Stenosis of the tracheostoma after total laryngectomy can be prevented by the addition of a simple Y-incision to the U-incision for total laryngectomy. This technique ensures a wide stoma, eliminating the need of tracheal cannulation even immediately after surgery

Immediate electrocochleographic changes have been studied in a series of patients following intravenous infusion of either tobramycin or gentamicin. In patients receiving tobramycin, as soon as peak serum levels of antibiotic were reached, a dramatic decrease occurred in the magnitude of the compound VIII nerve action potential (AP), and of the cochlear microphonic (CM). The shape of the AP also changed. The N1 component of the waveform became very small, and N2 increased in size; this is the dissociated pattern of basal coil cochlear damage. The speed of onset of these electrical changes and their apparent reversibility suggests a temporary metabolic block caused by tobramycin. No such changes were observed following infusion of gentamicin.

Bullous myringitis is considered to be a self-limiting disease without complications. Clinical evidence has shown it to be frequently accompanied by sensorineural hearing loss, more often than it was thought to be.

The case of a 20-year-old girl is presented in whom bullous myringitis was accompanied by transient sensorineural hearing loss. The site of the lesion was determined to be in the cochlea. We determined, with a high degree of certainty, that the causative agent was mycoplasma.