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The changing landscape of thyroid and parathyroid surgery

How has clinical practice in the management of thyroid and parathyroid disease has evolved in recent years? I perform very few head & neck operations where the patient tells me just one week following surgery that they ‘feel much better’....

Biologic therapies for chronic rhinosinusitis with nasal polyps: a new paradigm

Surgery for nasal polyposis has evolved significantly in the last 30 years, and now the medical management may be on the cusp of a revolution. Biologics using monoclonal antibodies to target specific immune pathways have introduced a paradigm shift in...

Prominauris: Which surgical technique to use?

Otoplasty accounted for 3.2% of all plastic surgical interventions, and 2.6% worldwide in 2015. Patient satisfaction ranges above 95% for prominent ear correction despite the myriad of available techniques in the literature associated with highly variable outcomes. The authors split...

Radiology and paediatric neck lumps

This is a comprehensive article examining the modalities available for children presenting with suspected congenital neck lumps. Each modality is explained in turn, with pros and cons highlighted, but also in the context of the emergency patient and the elective....

Options for the endoscope and acquired cholesteatoma

This was a thought-provoking article examining the reasons why the authors believe that the endoscope is enabling an improved understanding of acquired cholesteatoma and its management. They describe in depth the ventilation pathways of the middle ear, and how they...

Planning for end of life care: is there a role for the speech and language therapist?

This article presents a scoping review of the research literature on the role of speech and language therapists in palliative care settings. The researchers conducted a search using several electronic databases focusing on palliative, terminal and end of life (EOL)...

Role of the insula and orbitofrontal cortex in tinnitus related distress

It is estimated that 5% of the population suffer from chronic tinnitus with 17% of those suffering emotional distress. The authors attempted to study the neural correlates of tinnitus-related distress using functional magnetic resonance imaging (fMRI) during an Emotional Stroop...

Why do some people get their smell back so quickly after a COVID infection whilst others don’t?

Of course, we are all too familiar with the effect that COVID-19 infection has on our sense of taste and smell, but why do most patients get better whilst, for many, the misery lingers on and on? This paper looks...

Kuduwave™ testing aboard the ISS

What does it take to make an audiometer and tympanometry ready for the space age? In a recent interview, Jillian Scotland and Dirk Koekemoer shared their first-hand experience of getting the Kuduwave ready for a voyage to the ISS. It...

From the editor November/December 2023

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTw: @Voicedoctor_uk There can be no more pressing and worrying issue in the global consciousness than climate change. The alarming rise of disinformation...

Audiological management of autistic children

Philippa James and Lucy Shiels explain the development of the ‘Autism Listening Clinics’, highlighting a recommended clinical approach for audiologists, the importance of remote microphone technology and sharing some wonderful caregiver experiences. Auditory challenges in autistic children Autism spectrum disorder...

Ensure Quick & Painless Treatment with our Sterile Single-use Clearway Suction Handle

Ideal for use in A&E, ENT, and Audiology treatment rooms, our Clearway Suction Handle has a soft malleable suctioning cap that effectively latches onto the surface of uneven objects and removes them, such as foreign bodies and plugs of dead skin and wax.