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Botulinum toxin and drooling – how much, how often and where?

This was an incredibly useful article covering all aspects of the use of botulinum toxin as a treatment modality in sialorrhoea. The article starts by outlining why treating sialorrhoea is important and describes the non-pharmacological and pharmacological options, highlighting that...

Cochlear implantation techniques

This issue concentrates on the advancement in techniques within the field of implant otology starting with cochlear implantation. Here it is sub-divided into indications, candidacy (including full pre-operative testing and investigations), surgical technique and outcomes for both adults and children....

Variability in the management of differentiated thyroid cancer (DTC)

This retrospective study analyses for the first time the management planning of thyroid surgeons across the specialties. A questionnaire was sent to members of ENT-UK, the British Association of Endocrine and Thyroid Surgeons, Association of Surgeons of Great Britain and...

Imaging of the parathyroid glands in primary hyperparathyroidism: where do we stand?

Primary hyperparathyroidism (PHPT) refers to an intrinsic parathyroid gland abnormality that produces excessive secretion of parathyroid hormone. PHPT is diagnosed biochemically, and surgical excision of the abnormal parathyroid tissue represents the only definitive cure. Historically, the standard operative management of...

Diagnostic criteria for superior semicircular canal dehiscence syndrome

The latest Bárány Society’s consensus document on diagnostic criteria for vestibular disorders is one for superior semicircular canal dehiscence syndrome (SCDS). There are three major categories: (A) Symptoms consistent with a third mobile labyrinthine window; (B) Physiologic tests – clinical...

Middle ear muscle disorders: presentation, diagnosis and management

Patients often report symptoms relating to disorders of the middle ear muscles. Prof Bance gives us an overview of the anatomy and function, as well as guides our diagnosis and management. The middle ear muscles (MEMs) are a mystery, both...

In conversation: Cesare Piazza and Giuseppe Spriano

Declan Costello catches up with the presidents of two important meetings taking place in Italy in June 2023 to discuss the highlights.

In conversation with Ad Snik

Professor Ad Snik has spent a large portion of his career in hearing implantation and has seen novel devices come and go, some of great benefit to patients, others which haven’t produced expected results. In this interview, he talks to...

A career in audiovestibular medicine: trainee perspectives

Trainees and consultants share insights into audiovestibular medicine, a UK specialty treating hearing loss and balance disorders through multidisciplinary care. Audiovestibular medicine (AVM) is a hidden gem among medical specialties. To provide an insider’s perspective, we interviewed current AVM trainees...

Empowering hearing rehabilitation professionals in Sub-Saharan Africa and Asia

The Hearing Healthcare Alliance empowers professionals across Africa and Asia through comprehensive training programmes, improving local hearing rehabilitation services. According to the World Health Organization (WHO), approximately 430 million people worldwide require rehabilitation for disabling hearing loss [1]. This number...

Reduction thyroplasty

Introduction Male to female transgendered patients are referred to ENT for reduction thyroplasty – a procedure to reduce the external appearance of the thyroid cartilage of the larynx, and feminisation of the voice. Reduction thyroplasty, often erroneously called ‘tracheal shave’,...

Where is it?

Humans’ ability to process sound is a multi-faceted phenomenon. It is a marvel which likely changes through our ageing process and is influenced by a myriad of factors. This paper examines the particulars of the dimensions of sound processing –...