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Laryngeal transplantation: is it a thing?

Few organs could be said to be more complex than the larynx when it comes to transplantation. Martin Birchall looks at past challenges, current issues and future prospects. I am not clear exactly why I chose to spend a life...

Vestibular Disorders

This is an excellent compendium of vestibular disorders, edited by two of the leading figures in otolaryngology. It is also a tribute to one of the most extraordinary colleagues, David Pothier, plucked tragically in his prime after a heroic battle...

Complex Cochlear Implant Cases – Management and Troubleshooting

When working with cochlear implant (CI) recipients who are not responding as well as expected or their case incorporates new challenges for the audiologist, the common response is a quick panic, closely followed by a question: what do we do...

Which self-reported tinnitus and hyperacusis questionnaires are useful?

Tinnitus and hyperacusis may have very negative psychological side-effects. Due to their subjective nature it is important to have appropriate tools to assess them. In addition to the routine questionnaires such as THI, HQ, ISI, HADS or VAS, the authors...

Subjective tinnitus – adding mutebutton™ to your tinnitus toolbox

Neurophysiologic tinnitus or subjective tinnitus is typically a sound or a number of sounds that originate from the auditory nervous system. They are unwanted sounds that do not exist in the external environment. They can be heard in one or...

When dinosaurs ruled the earth

Optimism is abundant in medical research, but frequently ends up being tempered with reality. In his inimitable style, Chris Potter looks back over his career – starting with his medical school memories of Bentley-driving ENT consultants, and moving forward through...

How to deliver bad news better

Delivering bad news well takes experience and time. The Ida team recommend the SPIKES protocol; providing structure for relaying bad news, giving confidence to those delivering it, and leaving recipients feeling cared for and informed. It’s among the most distressing...

Giacomo Puccini’s laryngeal cancer

Giacomo Puccini, one of the best known composers of all time, was diagnosed with laryngeal cancer and died from the disease in 1924. In this article, Rosario Marchese-Ragona and Alessandro Martini describe Puccini’s experience of the disease with quotes from...

The costs of applying to ENT specialty training

Training doctors is costly. In the UK, medical school costs an estimated £230,000 made up of £163,000 in government grants and £65,000 in student loans [1]. Repayment of the student loan begins once the graduate earns above a certain threshold,...

The multidisciplinary voice clinic

In his inimitable way, Nick Gibbins tells us why the voice clinic is the highlight of his week – and his very own field of dreams. The voice clinic has come a long way in the last 40 years. The...

Your voice and your personality

Variations of vocal effort are a normal adaptation to difficult communication situations. However, persistence of these abnormal strategies can lead to various functional dysphonias. In this experiment, the authors tested 41 females aged 18-52. The subjects were asked to instruct...

The PMFA Journal - December/January 2019 issue available

FEATURES IN THIS ISSUE: Life after medicine by Andrew Burd. / The creation of PlayDoh® models as an educational tool for teaching anatomy of the eyelid by Maria De Bono Agius, Roth M Manners, Fiona R Jazayeri, Christina V Miller and Sally M Webber. AND MUCH MORE...