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Vestibular implantation: are we there yet?
The objectives of this review article were to ascertain, through a systematic literature review, device design, surgical approaches, objective and subjective outcomes as well as limitations of vestibular implantation (VI). Following an extensive systematic search using PRISMA guidelines, 21 studies...PhysioSensing OtoneuroSystem: advancing objective vestibular assessment and rehabilitation
PhysioSensing OtoneuroSystem represents a new generation of technology for vestibular assessment and rehabilitation, empowering clinicians to see balance in a completely new way. By combining high-precision inertial sensors, force plate and VR, with intelligent software, the system transforms complex postural...
A new tool to enhance smell recovery?
Vericiguat is a soluble guanylate cyclase activator which boosts intracellular cGMP and promotes smooth muscle relaxation. It is approved for use in heart failure, but the authors hypothesise that it may also enhance neuronal olfactory signalling via cGMP elevation. Eighty-eight...
ADHEAR in the paediatric population
ADHEAR is a non-surgical bone conduction device (BCD) available from Med-El from 2017. It uses an adhesive adapter consisting of a soft rubber pad with a centre rigid plate that has a snap coupling for attachment of a sound processor....
Redefining alar retraction: can hyaluronic acid replace the scalpel?
Alar retraction is a common challenging nasal deformity and requires precise structural correction to achieve both functional and aesthetic harmony. Traditionally correction of alar retraction has relied on open rhinoplasty with various techniques including cartilage grafting, suturing techniques and advancement...
Transoral coblation surgery – a viable option for early laryngeal cancers involving the anterior commissure?
Transoral laser microsurgery is widely considered to represent the ideal treatment modality for early (T1a) laryngeal cancers. With disease involving the anterior commissure however, radiotherapy is often advocated on account of perceived superior voice and airway outcomes, plus potential difficulty...
How quality improvement helped to create local guidelines for good tracheostomy care
Significant morbidity and mortality is associated with tracheostomy insertion. A complex, multistep process exists to help patients towards decannulation. This process is often complicated by patient comorbidities, discontinuity of care and communication as patients move through hospital, and variable experience...Clinical management: a personal view
When Nigel Beasley approached me to write on my experience of clinical management, I was a little surprised. I see myself as primarily a clinician, but have had increasing involvement with clinical management within my Trust. I am now in...The big ask – maintaining the entrepreneurial spirit in academic facial plastic surgery in the USA
en·tre·pre·neur, noun a person who organises and operates a business and who has qualities of leadership, initiative and innovation. In the United States, facial plastic surgery (FPS) services are divided among private and academic practices. The vast majority of academic...
Aids to Voice Diagnostics
Voice related complaints are common presentations in the ENT clinic and a thorough knowledge of anatomy, physiology and pathophysiology is paramount in dealing with the complexities of voice disorders. With the advent of digital technological advances, most ENT units will...
Clinical Management of Children with Cochlear Implants - Second Edition
This substantial volume is nearly 900 pages long but definitely worth the shelf space. That said, it hasn’t actually made it to a shelf since its arrival at our department as everyone who spotted it has wanted to borrow it!...
