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Does pregabalin help with post-tonsillectomy pain?

This is a small double-blind randomised controlled trial conducted on tonsillectomy and lateral pharyngoplasty operations. Both of these operations are terrifically painful, and I am sure most of us are looking for a way of reducing the suffering for our...

Misophonia – a psychological disorder?

Historically, there has been disagreement regarding misophonia classification, with questions surrounding whether it is a psychological or physiological disorder. Dr Jennifer Jo Brout discusses misophonia classification, research, and guidelines for the role of the psychologist. Photo courtesy of Pexels. What...

Anaesthesia for free-flap surgery

Adel Hutchinson is one of those calm and controlled anaesthetists for whom nothing seems too difficult. In this article, she describes the key perioperative factors for one of the highest complexity operations in ENT; free-flap surgery. It makes good reading...

Small but significant

These authors try to circumnavigate the conundrum of what is influenced by what. For something so small, the impact of the Stria Vascularis cannot be understated. The difficulty in reviewing the influence of loop diuretics or aminoglycosides on the Stria...

Early ENT involvement can improve long-term quality of life after temporal bone fractures

Sports injuries and road traffic accidents are common causes of head injuries, with 18-40% of skull base fractures involving the temporal bone. Often these patients have other more life threatening injuries so ENT intervention is delayed or absent. Facial palsy,...

New innovative Head & Neck Ultrasound Course at St George’s Hospital London

The St George’s Emergency Head & Neck Ultrasound Course (18 September 2025) Emergency head and neck ultrasound is an increasingly vital diagnostic tool in acute care settings. It offers rapid, non-invasive assessment of critical structures including the airway, neck vessels,...

Evidence-based practice: management of sudden sensorineural hearing loss

What is the current evidence for medical management of sudden sensorineural hearing loss? Jessica Choong and Stephen O’Leary present a review of the current evidence of treatments options. Sudden sensorineural hearing loss (SSNHL) causes significant distress and, in many cases,...

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...

Face to Face – facial reconstructive surgery mission in Ukraine

Face to Face is a humanitarian project to help those who have suffered facial trauma as a result of Russia's war against Ukraine.

Heard That: does the app live up to its name?

Ever find yourself in a noisy restaurant, barely following conversation yet nodding in clueless agreement? Considering how loud social settings can be, this is likely a familiar scenario. As gatherings become a regular part of our lives again, so do...

Otorhinolaryngology training in Haiti: a call for accompaniment

Haiti is a small Caribbean country in which a group of freedom fighters successfully defied Napoleon and the French military. It has faced embargoes, economic isolation, political crises and devastating natural disasters since its independence. Its GDP is 0.01% of...

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...