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Food impaction in children is associated with eosinophilic oesophagitis

There is an increasing amount of evidence to suggest that chronic oesophageal inflammation and motility disorders play a more significant role in oesophageal food impaction (EFI) in children compared to structural defects. The authors conducted a retrospective study of children...

Future practice: tele-rehabilitation in speech and language therapy

It is known that our population is ageing, resulting in an increase in the number of people living with progressive neurological conditions such as Parkinson’s disease. Health services endeavour to deliver specialist and personalised care to all these people, often...

Tinnitus in middle-age: prevalence and incidence

Population-based studies of tinnitus provide crucial underpinning evidence which highlights the need for further research on the effective diagnosis and clinical management of this heterogenous condition. Furthermore, such studies provide evidence of the burden of this condition both on the...

What’s hidden in hidden hearing loss?

In order to truly understand the many key aspects of acquired sensorineural hearing loss, the role of cochlear synaptopathy or ‘hidden hearing loss’ must be considered. Dan Guo and Sharon Kujawa review and summarise what we know to date, including...

Does the overuse of noise-cancelling headphones cause APD?

Have you heard the noise around APD? With a flurry of interest around noise-cancellation and APD, Dale Hewitt offers his take on the evidence and theory. When and why did this question first arise? An article was published by BBC...

Guidelines on COVID-19 published by Asia Pacific Laryngology Association (APLA)

Due to a vast geographical spread with diverse socio-economic conditions in the Asia Pacific countries, APLA Founding Chair, Vasant Oswal, President, David Lau, and Secretary, Vyas Prasad decided to publish guidelines on COVID-19 in the form of an ‘International Consensus',...

Practical Neurotology and Skull Base Surgery

The introduction describes this text as being useful for a wide readership including the medical student, physician assistant, nurse practitioner and physical therapist dealing with dizziness. I would be of the opinion as indicated in the preface that this is...

Psychoacoustics: Perception of Normal and Impaired Hearing with Audiology Applications

The field of psychoacoustics and the practice of audiology have always been curious bedfellows. In the clinic, we commonly assess patients’ hearing ability through pure-tone detection, a classic psychoacoustical phenomenon, but just one of the many, many ways in which...

The Atlas of Cavityless Cholesteatoma Surgery: Volume I and II

The Atlas of Cavityless Cholesteatoma Surgery draws upon four decades of the authors’ experiences, based in the Jindal Institute in North India. Their aim is to showcase the inside out technique with obliteration of created mastoid cavities; and for the...

New MRI technique assesses treatment response in skull base osteomyelitis

This paper describes another useful imaging technique to monitor Necrotising Otitis Externa (NOE). Echoplanar diffusion weighted magnetic resonance (DW MR) shows high signal on the ‘ADC map’ with active disease and this reduces in signal intensity as symptoms improve. This...

Diagnostic performance of non-echo-planar diffusion weighted MRI in detection of suspected cholesteatoma

Even though a ‘second look’ remains a gold standard for detection of residual cholesteatoma after intact canal wall techniques, non-echo-planar diffusion weighted MRI is considered a reasonable alternative to avoid further surgery. However, to establish or exclude a cholesteatoma de...

Using evidence and international consensus to guide treatment of thyroid nodules

The authors of this practical review paper highlight a growing issue within thyroid surgery, where high-quality ultrasound has increased the detection of subclinical nodules: what do we do with the patient presenting with an ‘incidental’ thyroid nodule? This has both...