Risk factors for refractory BPPV: subtype-dependent association of serum 25-hydroxyvitamin D

Low serum vitamin D appears to be a subtype-dependent risk factor for refractory BPPV; clinicians managing treatment-resistant BPPV cases should consider checking and potentially optimising vitamin D levels, though prospective confirmatory trials are still needed before making...

New variants may improve genetic hearing loss diagnosis and intervention

No immediate practice change; these newly identified LOXHD1 variants are a preliminary genetic finding that may improve the diagnostic yield of genetic hearing loss panels in future, but clinical utility depends on further validation studies.

Acousia Therapeutics Reports Positive Phase 2a Results for Bimokalner in Cisplatin-Induced Hearing Loss

Phase 2a results are encouraging but insufficient to change current practice; clinicians should monitor for a Phase 3 trial before considering Bimokalner as a standard protective agent against cisplatin-induced hearing loss.

Social development in Chinese hearing-impaired children with binaural-bimodal fitting (BIM) versus unilateral cochlear implant: A comparative study

Binaural-bimodal fitting (hearing aid + cochlear implant) may confer social development advantages over unilateral cochlear implant alone in children; however, this is a single comparative study and results should be interpreted cautiously pending replication in larger,...

Down-sloping high-frequency audiometric findings in ENT-MS-12 auditory screen-positive patients with relapsing-remitting multiple sclerosis: A pilot case series

This pilot case series suggests down-sloping high-frequency hearing loss and tinnitus are identifiable audio-vestibular features in relapsing-remitting MS patients; no actionable change to audiology practice is warranted yet, but audiologists seeing MS patients should be aware...

Evaluating measurement accuracy of ear-canal reflectance using a conical horn

Findings are too preliminary to change clinical WAI measurement protocols; audiologists should monitor further validation work before adopting conical-horn calibration methods.

The Unique Voice Profile of Children With Auditory Brainstem Implants: A Novel Study on Voice Onset Time

Clinicians working with pediatric ABI users should be aware that voice onset time and temporal speech production differ from cochlear implant and normal-hearing norms; speech-language therapy targets and timelines may need to be adjusted accordingly.

Auditory Spatial Processing in Patients With Vestibular Migraine

Audiologists evaluating patients with vestibular migraine should consider adding central auditory spatial processing tests, as this population may show deficits not captured by standard audiometry.

Cochlear Implantation and Hearing Rehabilitation in CHARGE Syndrome: Expanding Clinical Knowledge and Outcomes

Cochlear implantation is a viable option in CHARGE syndrome, but surgical complexity and variable outcomes mean individualized planning is essential; this retrospective data can inform pre-operative counseling.

Bilateral low-frequency hearing loss and tinnitus following spinal anesthesia during a cesarean section

No change to audiology practice is warranted; however, audiologists should be aware of spinal anesthesia as a potential cause of low-frequency hearing loss and tinnitus when taking patient history from postpartum patients.

Determinants of the quality of life of patients with NF2-related schwannomatosis and validation of the Dutch NFTI-QOL questionnaire

No immediate change to audiological practice; the validated Dutch NFTI-QOL questionnaire is now available for use in Dutch-speaking NF2 patient populations to better capture quality-of-life data in clinical and research settings.

Therapeutic Hybrid Intelligence with Neural and Knowledge-based Expert Reasoning for SRS (THINKERS): a mixture-of-experts AI model for vestibular schwannoma

No immediate change to clinical audiology practice; THINKERS is a research-stage AI tool for neurosurgical outcome prediction in vestibular schwannoma and requires prospective validation before clinical adoption.

Severe surgical site infections following cochlear implant surgery

Clinicians performing or managing cochlear implant patients should review identified risk factors and management strategies from this study to inform surgical protocols and post-operative monitoring for severe surgical site infections.

Betahistine for residual dizziness after canalith repositioning in benign paroxysmal positional vertigo: a systematic review of randomized controlled trials

Audiologists and vestibular specialists managing post-CRM residual dizziness in BPPV patients should review this systematic review's pooled findings; if betahistine shows significant benefit, it may warrant a protocol update in collaboration with referring physicians.

Association Between Cannabis Use and Tinnitus: A Multi-Center Propensity-Score-Matched Cohort Study

Clinicians should note this study's association findings when taking patient histories involving cannabis use and tinnitus, but a causal link is not established and no change in tinnitus management protocols is warranted yet.

A Rare, Unusually Long Vestibular Fistula in a Female: Challenges Faced in Diagnosis and Management

This report has no relevance to the audiology field; it appears to have been included in this batch in error, as it describes a rare pediatric surgical condition unrelated to hearing or vestibular audiology.

A modeling approach to understanding poor stability in people with vestibular hypofunction

This modeling study provides mechanistic insight into gait instability in vestibular hypofunction but does not yet offer a validated clinical tool; no immediate change to rehabilitation protocols is warranted.

Pigeons lock their eyes in place during flight

Understanding gaze stabilization mechanisms in birds may offer insights into vestibulo-ocular reflex (the eye-balance coordination reflex) function that could eventually inform vestibular rehabilitation science.

A systematic review on sound-based therapy for individuals with hyperacusis

This systematic review may offer updated guidance on sound-based therapies for hyperacusis; audiologists managing hyperacusis patients should review the full findings to assess whether current protocols align with the evidence summarized.

Association between low free T4 values and prevalence of tinnitus in US adults: 2009-2012

Findings are preliminary and based on cross-sectional survey data — no actionable change to tinnitus assessment or thyroid screening protocols is justified until stronger prospective evidence is available.

From rehabilitation to performance: reframing vestibular-ocular interventions to optimise sports performance

No immediate change to clinical vestibular rehabilitation practice is warranted; this is a conceptual reframing paper proposing a broader application of vestibular-ocular training in sport, pending supporting efficacy trials.

Detecting Vestibular Deficits in Early Childhood: Toward a Screening Tool for Caregivers

A validated caregiver-administered vestibular screening tool for infants could substantially close the gap between onset and diagnosis of vestibular dysfunction in early childhood, enabling earlier intervention.

Multimodal mapping of balance dysfunction in Parkinson's disease: a consensus roadmap for research and intervention

A consensus roadmap for multimodal balance research in Parkinson's disease could standardise outcome measures and accelerate development of effective interventions for a major cause of falls and disability.

Treatment of Idiopathic Intracranial Hypertension With Bilateral Trans-stenotic Pressure Gradients: Unilateral Versus Bilateral Venous Sinus Stenting

Optimising venous sinus stenting for IIH has indirect audiology relevance because IIH commonly causes pulsatile tinnitus and hearing symptoms; better neurosurgical management could reduce these referrals.

Hearing aid fitting: analysis of the impact on the auditory system during the first year of use in moderate and severe hearing loss

Preliminary evidence suggests the auditory system undergoes measurable changes during the first year of hearing aid use in moderate-to-severe loss, but the small sample (n=24) limits practice-changing conclusions; monitor this area for larger replications.

Tinnitus disorder and musical auditory training: a double-blind randomized controlled clinical trial

This double-blind RCT on Musical Auditory Training for tinnitus is the strongest design available for this question; if results are positive, audiologists should consider MAT as an evidence-based adjunct to tinnitus management — await full results and effect-size data before...

Cochlear implant as an option for unilateral deafness rehabilitation

Newborn hearing screening: outcomes and management of infants