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Hyperacusis-related distress and comorbid psychiatric illness

Research suggests that over 50% of patients presenting with hyperacusis also present with some form of psychiatric disorder. With this in mind, Dr Aazh outlines what tools clinicians can use to screen for psychological disorders and what path to take...

Current perspectives of tinnitus and its management

Whilst there are various therapeutic options for ameliorating the impact of tinnitus, there is no current approved treatment for attempting to eradicate, or even for reducing, the loudness of tinnitus.

Ultramarathons, frostbite and running with wolves

“I could just keep going when most sane people would stop”- the secret to success in head and neck surgery? In August 2015 I crossed the finish line of La Ultra - The High. A small camp of tents and...

Migration and training: a British-Nigerian surgeon’s perspective

Less than 4% of doctors on the UK’s medical register describe their ethnicity as African or part African, yet there are myriad driving forces behind the migration of medical trainees from Africa to the UK and other developed countries. Ekpemi...

Timing of surgery in chronic rhinosinusitis: does it matter?

While many patients with chronic rhinosinusitis respond to medical treatment, some do not. The next step for these patients is surgery, but how soon should this be offered? Sooner rather than later seems to be the answer, as Claire Hopkins...

Upper airway endoscopy: achieving a balanced service whilst minimising the conflict of sustainability

Nasal endoscopes present a unique challenge in balancing sustainability and practicality. Both disposable and reusable scopes may have distinct roles in modern practice. Flexible endoscopy of the upper aerodigestive tract is an essential technique that facilitates detailed assessment of the...

Neurological idiopathic disease: a shared journey for NASA and medicine

Whilst Southampton can’t really be described as an extreme environment, experiments carried out in the city have certainly been taken out of this world. Robert Marchbanks discusses one of the associations between Southampton, The International Space Station and tympanic membrane...

OBITUARY: Remembering Thomas J Balkany 1948 - 2025

Helen Cullington, our Specialty Editor – Audiology (implantables), pays tribute to a pioneer. Back in 1996 – having worked as a cochlear implant audiologist for three years in the UK – I felt ready for a new challenge. I faxed(!)...