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When things go wrong

The new-age, Paediatric Surgeon, Ray Clarke, (fear uasal, íseal), eloquently demands throwing off the shackles of the past and welcomes the dawning of an era of openness, transparency and candour, preferably suffused with compassion for both the patient and the...

Diagnosis, wearables and remote monitoring in 15 and 50 years

In 2069 will we look forward to being enslaved by robots, becoming zombies or having our health (and ill health) diagnosed by nanotech? Ajith George muses over what the future holds for us all. The future of healthcare, not just...

Acoustic shock: definitions and clinical aspects

Acoustic shock, a previously little-known and poorly understood clinical entity, came to the public’s attention in 2019 due to a high-profile legal case of a musician at the Royal Opera House. In this fascinating article, Andrew Parker and William Parker...

Active middle ear implants and bone-anchored hearing systems

The implantable hearing device market has grown significantly over recent years. But as conventional hearing aids improve and cochlear implant candidacy widens, what is the role for active middle ear implants and bone anchored hearing systems, and how should we...

Running a post-COVID smell clinic

Over the past year, much of our effort as a speciality has been directed towards crisis management and keeping services afloat. Our practice has changed in untold ways, but unprecedented numbers of patients with smell disorders will increasingly require our...

St Æbbe the Younger of Coldingham, patron saint of the nose

Stories of the saints are often rather dark and unpleasant – and this is certainly the case with St Æbbe, as we hear from our roving historian, John Riddington Young. In two previous articles, we have discovered the fascinating stories...

Robert Vincent: otologie sans frontières

Chris Aldren speaks to French ear surgeon Robert Vincent who’s particularly proud of forming a global otologist network providing free resources for education and patient care worldwide. Robert Vincent Robert, who have been your otological mentors? I did my initial...

The challenges in the risk stratification of thyroid nodules and cancers: the role of molecular testing

Around the world, molecular testing is becoming more widely used to personalise the management of thyroid nodules. Thyroid nodules are relatively common. They are palpable in ~5% of the population, while high-resolution ultrasound (US) incidentally finds them in 19–68% of...

Advanced in-office awake rhinology

In-office awake rhinology transforms sinonasal care, offering safe, cost-effective, minimally invasive procedures with rapid recovery and high patient satisfaction. In recent years, the landscape of otolaryngological surgery has undergone a remarkable transformation with the advent of in-office awake surgical procedures....

Screening for hearing aid fittings – an approach for primary care

Introduction The communication difficulties related to hearing loss can lead to ‘depression, social withdrawal and problems with employment and access to information sources’ [1]. Furthermore, unmanaged hearing loss is associated with dementia, a poorer quality of life, depression, anxiety and...

How cognition influences hearing aid use

Introduction Hearing aids are designed to provide amplification for individuals with poor auditory sensitivity. Signal processing algorithms are designed and implemented in hearing aids to further enhance speech intelligibility and to improve listening comfort by attenuating unwanted background noise. Sarampalis...