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High intensity, high impact: tackling waiting lists one HIT at a time

A monthly high intensity theatre list in Sheffield shows how smart planning, teamwork and focus can dramatically reduce long ENT waiting lists. Finally, after many years of training, I’ve started my first consultant post – only to become part of...

Speech perception in the ageing population

Speech perception can present a challenge as we grow older. One of the factors responsible is, of course, hearing loss. Now research indicates that other non-auditory factors like cognitive decline may also contribute to difficulties in understanding speech. The authors...

Follow-up of NF2 patients with ABRs, SDS and MRI

Hearing loss is one of the earliest manifestations in vestibular schwannomas with 60% of the patients having high frequency loss. Several metabolic and mechanical factors influencing the cochlea and cochlear nerve have been implicated in the hearing decline noted in...

Dallas Rhinoplasty: Nasal Surgery by the Masters, Third Edition

This newly revised two-volume book is the most comprehensive rhinoplasty book that I have come across for both primary and revision nasal surgery. It is written by recognised pioneers in the field of rhinoplasty surgery and in its third edition...

Hearing Care, cognitive decline and dementia: A public health challenge, or an opportunity for healthy ageing?

Brian Lamb, OBE and Sue Archbold PhD, Hon LLD A new document from The Ear Foundation, launched at European Association of Cochlear Implant Users (EURO-CIU) annual general meeting in Poland, reviews the latest evidence on the association between hearing loss,...

Epistaxis and anticoagulants

The French Society of Otorhinolaryngology Head and Neck surgery issued some recommendations on the management of epistaxis in patients receiving anticoagulants, anti-platelet aggregants and anti-vitamin K drugs. This was a national multidisciplinary evidence-based concensus document. The group recommends review of...

Scalp reconstruction a new algorithm

Reconstruction of the scalp after acquired defects remains a common challenge for the reconstructive surgeon, especially in light of a history of radiation to the area. Wound healing by secondary intention or with a wound vacuum assisted closure are viable...

What’s new in electrophysiology?

Steve Bell is a lecturer at the University of Southampton and a member of the British Society of Audiology’s (BSA) Special Interest Group in Electrophysiology. Given the current surge in interest in electrophysiology, both in rehabilitation and diagnostic arenas, Steve...

How do you solve a problem like Dysphagia?

When a patient is referred to a speech and language therapist for the management of swallowing difficulties, multiple options are available to address these issues. The choice is based on a detailed assessment of the patient’s swallowing physiology and function....

Subjective tinnitus – adding mutebutton™ to your tinnitus toolbox

Neurophysiologic tinnitus or subjective tinnitus is typically a sound or a number of sounds that originate from the auditory nervous system. They are unwanted sounds that do not exist in the external environment. They can be heard in one or...

Balloon Eustachian tuboplasty

Eustachian tube dysfunction is a common condition, which is unfortunately lacking an effective treatment. This small study demonstrated the effectiveness of balloon Eustachian tuboplasty in a district hospital setting. It has been in use since 2010 and is beginning to...

Reliability of Koos classification

Vestibular schwannoma (VS) tumour size has been considered the primary determinant of hearing outcomes and facial nerve function according to several published studies. Varying methods are used to estimate the size and volume of the VS with very little consensus...