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Burnout: is this just a pandemic phenomenon?

The phrase ‘burnout’ is often heard, but what is it, and what are the early warning signs? Importantly, how can it be prevented or managed? Over the last few years, health professional wellbeing, mental health, and burnout have come to...

Malignant lesions and reconstruction of the pinna

External ear reconstruction can be challenging. Baskaran Ranganathan and Amr Abdelhamid describe how careful assessment, planning and surgery following the subunit principles and reconstructive ladder will ultimately lead to good aesthetic outcomes with restored form and function. The external ear,...

Otological problems in musicians

Musicians are understandably anxious about their hearing, and recent high-profile cases of noise-related hearing loss have resulted in huge changes in the music industry. Chris Aldren (otologist and violinist) explains. In the recent Oscar-winning movie, Sound of Metal, heavy metal...

First UK Genio Nyxoah bilateral hypoglossal nerve stimulator implant for obstructive sleep apnoea

Obstructive sleep apnoea remains a very challenging condition to treat, but more options are becoming available. An estimated eight million adults in the UK suffer from obstructive sleep apnoea (OSA) and experience symptoms of troublesome snoring, daytime sleepiness and witnessed...

Vulnerability in audiological care: insights from Brené Brown and Kristin Neff

Embracing emotional openness and self-compassion can improve outcomes and relationships in the often-overlooked emotional landscape of audiological care. Audiological care is a deeply personal and often emotional journey for individuals experiencing hearing loss or other auditory challenges. Beyond the clinical...

In conversation with Trevor McGill

After more than four decades of paediatric clinical practice, Trevor McGill shares his wealth of experience and knowledge with Pat Bradley. Trevor, as a national and internationally acknowledged Paediatric Oto-Rhino-Laryngologist, Head and Neck Surgeon, to what do you owe this...

Partial reconstruction of the pinna

Reconstruction of the pinna is one of the most challenging procedures in facial plastic surgery. Although there has been significant progress since one of the earliest recorded descriptions by Sushruta in 600 BC, the complex three-dimensional structure of the pinna...

Acoustic Immittance Measures: Basic and Advanced Practice

Writing a short yet comprehensive textbook to explore the vast and developing field of acoustic immittance measures seems like a challenge. This book aims to explore the core concepts behind immittance testing and provide an update on recent developments within...

Hearing Aids for Speech-Language Pathologists: a Guide to Modern Rehabilitative Audiology

This is a book of two parts. The first six chapters are not pitched at speech language pathologists (SLP), at least not for those in typical practice in the UK. This section of the book is appropriate to experienced audiologists...

Nasal nitric oxide – an inflammatory marker in paediatric allergic rhinitis?

Nasal nitric oxide (nNO) is mainly produced in the paranasal sinus mucosa and was shown in some studies to have increased expression in allergic rhinitis (AR). Although it represents a potential non-invasive tool for AR measurement, there remains no consensus...

A raised neutrophil / lymphocyte ratio predicts vestibular schwannoma growth

It has long been known that the neutrophil to lymphocyte count ratio (NLR) is a marker of inflammation and that a higher ratio relates to poorer outcomes in some malignant tumours including some head and neck cancers. Neutrophilia (and therefore...

Are organ-preserving treatment strategies for T3 laryngeal cancers reducing patient survival?

This article presents the 10-year results of a single institution’s treatment of advanced laryngeal cancer. The institution established a protocol based on the Dutch Head and Neck Society consensus document on laryngeal cancer diagnostics and treatment published in 1991. This...