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Radiological diagnosis of mastoiditis in patients screened for acoustic neuroma

Magnetic resonance imaging is the ‘gold standard’ for screening patients suspected to have acoustic neuroma. Various abnormalities are picked up through this investigation, one of which, not uncommonly reported, is mastoiditis. This requires referral to otolaryngology and further evaluation. In...

The right to choose: the how-to of practicable supports

Providing all practicable supports to enable a person to participate in decision-making is one of the five key principles of the English and Welsh Mental Capacity Act 2005. This article (set in the Canadian legal framework, which has many similarities...

Complications associated with microlaryngoscopy surgery

Microlaryngoscopy procedures are often considered to be routine procedures at the straightforward end of the ENT operative spectrum. Complications associated with this surgery are thought to be infrequent and primarily related to the possibility of dental trauma and adverse voice...

Molecular and genetic nature of skull base tumours drives management

This article reviews the molecular basis and paradigm shift in the diagnosis and management of skull base tumours. It is now known that the phenotype of meningiomas is influenced by their genotype. Endolymphatic sac tumours are observed in up to...

The future of biologics?

This paper takes a deep dive into how eosinophilia affects the responsiveness of the host to the two monoclonal antibodies mepolizumab and bendralizumab, both of which are active against IL5. We know that eosinophils are attracted and trapped into the...

Motor learning: better knowing how, not how well

Motor learning is described as the ability to perform a motor skill due to practice and/or experience. Research on interventions to enhance limb motor skills can be influenced through the amount, distribution, variability and schedule of practice as well as...

BSHENT Annual Meeting 2023

Katherine Conroy, MA (Cantab) MB BChir FRCS (ORL-HNS), Wythenshawe Hospital, Manchester, UK. The annual meeting of the British Society for the History of ENT was held at the Royal Society of Medicine’s historic Toynbee Mackenzie room. Dozens of attendees, from...

How effective is vestibular rehabilitation in bilateral vestibular failure?

In patients with bilateral vestibular hypofunction (BVH), the outcome of vestibular rehabilitation is mixed. The aim of the study was to identify factors associated with outcome of vestibular rehabilitation (VR) in patients with BVH. A retrospective case notes review identified...

Is flexible nasendoscopy really aerosol generating?

Amid the COVID-19 pandemic, the safety of office-based laryngoscopy has been a source of considerable concern, speculation and debate. Flexible nasendoscopy is a key diagnostic tool in the assessment of the ENT patient, however most healthcare providers consider this to...

Audiologists’ perspectives on their ability to address hearing, social and emotional adult patient needs

Authors suggest there is little evidence that hearing technology addresses patients’ emotional concerns related to their lived experience of hearing and communication difficulty. The study explores the notion of audiologic counselling and discusses the role of audiologists in supporting the...

Luna tunes – the plug and play audiometer from Interacoustics

“The professional grade headset designed with screening in mind.” Interacoustics Luna – does it ‘eclipse’* the competition?* * (Although we are fans of moon-based puns, this is not to be confused with Interacoustics’ other stellar device, the Eclipse Evoked Potentials...

Bishop Berkeley and the Freireich experimental hypothesis

Our resident reporter at large tells us about two of his heroes, both of whom have quite clear merits and foibles. My patients just keep on getting better. You may well point out that under the care of a clinician...