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2107 results found

The role of public health in addressing age-related hearing loss

Prevention and treatment of hearing loss needs to be viewed through a public health lens, but what does that look like? Kelly Reavis and colleagues explain the steps to addressing hearing healthcare from a public health perspective and why this...

Measuring audiological outcomes in the paediatric setting

In this article Marlene Bagatto argues that a range of outcome measures and instruments need to be implemented when working with children and families. She demonstartes how these support both clinicians and families. The primary goal of early hearing detection...

Precision and personalised genomic and epigenomic medicine in audiology/hearing loss

A detailed look at the pathogenesis of acquired hearing loss due to exposure to ototoxicity during pregnancy or shortly after birth. Insights from genomic medicine have shown that, along with environmental factors causing epigenetic alterations, hearing loss may be caused...

Paediatric auditory brainstem implant: overview and outcomes

Auditory brainstem implants were first used in adults with NF2. They have more recently become a technology option for children but what is the evidence to support this choice? This article discusses the evidence so far. Auditory brainstem implant is...

Awake transnasal laryngeal and pharyngeal biopsy in the unsedated patient

In an attempt to improve the efficiency and flow of patients through a busy ENT clinic, technology now allows the ENT surgeon to consider biopsies in the outpatient setting on a more regular and controlled basis. This can avoid the...

Finding the right balance: remote dizzy patient consultation during a pandemic

During the COVID pandemic, all our working patterns have changed. One significant impact had been on the management of outpatient consultations and the increase in telephone consultations and enhanced vetting. In this article the authors share their experience of managing...

Developing ENT and audiology services in Southern Africa

Much has been said of the paucity of ENT and its related services in low- and middle-income countries. This article from a retired paediatric otolaryngologist discusses the progress that has been made locally to redress these health inequalities. He has...

Vestibular dysfunction after cochlear implantation in children

Whilst vestibular dysfunction is a known outcome of cochlear implant surgery, do we know the risk factors associated with this, particularly in children? In this article a team from University of Tokyo discuss their findings. Cochlear implantation (CI) is an...

Patient-led wax and aural foreign body removal technology – is it safe?

As ENT and audiology professionals, wax impaction and aural foreign bodies are common presentations to our clinic that can cause significant distress to patients and can preclude diagnostic testing such as pure tone audiograms and tympanometry. We often advise patients...

The role of the maxillo-facial surgeon in the management of skull base malignancy

Whilst ablative surgery remains the principal treatment option for head and neck malignancy, the skull base is the last frontier. The complex anatomy, supreme functionality of the brain, and varied pathology provokes many a detailed discussion in the multidisciplinary team...

Paediatric ENT trauma

Managing trauma in children often strikes terror in doctors who do not deal with children regularly. Kate Stephenson explains the approach to a child who has suffered ENT trauma and specific things to look for in children. ENT injuries are...

Middle ear reconstruction in children: why, when and how

Every ear in every child is different. Rob Nash discusses the rationale behind reconstructive ear surgery in children and his philosophy on timing and techniques of reconstruction. It is rare for middle ear pathologies to be life threatening. Indeed, it...