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A raised neutrophil / lymphocyte ratio predicts vestibular schwannoma growth

It has long been known that the neutrophil to lymphocyte count ratio (NLR) is a marker of inflammation and that a higher ratio relates to poorer outcomes in some malignant tumours including some head and neck cancers. Neutrophilia (and therefore...

Which cross-over frequency is best for electro-acoustic stimulation?

Advances in technology and improved soft surgical techniques have led to individuals with better hearing thresholds, especially at the low frequencies, becoming candidates for cochlear implants (CI). Surgeons are more confident that residual hearing can be preserved thus making those...

Dead regions in patients with cochlear implants

The very nature of a dead region (DR) in a cochlea means that they are often found in patients who are eligible for cochlear implants. However, a variety of different hearing configurations are found in those with DRs because of...

Diagnostic criteria for superior semicircular canal dehiscence syndrome

The latest Bárány Society’s consensus document on diagnostic criteria for vestibular disorders is one for superior semicircular canal dehiscence syndrome (SCDS). There are three major categories: (A) Symptoms consistent with a third mobile labyrinthine window; (B) Physiologic tests – clinical...

Professional Communication in Audiology

This introductory book is aimed at providing understanding of communication in the clinical audiology setting and focusses on newly graduated clinicians and students. The book is divided into two sections: (1) verbal communication with patients; (2) written communication with healthcare...

Nasal dermoids

This article goes through the fairly specific and unique condition of paediatric midline nasal dermoids. It goes through the epidemiology and then the embryology, reminding the reader that a protrusion of dura extends from the anterior cranial fossa through the...

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...

Bringing ear care and hearing services to the hardest to reach: the potential of primary healthcare workers

Can workers from the local community plug the workforce gap in providing ear and hearing care? Bringing ear and hearing care services closer to the community remains a key component of reducing the burden of ear and hearing conditions across...

Bringing ear care and hearing services to the hardest to reach: the potential of primary healthcare workers

Can workers from the local community plug the workforce gap in providing ear and hearing care? Bringing ear and hearing care services closer to the community remains a key component of reducing the burden of ear and hearing conditions across...

How to identify and support adults with auditory processing disorder: a focus on low-gain devices and auditory training

Some adults struggle with hearing in noise despite normal audiograms. Tools like the HHIA, low-gain devices and auditory training can help identify and support these cases. In this article, Angela Alexander and Fatima Abbas use a case study to discuss...

Genetics and the newborn hearing screen: the future is now

Eliot Shearer shares the progress being made with newborn hearing screening 60 years on from where it started, and future directions for identifying hearing loss using physiologic, genetic and cCMV screening. Newborn screening had its birth in the early 1960s,...

Combined use of a hearing aid and a cochlear implant: a case study

When multi-channel cochlear implants (CIs) were first introduced in the 1980s, their use was restricted to people who derived no benefit from conventional amplification. Over the past three decades, however, the criteria for CIs has been relaxed considerably, and it...