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Everyone has the right to say no

Despite the introduction of the Mental Capacity Act in 2005, healthcare professionals remain uncomfortable with individuals who choose not to follow medical advice - who make informed decisions to decline a treatment or management plans. This paper highlights that speech...

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,...

Wisdom teeth and mandibular osteotomies

This is a systemic review and meta-analysis from Italy and Brazil where they try to clarify the role of wisdom teeth and complications in a sagittal split mandibular osteotomy. Whilst, like many other papers, they outline the quality of evidence...

Postoperative bleeding rates after inferior turbinate reduction using three different techniques

The most serious complication of inferior turbinate reduction surgery is postoperative bleeding, soon after the operation or later on. In this study comprising 751 patients, the authors have compared three common methods. Partial turbinectomy involved resection of the inferior turbinate,...

Browning’s Audiology for Clinicians - Third Edition

The third edition of Browning’s Audiology for Clinicians is one of the clearest and most practical audiology texts I’ve used in ENT. It focuses on what matters clinically, presenting audiological principles in a way that supports real decision-making. What stands...

3rd Irish Head and Neck Society Annual Meeting

Nadia Van Den Berg, ST3 Otolaryngology, South Infirmary Victoria University Hospital, Cork. Set in the picturesque grounds of the Lyrath Hotel, the third IHNS conference was a huge success, welcoming over 200 delegates and talks from 12 world-renowned international faculty....

Hearing screening during childhood using speech and sounds in noise

Although there is high prevalence of late-onset, progressive, and acquired hearing losses during childhood, these hearing losses can easily go undetected due to the lack of systematic hearing screening beyond newborn hearing screening. In this article, the authors share the...

Dupilumab prospective RCT for CRSwNP, a multinational trial of 60 patients with a 16-week CT follow-up

This transcontinental work describes a randomised, double blind, placebo controlled parallel group study over a 16-week period, assessing 60 patients with CRSwNP by CT scan scores. All patients had a four-week period of intranasal corticosteroids followed by randomisation to add...

Per-Ingvar Brånemark: father of osseointegration

The application of osseointegration has been central to the development of both bone-anchored hearing aids and dental implants. But how did it all come about? Per-Ingvar Brånemark (1929–2014). Image Johan Wingborg. Many hearing-impaired patients owe a great debt of gratitude...

The Business of Audiology

Brian J Fligor, PhD, PASC, President, Audiologist-in-Chief, Tobias & Battite Hearing Wellness, Boston, Massachusetts, USA. DrBrian@tobias-battite.com When it works well, capitalism is an excellent driver of innovation, generation of wealth, and adherence to best practices resulting in optimal outcomes. When...

From the editor May/Jun 2024

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTW / X: @Voicedoctor_uk One of the privileges of editing this magazine is interviewing senior figures within our specialty; so, it was wonderful...

Redux: a new professional hearing aid dryer

Moisture is one of the most common reasons hearing aids malfunction. Whether it is because a patient forgot to take off their hearing aids before jumping in the swimming pool, they wear their hearing aids while working out or they...