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Biomedical subjects

K Gibbin

Publications and source records attributed to K Gibbin.

6 recordsLinked to original sources

Screening and follow up assessment in three cases of auditory neuropathy.

Three children with auditory neuropathy are described. Two were detected via a targeted neonatal hearing screening programme based on auditory brain stem response testing, and one via the routine Health Visitor Distraction Test. Auditory neuropathy is an important but poorly understood disorder which has implications on planning future hearing screening policy and management of hearing impairment.

Evoked Potentials, Auditory, Brain Stem↗

Cochlear implants in children.

Cochlear implants are electronic prostheses that provide a high quality sense of hearing to severely and profoundly deaf children and adults. As improvements in surgical technique and device performance have occurred, indications for implantation have expanded.

Child↗

Cannabis in the external ear.

ENT surgeons may well be asked to remove cannabis from the external ear where it has been lodged for various reasons. We report two cases and review four other cases we found in the literature to illustrate some of the difficulties. It is important that anyone working with people who abuse drugs are aware that cannabis can be concealed in the external ear.

Adult↗

An audit of the complications of paediatric tonsillectomy, adenoidectomy and adenotonsillectomy.

Tonsillectomy, adenoidectomy and adenotonsillectomy are among the commonest surgical procedures undertaken in children. The notes of 413 consecutive children having tonsillectomy, adenoidectomy or adenotonsillectomy were analysed retrospectively to determine complication rates. Of the total number of children, 5.6% had at least one complication, the most common of which was haemorrhage occurring as a first complication in 3.9% (16 children). Three children with bleeding required active treatment (0.7%), one requiring transfusion and two requiring a return to theatre, all within 3 1/2 hours of operation. The incidence of reactionary bleeding was not associated with the grade or seniority of the surgeon. Six children (1.5%) developed a fever post-operatively, of which one required antibiotic treatment. On the basis of these results it is feasible for such procedures to be carried out on a day-care basis.

Adenoidectomy↗

General practitioner training in ENT in the Trent Region.

A questionnaire was designed and posted to 220 general practitioners in the Trent Region. The questionnaire looked at the individual's undergraduate and postgraduate training. The results indicate that there is a great demand among final year vocational trainees and principals in general practice for an increase in the amount of formal postgraduate training in ENT. Nearly 85% of those questioned welcomed the opportunity of further training, primarily through attending courses, lectures or consultant clinics. Only 13% requested a formal attachment as an SHO on an ENT unit. Just over one in three of the respondents had received formal postgraduate training during their trainee years but even in this group 75% felt they would benefit from further training. Even at an undergraduate level, approximately half of the respondents commented that they had not received or undertaken examination of the ear, nose and throat in adults or children.

Adult↗

Asthma therapy and a tracheostomy.

A spacer device was modified to deliver aerosols of beclomethasone diproprionate, ipratropium and bromide salbutamol, to an asthmatic child with a tracheostomy, where symptoms were poorly controlled with nebulized therapy. This resulted in a marked improvement in symptoms and a dramatic reduction in the time spent administering drugs.

Aerosols↗