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Surgical management of refractory osteoradionecrosis

This is a French single-centre, 10-year experience of 55 surgical resection and reconstruction procedures. They claim an overall effectiveness rate of 92.3%. A total of 36 segmental and 19 marginal mandibulectomies were performed. A variety of free flaps were used,...

Is posterior epistaxis really ‘posterior’?

In absence of any clear bleeding points seen on the septum, it is generally presumed that the epistaxis is posterior, especially when simple cauterisation of the septum does not help and may progress to sphenopalatine ligation. In this publication, the...

Worldwide picture of candidacy for cochlear implantation

Who should get a cochlear implant? Candidacy is one of the most important and widely discussed topics in the field of cochlear implantation. Here, Chris Raine and Debi Vickers outline cochlear implant candidacy in the UK, and compare this with...

Central auditory changes in SNHL

Robert Harrison discusses some of the most obvious ways in which cochlear hearing loss has central consequences. It is convenient to classify hearing loss according to the most obvious site of lesion, for example, conductive, cochlear, retro-cochlear, or central hearing...

American Thyroid Association Thyroid Cancer Management Guidelines: utilising risk stratification to optimise patient care

The steep rise in thyroid surgery around the globe, has led to the development of risk stratification to define the indications for surgery and the extent of surgery as well as adjuvant therapies for papillary carcinoma, to avoid over treatment....

Cochlear implant care: putting patients in charge

Should patients take charge of their own cochlear implant care? Helen Cullington presents a compelling case that will provoke discussion in implant centres. Around 1400 people receive a cochlear implant in the UK each year. Patients require lifetime annual follow-up...

Young Consultant Otolaryngologists Head and Neck Surgeons at BACO 2015: symposium on the future of ENT

What does the future hold for ENT surgeons in the UK? Leaders of our specialty aim to provide insight based on current guidance and personal experience. The programme will be of interest to anyone wishing to gain an insight into...

Innovating around access to hearing services during the pandemic

COVID-19 has also presented its challenges to hearing healthcare providers and to the industry and, similarly, called for innovation and creativity. Dr Bromwich describes how these sectors are rising to the challenge. The reality of COVID-19 has been a challenging...

In conversation with Shelly Chadha

This year’s theme for World Hearing Day 2018 on 3 March is discussed by Shelly Chadha of the World Hearing Organization (WHO). She explains the importance of the event and how every hearing care professional can get involved and contribute...

Anxiety and acronyms – musings of an otolaryngologist

Personal protective equipment (PPE) has been a focus of attention and concern for healthcare workers around the globe during the COVID-19 pandemic. Neil Tolley discusses some of the issues. I write this article in mid-May when, were it not for...

The changing landscape for hearing loss therapeutics: novel advances of gene and cell therapies

Recent years have seen advances in hearing loss therapeutics, with novel treatments trialled in humans, and others nearing promising first-in-kind clinical trials. First successful clinical trials for a specific form of genetic hearing loss Very exciting news has emerged in...

Audiology in this issue...Psychology (May/Jun19)

Alex Griffiths-Brown, BSc(Hons), MRes, Audiologist, The Shrewsbury and Telford Hospitals NHS Trust, Shrewsbury, UK. E: alex.griffiths-brown@nhs.net@griffithsbrown1 Whether using ‘client centred counselling’ [1] when seeing adult hearing aid patients, employing motivational interviewing [2] during tinnitus consultations or considering the stages of...