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Unravelling the mystery of hyperacusis with pain

When a person says that sound causes them pain, how can we understand this, and determine what processes are involved? Bryan Pollard navigates us through what is presently known. Pain has long been underrepresented – and often, completely overlooked –...

Rehabilitation of unilateral sensorineural hearing loss: bone vs air conduction

The re-routing of sound from the deafened ear to the hearing ear has been the mainstay of rehabilitation for SSD for many years. Both hearing aid and bone conduction technology have undergone significant advances over the past decade. This article...

Endoscopic ‘syringe and cutdown’ technique for nasolacrimal duct obstruction in children

This article presents a novel yet simple technique to help in the management of congenital NLDO. The authors propose it as a valuable addition to existing standard procedures. Congenital nasolacrimal duct obstruction (NLDO) is a condition encountered within the first...

Stereotactic radiosurgery for pituitary adenomas

Residual and recurrent functioning pituitary adenomas can be difficult to delineate on postoperative MRI scans, making them difficult targets for stereotactic radio surgery. In such cases radiation delivery to the entire sellar has been utilised as a radio surgical equivalent...

Rib grafts for mandibular reconstruction

Reconstruction of the mandible following ablation requires good bone stock to allow optimal function and the placement of dental implants. In the developed world, vascularised bony flaps are accepted as the gold standard but these may not be widely available...

Outcome measurements WG5. Developing a core outcome set of measures for tinnitus

Alain Londero presents a large-scale collaboration that invites clinicians and patients to develop a minimum standard for assessing the efficacy of tinnitus treatments. This will become an international recommendation for all clinical trials of tinnitus. WG5 is working towards a...

Otological problems in musicians

Musicians are understandably anxious about their hearing, and recent high-profile cases of noise-related hearing loss have resulted in huge changes in the music industry. Chris Aldren (otologist and violinist) explains. In the recent Oscar-winning movie, Sound of Metal, heavy metal...

Pyriform turbinoplasty

This article describes a new operative technique to improve nasal airflow, the pyriform turbinoplasty. This specifically addresses the lateral part of the nasal valve where there may be impingement into the airway in select patients. This corresponds to the area...

Where ART meets Science: The Golden Lines of Life

Each cover in this six-part series is more than an image. It’s a window — into a different way of seeing, of hearing and of healing. Together, they form a narrative that moves across disciplines and perspectives. A story told...

Mapping the nose – first spatial map of olfaction published

Scientists at Harvard Medical School have created the first detailed map of smell receptors in the nose, catching up with similar achievements in sight, hearing and touch. The map reveals that smell receptors are highly organised into tight bands based on type. The findings provide foundational knowledge needed to develop better therapies for loss of smell.

From the editor MayJun 2020

Declan Costello, MA, MBBS, FRCS(ORL-HNS), Editor, ENT & Audiology News; Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.net We are living in extraordinary times. As I write this message, the COVID-19 pandemic is just...

Listening effort and speech perception performance

Capturing speech perception performance in noisy listening environments is a key part in validating any hearing instrument. Traditionally audiologists have always measured this performance in noisy environments by looking at thresholds, i.e. speech reception thresholds or signal to noise ratios....