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By the people, for the people: a multidisciplinary facial nerve clinic with a difference

Facial nerve palsy is regularly seen in ENT clinics. Underlying diagnoses are excluded, and the patient is often then discharged to ‘see how it goes’, with or without an ophthalmology referral. Here, Catherine Meller describes how she and her team...

What’s the appetite for clinical risk?

The first Professor and Chair of Medical Professionalism at RCSI and BSHS, Dubhfeasa Slattery provides an overview of how a desire for better healthcare at all levels can be harnessed and nourished, leading to a potential life-long interest in reducing...

Patient and public involvement in research

One step further from involving patients in setting research priorities is to involve them in the planning and recruitment stages of the subsequent trials and studies. Here, Carl Philpott and Aneeka Degun explain the concept of Patient and Public Involvement...

The role of macrolide antibiotics in chronic rhinosinusitis

The use of long-term antibiotics in the treatment of chronic rhinosinusitis is a contentious issue, not only because of the increasing problem with antibiotic resistance but also because of the potential cardiac risks, including sudden death. In this article, Anders...

Does diet have a role in the prevention of tinnitus?

Tinnitus, diet and healthy ageing Despite the high prevalence of tinnitus, its exact aetiology remains unclear. Research has explored the role of various biological pathways in the development of tinnitus including age-related changes in the auditory system, impaired vascular function,...

The missing link: how migraine neurophysiology amplifies tinnitus

This article discusses an emerging hypothesis linking bothersome tinnitus with migraine-related sensory processing dysfunction. When evaluating patients with tinnitus, a range of contrasting experiences are noted, from mild, non-bothersome symptoms to those associated with significant distress – broadly corresponding to...

Building a one-stop nasolacrimal service: practical lessons for the rhinologist

The rhinologist’s contribution to the treatment of lacrimal obstruction: a plea for teamwork. In 1956, Oxford ENT surgeon Ronald Macbeth recognised the importance of a multidisciplinary approach to the management of nasolacrimal pathology [1]. However, contemporary practice varies widely between...

Promoting human rights of deaf communities in low-resource settings

Stigma and misconceptions about deafness are serious impediments for many deaf people to realise rights and potential in some of the most challenging situations globally. Around 430 million people are estimated to live with moderate or higher levels of hearing...

Promoting human rights of deaf communities in low-resource settings

Stigma and misconceptions about deafness are serious impediments for many deaf people to realise rights and potential in some of the most challenging situations globally. Around 430 million people are estimated to live with moderate or higher levels of hearing...

Thyroid nodules – time for a rational imaging approach

“The more you know, the harder it is to take decisive action. Once you become informed, you start seeing complexities and shades of gray. You realize that nothing is as clear as it first appears. Ultimately, knowledge is paralyzing.” Calvin,...

How to identify and support adults with auditory processing disorder: a focus on low-gain devices and auditory training

Some adults struggle with hearing in noise despite normal audiograms. Tools like the HHIA, low-gain devices and auditory training can help identify and support these cases. In this article, Angela Alexander and Fatima Abbas use a case study to discuss...