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Effects of blast and acoustic trauma: assessment of hearing status on war veterans

Introduction Acoustical conditions of the military are often dangerous and there is a real risk of blast trauma and acoustic trauma [1, 2]. Levels of military noises maybe reach up to 125 dBA [3]. Weapons produce instant shock waves (10μs)...

Laryngeal endoscopies

Here, the authors provide some great tips for performing a successful microlaryngoscopy which should be of benefit to those learning this very common procedure. In this article, we will discuss tips for performing a microlaryngoscopy, and different laryngoscopes used to...

Transnasal oesophagoscopy (TNO)-guided secondary tracheoesophageal puncture (TEP) under local anaesthesia

Here, the authors describe a convenient use of the transnasal oesophagoscope to create a new tracheoesophageal puncture in the outpatient clinic setting. Tracheoesophageal puncture (TEP) with voice prosthesis insertion is a reliable and effective technique for surgical voice restoration (SVR)...

Standardising outcome measures in chronic rhinosinusitis

This international paper, involving the foremost rhinology departments worldwide aims to provide a standardised, agreed core outcome set for chronic rhinosinusitis, which has been designed to facilitate future meta analyses of published work in systematic reviews. Stakeholders included patients, ENT...

The use of a tactical throat mic guitar amp system to improve communication in theatre in the COVID era

During the COVID-19 (SARS-CoV2) pandemic, current guidelines dictate that surgical teams wear appropriate personal protective equipment (PPE) in theatre. Currently this is, at a minimum, an FFP3 respirator, a visor, fluid repellent gown and gloves [1]. Many surgeons, particularly in...

Comprehensive Management of Swallowing Disorders – Second Edition

On first glimpse this 548-page A4 book looked like it was going to be a nightmare to review, but once I started reading, I was pleasantly surprised. This is the second edition of this American book with the first edition...

A match made in heaven: being a good supervisor

Supervision is a core component of clinical training for all healthcare professionals. Most colleges advocate supervisors be trained in the skill of supervision, but this is not standard practice. Often supervisors rely on the skills they learn from their own...

Management of benign oesophageal strictures

Benign strictures of the upper oesophagus and pharynx, while not very common, can be a challenging condition to successfully manage. The authors of this article provide us with a detailed description of their technique for using the CO2 laser, balloon...

Pre-hospital care

For those of us that work within the acute hospital system, the sound of the trauma pager going off warning of an incoming casualty with as yet unknown injuries is often the sound of uncertainty and anxiety. When it becomes...

Advances in surgical innovation for head and neck cancer

This article reviews current advances in surgical treatment of head and neck cancers such as sentinel node biopsy, stereolithic modelling, transoral robotic surgery and intra-operative imaging of tumour margins. Sentinel node biopsy has been found to be especially useful for...

The video head impulse test: an aid to the diagnosis of spinocerebellar ataxias

Spinocerebellar and Friedreich ataxias (SCA and FA) by their nature present in neuro-otology clinics. The diagnosis is ultimately genetic but the authors investigated the characteristics of the VOR using the video head impulse test (vHIT) in order to distinguish between...

Static positional nystagmus

This study aimed to clarify the interpretation of positional nystagmus (PN) by looking at the current criteria for significance of PN, comparison of PN in symptomatic patients with normative data, prevalence of PN among participants with balance problems and assessing...