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Facial pain: the differential diagnosis in an ENT clinic

The patient presenting with facial pain can be a heartsink. Fear not – Bhaskar Ram and Sangeeta Maini are here with a succinct overview of the common non-sinogenic causes of facial pain and headache, and how to manage them. Facial...

Rhinoplasty for cleft nose deformity

Modern cleft lip and palate repairs produce excellent functional and aesthetic results at an early age. Tony Holmes, a craniofacial surgeon with over 40 years’ experience, shares his wisdom on the best timing and techniques for addressing the associated complex...

Is one glass of wine on call safe?

It’s a standard question for those about to sit a Specialist Training (ST) interview; you are on call and you call a senior colleague in to perform an operation. You smell alcohol on the breath of the surgeon, so what...

A person-centred approach to telehealth

“The time when telehealth was a remote, abstract concept has come to an end”. Deborah Ferrari and Lise Lotte Bundesen discuss how to advance person-centred care in hearing rehabilitation through online tools and training. The time when telehealth was a...

Audiological approach to treatment of blast-induced tinnitus

Hearing loss and tinnitus resulting from blast waves in the war zone is becoming more common in our clinics. Hamid Jalilvand based in Tehran, shares his experience in audiological rehabilitation and research findings on patients in his clinics with a...

Hearing aids to improve balance in the elderly?

Patients with hearing loss have been found to be more likely to develop dementia. Hearing loss is also associated with poor balance and higher risk of falls, especially in the elderly population. There is increasing evidence that treating hearing loss...

Safety factors in use of balloon tuboplasty

Various medications used to restore eustachian tube function have unpredictable results and these are often disappointing. Balloon dilatation of eustachian tube came around 2010 but has not really gained momentum, mainly due to apprehended complications. In this review article, the...

From the editor May/June 2023

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTw: @Voicedoctor_uk The management of swallowing disorders is often seen as a ‘Cinderella’ field, so it is a real pleasure to be able...

Otologic Surgery - 5th Edition

Otologic Surgery 5th Edition, edited by Derald Brackmann, Clough Shelton, Moises Arriaga and Richard Gurgel, is a textbook masterpiece. The book is written in tribute to the editors’ mentors: Drs Howard House, William House and James Sheehy, whose pioneering work...

How the world sees facial palsy patients

This paper from Australia gives an insightful perspective on the impact of facial paralysis on patients, and may explain the well-documented poor quality of life scores in this patient group, particularly those ‘successfully reconstructed’ with surgery. It explores how the...

An audiologist abroad

Ever thought of working abroad? In this issue we hear from Caroline Hudson, International Audiologist with special interest in paediatrics and research, who took the leap to work in Canada after qualifying and working in the UK. She will provide...

How reliable are PTH levels for the prediction of hypocalcaemia after thyroid surgery?

Hypoparathyroidism is one of the most common complications of thyroid surgery. There is significant controversy in calcium management practices post thyroid surgery. The drop in PTH levels has been used to predict the likelihood of hypocalcaemia after thyroid surgery. But...