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Not so innocent, after all: a meta-analysis of the effects of intranasal corticosteroids on growth

The use of intranasal corticosteroids has revolutionised the management of allergic rhinitis and rhinosinusitis and there is now significant evidence of their safety. The problem with side-effects is that clinical studies are designed to demonstrate efficacy, but are underpowered to...

A histological test for LPR?

Laryngopharyngeal reflux (LPR) is often considered to be a contributory factor to the development of a spectrum of laryngeal abnormalities including vocal cord leukoplakia and dysplasia. This is especially the case when traditional risk factors, such as tobacco smoking, are...

Personal perspective of a hearing aid user: In conversation with Alistair Cruickshank

Alistair Cruickshank explains how he has embraced technological changes to improve his day-to-day listening experiences as a hearing aid user. He explains the importance of experimenting and trying out different approaches and how much he values working closely with his...

Treating middle ear conditions in developing countries

This month’s journal issue discussed global health in otolaryngology with this paper focusing on the management of chronic middle ear disease in the developing world. Chronic suppurative otitis media (CSOM) is more common in developing countries. The reason for this...

Celebrating 25 years of the UST Audiology Program: a landmark audiology school in the Philippines

From pioneering roots to global recognition, UST’s Audiology Program has shaped hearing healthcare in the Philippines for 25 years – and is still evolving. A quarter century of excellence in audiology education Marking its silver anniversary in 2024, the University...

Personal music systems are causing hearing loss

Sitting next to a teenager on a train with their iPod turned up loud enough for the entire carriage to hear is annoying, most will agree. Perhaps I might educate them about the risks of ‘music’ (if you can call...

Doctors urged to treat patients with sudden hearing loss within seven days

A team of clinician scientists have identified the factors that predict full hearing recovery, with the strongest predictor being treatment with steroids within seven days of a sudden drop in hearing.

Hearing in middle-age: hearing impairment, tinnitus and hearing aid use in UK adults

Hearing loss has a well-documented adverse impact on emotional, social and physical well-being. In this article, Dr Piers Dawes from the University of Manchester gives an insight into his team’s recent work analysing the very large UK Biobank data set,...

Endoscopic middle ear surgery for cholesteatoma treatment

A critical question when any new technique is proposed is ‘does it work?’ In this article Daniele Marchioni and Davide Soloperto discuss the success rates of endoscopic ear surgery for cholesteatoma. Introduction Surgical management of cholesteatoma is still a controversial...

Temporoparietal fascia flap for blind sac closure

Chronic ear disease can be challenging to manage and difficult for patients to live with. In this article, the authors describe their technique for otomastoid obliteration and blind sac closure of the external canal allowing for a more tolerable situation...

My experience of addiction

In this incredibly honest and thought-provoking article, we hear from an anonymous doctor who has struggled with addiction. The nature of addiction is a subject of interest to a broad range of scientific disciplines, from medicine to psychology, psychotherapy and...

Enhancing care for adults with auditory neuropathy spectrum disorder

It’s time to improve and personalise care for adults with ANSD. Knowing the lesion site could open up treatment opportunities like cochlear implants or new cell therapies. Auditory neuropathy spectrum disorder (ANSD) comprises a group of hearing disorders characterised by...