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Head and Neck Vascular Anomalies: A Practical Case-Based Approach

I was genuinely delighted when this book arrived for review. Usually I get something on vertigo which props up one end of the book case gathering dust. A quick skim through this instantly told me the section editor had blessed...

Hearing protection and hearing loss

This study examined the interaction of hearing protection for noise reduction and hearing loss with speech recognition performance. Forty five subjects with four hearing loss profiles were fitted with two different level dependent hearing protectors (circumaural and inserts) in two...

The Graham Fraser Foundation

Graham Fraser (1936-94) was a pioneering otolaryngologist, in whose memory the Graham Fraser Foundation was set up, and an eponymous annual lecture and a travelling fellowship in otology were established. It’s an honour to profile the Foundation in this extended...

Risk factors for pharyngocutaneous fistula after laryngectomy

Pharyngocutaneous or salivary fistula is a feared complication following laryngectomy, causing significant morbidity, prolonged hospital inpatient stay / cost and mortality. Previous radiotherapy / chemoradiotherapy is a well recognised risk factor and leads many surgeons to recommend onlay pectoralis major...

Clinical coding: variability and error in otolaryngology

The ever topical spectre of coding in otolaryngology is comprehensively evaluated in this article. It attempts to debunk the mystique of current coding practices and the challenge of health informatics in the modern NHS. A total of 3131 randomly selected...

Facial reconstruction with polyethylene implants

Planning reconstructive surgery for complex craniofacial defects challenges even the most experienced of surgeons. In most cases surgery is undertaken to improve anatomical functioning. However the anatomical structure of these regions is also critical to facial aesthetics and patient satisfaction...

AUDIOLOGY - In conversation with Hans Henrik Philipsen

So your background is in social research, how did you develop an interest in this area? I have always had an immense curiosity when it comes to understanding other people and other cultures. My early experience as a teenager in...

UCL Ear Institute: Advances in Auditory Implants

UCL Ear Education CPD courses We specialise in providing training programmes for ENT medics, audiologists and associated health-care professionals. Our courses are ENT UK (RCP), BAA and/or BSHAA accredited. Our CPD courses are delivered by our in-house experts, including world...

Lack of early vocabulary growth in bilateral cochlear implant children

Studies indicate that children with unilateral implantation may have delayed vocabulary development for long periods of time even after implantation. This Finnish study attempted to find out whether bilateral cochlear implantation was associated with earlier vocabulary development. The authors analysed...

Adolescence, drug use and body image

Teenagers are notoriously conscious of how they are perceived by others. Dr Saraiva and colleagues explain how this can lead to problems with substance abuse for both boys and girls, and discuss the different substances they may encounter. Adolescence is...

Thyroid ultrasound elastography: does nodule stiffness predict malignancy?

Approximately 50% of the general population has a thyroid nodule while 5-15% of these are malignant [1]. A major challenge, therefore, is how to detect the malignant nodules for appropriate, timely treatment and avoid unnecessary, costly investigations for the remainder....

Tone deafness and perfect pitch

If you think you are tone deaf, do not despair. Singing tuition should help but it is probably too late to hope to develop perfect pitch. Consultant otolaryngologist and keen musician, Chris Aldren, discusses the complex and fascinating subject of...