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Recording of electrode voltages (REVS) to determine extra-cochlear electrodes

Determining whether electrodes are sitting within the cochlea can be difficult as the checks run by the programming software cannot always determine this. In some cases, patients may be unable to give the audiologist detailed feedback which can complicate the...

INTEGRATE: Uniting collaborative research in ENT

Exposure to clinical research as a trainee is often sporadic and unstructured, despite it featuring in both the GMC’s Good Medical Practice and the ISCP’s syllabus for all surgical specialities, including otolaryngology [1,2]. The majority of trainees undertake small-scale research...

Current considerations on neural development and hearing loss in young children

The young child’s brain has the ability to change in response to new stimuli, resulting in learning, the foundation of adaptive and intelligent behaviour. For children with hearing loss, a reduction or lack of auditory stimuli can have a ‘lifelong...

Hyperacusis-related distress and comorbid psychiatric illness

Research suggests that over 50% of patients presenting with hyperacusis also present with some form of psychiatric disorder. With this in mind, Dr Aazh outlines what tools clinicians can use to screen for psychological disorders and what path to take...

Surgery plus radiotherapy keeps the helical keloid scar away

Keloid scars lead to significant psychological and cosmetic morbidity. As the pinna is a key component of facial cosmesis, pinna keloid scar formation can be aesthetically displeasing. Their stubbornness and high recurrence rate can be challenging to treat. This department,...

OBITUARY: Lawrence Cleary 19/06/39 – 1/10/25

It is considerable sadness that we have to report the death of Lawrie Cleary. Lawrie Cleary played a major part in the history of cochlear implantation in the UK. He had lifelong hearing loss and was a patient of mine...

Listening and Spoken Language Therapy for Children with Hearing Loss

I’d like to start this review with a disclaimer – I don’t deliver speech and language therapy but am interested in how speech, language and communication are developing in the children we see with hearing loss within audiology. I found...

Reasons for rejection of BAHA in patients with unilateral hearing loss

Ever since Tjellström first developed the procedure of BAHA implantation, the techniques have come a long way towards faster and more convenient surgical methods to offer better hearing for a wide variety of conditions. Unilateral hearing loss has now been...

How interaural level differences differ between children with bilateral cochlear implants and their normally-hearing peers

A group in the Netherlands investigated interaural level differences (ILDs) in children who were bilaterally implanted with cochlear implants (CIs) and compared their performance to their normally-hearing peers. ILDs are used to localise sound and rely on the high-frequency cues....

How can we understand autism and autistic children better?

Andrew Whitehouse draws on his years of experience working with neurodiverse people to give a fantastic insight into the world of autism, as well as suggesting some simple strategies clinicians can use to improve communication with autistic people. How can...

A guide to managing atypical communication in healthcare

This book provides the background theory as well as practical tips for communicating with different patient populations and varying conditions. Published in 2023, it is a recent book with a great deal of research and practice guidance embedded from various...

Spirituality and tinnitus – blocking out the haters!

The brain is fantastic at blocking out unwanted noise. Place a microphone on your temporal bone and you’ll realise you are subject to a relentless bombardment of sound you’ll never consciously hear: the clicking of your temporomandibular joint, the pulsating...