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Consider PCR testing in culture negative necrotising otitis externa

Necrotising otitis externa (NOE) often does not yield identification of a causative organism to treat although in 90% of cases it is a member of the pseudomonas species. The incidence of fungal NOE is not to be forgotten and this...

A future for unilateral deafness

Every year, we see several patients struggling with irreversible unilateral hearing loss that is non-responsive to sound amplification. This article emphasises that clinicians should not underestimate the functional and psychological impairment single-sided deafness can have on an individual, even though...

Who finds it hard to swallow?

Early identification of dysphagia in inpatients on acute stroke wards has been recommended as best practice guidelines in many countries. However, several institutions fail to use formal dysphagia screening protocols and rely on informal detection by nurses and doctors. This...

Olfactory function and vitamin D

This Turkish prospective study evaluated olfactory function in individuals with primary vitamin D deficiency and the effect of replacement therapy on olfactory function over an eight-month period in 2019. A total of 91 individuals with vitamin D insufficiency were included,...

How to improve olfaction and enhance quality of life after laryngectomy

Total laryngectomy diverts airflow away from the nose and, hence, olfaction is greatly impaired. Undoubtedly, this affects quality of life in terms of loss of taste and flavour. Surgery and devices to re-establish airflow into the nose can be difficult...

The ACS-NSQIP study – predictive risk factors and outcomes in primary malignant parotid tumour surgery

Malignant parotid gland tumours occupy a good proportion of the ENT surgeon’s operative caseload. Large standardised datasets for malignant parotid tumour surgery are limited. This international multi-institutional study is based on the pooled American College of Surgeons National Surgical Quality...

Cognitive development in children with cochlear implants

This systematic review investigates the comparative cognitive outcomes in children using bilateral versus unilateral cochlear implants, as well as those using cochlear implants versus hearing aids. The review synthesises findings from 30 studies involving a total of 11,986 children and...

Quality quantitative tests of taste & smell

Sensonics’ range of products provides the medical, scientific and industrial communities with reliable smell and taste tests for assessing chemosensory function.

New innovative Head & Neck Ultrasound Course at St George’s Hospital London

The St George’s Emergency Head & Neck Ultrasound Course (18 September 2025) Emergency head and neck ultrasound is an increasingly vital diagnostic tool in acute care settings. It offers rapid, non-invasive assessment of critical structures including the airway, neck vessels,...

A new tool to enhance smell recovery?

Vericiguat is a soluble guanylate cyclase activator which boosts intracellular cGMP and promotes smooth muscle relaxation. It is approved for use in heart failure, but the authors hypothesise that it may also enhance neuronal olfactory signalling via cGMP elevation. Eighty-eight...

The use of social media to drive practice growth

Cliff Olson is the most successful user of social media in the hearing care industry as of the date of this publication. His videos have been viewed worldwide, and he has more YouTube followers than all the major hearing aid...

Vulnerability in audiological care: insights from Brené Brown and Kristin Neff

Embracing emotional openness and self-compassion can improve outcomes and relationships in the often-overlooked emotional landscape of audiological care. Audiological care is a deeply personal and often emotional journey for individuals experiencing hearing loss or other auditory challenges. Beyond the clinical...