, the acceptance of immunosuppressed patients as cochlear implant candidates is rather challenging as the risk of infection may put not only the device at risk (need for explantation) but also their lives due to a possible infection that may be difficult to control.

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In addition, this technique also had associated advantages, by addressing the emotional aspect of tinnitus, by activating the parasympathetic system, achieved by pressing of the eyeball, and also by providing the relaxation element of the therapy.

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Factors associated with poor use of sequential bilateral cochlear implants in young people: A preliminary audit of poor users.

The Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines recommend a stepped approach to therapy based upon the frequency and severity of symptoms () ().

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Exclusion of subjects with presbyacusis helps credibility of this study, but in clinical practice sensorineural hearing loss for higher frequencies is not strikingly obvious in patients with allergic rhinitis.

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