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Ear wax: the good, the bad, and the ugly

2 March 2022 | | ENTA - Audiology - Adult, ENTA - Otology
With ear wax removal being a core part of ENT and audiology services, Seth Schwartz gives us his dos and don’ts. We have all seen cartoons where a character pulls enough wax out of their ears to make a candle....

Pomegranate juice as an otoprotective agent

1 November 2014 | | Otology
Chemotherapeutic agents such as cisplatin, given alongside irradiation, offer a survival advantage in head and neck cancer. Some patients often complain bitterly about side-effects of their treatment, one of which is ototoxicity. In this paper, the authors propose the use...

Cochlear implants: recipient stories

1 September 2017 | ENTA - Auditory Implants, ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Audiology - Paediatric, ENTA - Otology, ENTA - Paediatrics
The most powerful evidence for the remarkable achievements made with cochlear implants over 40 years comes from the life-changing, personal stories of those who have benefited from the technology. James Rylance I first noticed a problem with hearing when I...

Endoscopic airway interventions in children

6 January 2023 | | ENTA - ENT, ENTA - Paediatrics
Open surgery for paediatric airway pathologies such as subglottic stenosis was hailed as revolutionary when many of today’s paediatric ORL specialists were in training. Equipment, facilities and training has moved on and the high-quality optics in modern endoscopes, coupled with...

Intraoperative nerve monitoring: 2017

1 July 2017 | | ENTA - ENT, ENTA - Head & Neck, ENTA - Laryngology / Swallowing / Voice, ENTA - Thyroid / Parathyroid Surgery
Having written the definitive text on laryngeal nerves, Gregory Randolph and Dipti Kamani describe the benefits of intraoperative neural monitoring and, importantly, how to proceed if the nerve is pathologically involved or there is loss of signal. Over the years,...

Audiological monitoring in ototoxicity - Are we doing enough?

1 November 2016 | | ENTA - Audiology - Adult
In this article Ghada Al-Malky explores the dichotomy of life-saving, yet hearing loss-causing medication, and questions whether the hearing healthcare community is doing enough to prevent preventable hearing loss. Ototoxicity is the damage to hearing and / or balance functions...

Use of automated audiometry for faster patient access to audiology services?

30 April 2021 | | ENTA - Audiology - Diagnostic
Manual audiometry has long been the gold standard for establishing hearing thresholds. In recent years, a number of automated audiometry applications have reached the market. In this article, a team from Ireland have put a version of automated audiometry to...

Alternobaric vertigo: asymmetrical vestibular function due to asymmetrical middle ear pressures (Iron Man’s archenemy)

4 November 2021 | | ENTA - Audiology - Adult, ENTA - Vestibular Disorders
The Marvel Cinematic Universe could certainly be deemed an ‘extreme environment’ and yet very rarely do we see the Avenger’s popping to the clinic for a check-up. Hee-Young Kim has wondered how they cope with extreme pressure changes and discusses...

Open septorhinoplasty approach for closure of medium sized septal perforations

1 May 2015 | | ENTA - Rhinology / Sinus
Septal perforations are difficult problems to treat. There are various causes described in literature such as trauma, inflammatory, cocaine abuse but most often they are due to iatrogenic cause (such as septoplasty) or due to trauma. The symptoms due to...

Targeted focal parathyroidectomy

1 July 2019 | | ENTA - ENT, ENTA - Head & Neck
Leanne Hamilton and Louise Clark describe their technique for helping to localise parathyoid adenomas. Surgically this can be difficult, so careful preoperative evaluation using imaging as described can help minimise difficulties intraoperatively when identifying the parathyroid adenoma. Preoperative imaging has...

Radiology of referred otalgia

1 May 2014 | | ENTA - ENT, ENTA - Neurotology, ENTA - Otology
Otalgia is a common presenting complaint to Ear Nose and Throat Departments. Otalgia is either primary or secondary (referred) [1]. Referred otalgia is a ‘red flag’ symptom and can be a diagnostic challenge for clinicians and radiologists as the pathology...

Genomic testing for deafness and its implications

2 September 2022 | | ENTA - ENT, ENTA - Audiology - Diagnostic, ENTA - Audiology - Adult, ENTA - Otology
Gene therapies for hearing loss are rapidly advancing and will be transitioning to clinical practice. Here, the authors explain why clinicians involved in managing these disorders need to be aware of these advances. Genomic testing in England was significantly reconfigured...