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The role of imaging in differentiating rare temporal bone neoplasms

This paper provides a useful tool to assist in determining the diagnosis of benign neoplasms of the temporal bone using readily available imaging modalities. Specifically, this group have looked at chondrosarcoma, an expansile hypermetabolic mass lesion usually found in the...

Balloon Eustachian tuboplasty – is it time to start doing it in children?

Given the potential applications for balloon Eustachian tuboplasty (BET) in children, its uptake in most centres has been slow. The reasons for this are multifactorial. There are technical issues – the feasibility of obtaining the correct size balloon and manoeuvring...

Breaking barriers in Uganda: the story of Elaine Mukaaya

More than 9% of sub-Saharan Africa’s one billion people live with disabling hearing loss, with children having among the highest rates of childhood hearing loss in the world [1]. Sadly, in concordance with the inverse care law – proposed by...

Difficult consultations with HPV-positive oropharnyeal cancer patients

The aetiological role of human papillomavirus (HPV) in oropharyngeal squamous cell carcinoma (OPSCC) is well established, and its incidence has massively increased over the last decade, whilst the incidence of HPV-negative OPSCC is declining. Although we know that HPV-positive OPSCC...

Opening ceremonies – a necessary evil?

This series of stories is dedicated to those of you with whom some of these moments were shared (or endured) and, above all, to my amazing and long-suffering husband, David Howard. Most of you know him as an exceptional head...

MDT assessment of children and adults with implantable acoustic devices (IADs)

Abi Asher, Clinical Lead for the IAD programme in Cambridge describes how hearing care professionals work together to make the best recommendation for the patient, in turn helping navigate through the various devices now on offer. Multidisciplinary teams (MDTs) are...

Development of the iAudiometer™

Why the iAudiometer™? We have developed six versions of a new software called iAudiometer™ that performs an array of different audiometric tests using an iPad with standard transducers (TDH-39 headphones, B-71 BC, aural domes, or inserts) (Figure 1; Table 1)....

Revolutionising medical writing: the power of language models in the clinic

Artificial Intelligence (AI) is taking the world by storm at the moment. We hear how AI might influence the letters we write in clinic. As a clinician, the process of writing a clinical letter can be time-consuming and challenging. It...

In the West of Scotland, what factors impact and what are the survival trends for laryngeal cancer?

The TV and radio presenter Jamie Theakston recently returned to his radio show to announce he is cancer free. He had been off air for a year after having surgery to treat early-stage laryngeal cancer. His diagnosis was made when...

RNID’s campaign to restore NHS earwax removal services in the UK

Wax removal in the UK has become a topic of intense discussion. Here, Crystal Rolfe discusses the RNID’s findings and approach to tackling the issue. Earwax build-up can cause painful and distressing symptoms – a 2022 RNID survey found people...

Ultrasound assessment of metastatic disease

This Japanese study of 10 patients over 15 years, assesses the role of ultrasonography in assessing metastatic disease to the thyroid gland, specifically renal clear cell carcinoma (RCCC). Whilst uncommon, the authors state that there is a favourable prognosis when...

Congenital cytomegalovirus causing deafness in children: an update

Congenital CMV is the leading non-genetic cause of sensorineural hearing loss in children. Keith Trimble draws our attention to this and gives a comprehensive guide on diagnosis and treatment. Congenital cytomegalovirus (cCMV) infection is common, affecting 1% of all newborns,...