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Anaesthesia for sleep nasendoscopy and snoring / obstructive sleep apnoea surgery

Surgery for sleep disordered breathing inevitably requires surgeon and anaesthetist to share the airway. Here, Edward Bick gives us the anaesthetic viewpoint, reiterating that communication is the key. A specific note is made of the anaesthetic technique for sleep nasendoscopy,...

The development of the Paediatric Arabic Auditory Speech Test for iPad

Speech in noise testing provides real-life assessments of hearing that conventional pure tones cannot deliver. Rania Alkahtani describes the development of such a test for Arabic speaking children. It also has the additional benefit of being able to be delivered...

Time to professionalise medical leadership

For a profession proud of its adherence to an evidence base, medicine has been remarkably slow to acknowledge and to act on the evidence which underpins the value of good leadership to patients and the healthcare system. Mr Robert Francis...

The effects of leisure noise exposure on young people’s hearing

There is growing concern regarding the effects of leisure noise exposure on young people’s auditory system. Information provided by healthcare professionals should be evidence-based; Hannah Keppler discusses some recent findings about hearing in young people. Excessive noise exposure can lead...

Deaf identity in audiology services: exploring the significance and implications

Dr Celia Hulme, a culturally Deaf * sign language user, draws from her personal experience and extensive PhD research on Deaf signers’ experiences with audiology services. *In this article, the convention of using an uppercase ‘D’ is used to denote...

Addressing the non-use of hearing aids

We all know non-use of hearing aids occurs, but why, and what can we do about it? Numerous studies have investigated the challenges surrounding the underutilisation of hearing aids, examining factors such as reluctance to seek assistance, the impact of...

Audiology in this issue...The Weird World of Science

Gareth Smith, Consultant Clinical Scientist (Audiology), Southend University Hospital, UK. E: Gareth.Smith@southend.nhs.uk Twitter: @garethlsmith In this edition, I’ve taken rather an editor’s privilege in exploring outside of our mainstays in audiology and widened the field to consider acoustics more widely...

Sinus airflow after FESS using models and fluid dynamics

This is a very interesting study from Australia and New Zealand looking at flow of air into the nose and sinuses after FESS surgery. There is plenty of data regarding computational fluid dynamics for preoperative cases but not much for...

Allergy – what’s in a name?

Allergy is defined as an “abnormal immune reaction to an ordinarily harmless substance” [1], however the meaning of the word has taken many forms since its introduction in 1906 by Austrian Paediatrician and Immunologist, Clemens von Pirquet [2]. Combining his...

Not just the scissors: the story of Myron Metzenbaum

Myron Metzenbaum was born in Cleveland, Ohio (USA) in 1876, the fourth of nine children. As a young man, he worked in the family’s linen store, where his father was well known to be very kind to the less fortunate...

The pioneers of endoscopy and the sword swallowers

Adolf Kussmaul drew inspiration from an unlikely source to further the development of endoscopy… The early pioneers of airway endoscopy and oesophagoscopy were bedevilled by two major and seemingly insurmountable problems. One was the paucity of light sources, with reliance...

Hotels.com

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...