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Leadership challenges in the world of AQP and accreditation – learning from experience
The words ‘choice and competition’, ‘any qualified provider (AQP)’ and ‘accreditation’ have irrevocably become part of audiology jargon in the last two years in England. Commissioners who chose ‘Adult Hearing Aid Services for age-related hearing loss’ have begun the process...Long-term outcomes of children and young people with cochlear implants
Introduction Profound childhood hearing loss has a huge impact on early communication skills, the acquisition of spoken language, and hence on educational attainments and employment prospects. Over the centuries, educators of the deaf attempted to overcome the challenge by using...Securing the future of ENT in the UK
A career in otolaryngology is fascinating, fulfilling and fun, but how do we convince our potential successors? Jay Doshi, Asad Qayyum, Bradley Storey and Tom Milner outline the fantastic efforts to showcase ENT throughout the UK. Student and foundation doctors...Benchmarking for innovation in healthcare – an approach from Down Under and a gap in the National Health Service?
Benchmarking is a process of comparison between the performance characteristics of separate, often competing, organisations intended to enable each participant to improve its own performance [1]. Often, in healthcare, benchmarking is carried out by central government departments or regional agencies...A global online fellowship in head and neck surgery and oncology
The International Federation of Head and Neck Oncologic Societies (IFHNOS) offers an online fellowship training programme for advanced trainees wishing to subspecialise in head and neck surgery and oncology. Emma Stapleton speaks with the Chairman of the Board of Directors...
Fibula free flap virtual or freehand planning and the efficiency of surgery
This is a systematic review from surgeons in Italy and Florida where, from an initial 799 potentially relevant articles, only six could be included. Efficiency was assessed by the mean ischemia time which, for the virtual group, was 73.8 minutes,...
Three-dimensional endoscopy for sinonasal procedures: is it really better?
In this interesting study the authors looked at the efficacy of two-dimensional (2D) versus 3D high-definition endoscopes in novice users, not those already trained in 2D. Ninety-two medical students used 2D and 3D endoscopes to complete two validated tasks and...
Power tools dance off
The use of the harmonic scalpel is popular with some head and neck surgeons. This study looked at selective neck dissections for 40 patients with oral cavity carcinoma. They were randomised into harmonic scalpel (HS) use and monopolar electrocautery. The...Audiology in this issue...Psychology (May/Jun19)
Alex Griffiths-Brown, BSc(Hons), MRes, Audiologist, The Shrewsbury and Telford Hospitals NHS Trust, Shrewsbury, UK. E: alex.griffiths-brown@nhs.net@griffithsbrown1 Whether using ‘client centred counselling’ [1] when seeing adult hearing aid patients, employing motivational interviewing [2] during tinnitus consultations or considering the stages of...
The incidence of coagulopathies in children presenting with post-tonsillectomy haemorrhage
Tonsillectomy is often the first haemostatic challenge for a child. Postoperative haemorrhage may therefore represent the first presentation of a child’s underlying bleeding disorder. This study aimed to quantify the rate of occult coagulopathy in patients who had experienced a...
Stepwise approach to manage palatal myoclonus successfully
Palatal myoclonic tinnitus (PMT) is a rare condition caused by rhythmic voluntary or involuntary movements of the soft palate, mainly the tensor veli palatini and levator veli palatine muscles. Patients usually present with a ‘clicky’ noise in the ear. Oral...
