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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...

Medical and surgical management of performing vocalists

Dr Steven Zeitels is widely recognised as the foremost laryngologist of his generation. He has been at the forefront of innovation for 25 years, and has treated innumerable high-profile singers, most recently Sam Smith and Adele. Here, he gives us...

Temporal bone trauma

Introduction Temporal bone injuries represent one of the more complex management problems presenting to the otolaryngologist. This is largely due to difficulties in assessment and the frequent delays in referral, often as a result of other injuries demanding more immediate...

What does functional neuroimaging tell us about tinnitus?

One of the most common causes of tinnitus is noise exposure, be that either cumulative day-to-day exposure over a lifetime or experience of acute noise trauma such as a loud concert or shooting incident. Observational data indicate that up to...

Dizziness: confusion, issues and considerations

Douglas L Beck gives his unique take on the difficulties involved in diagnosing dizzy patients and the importance of well-founded research acting as the basis for any diagnosis and treatment decisions. Dizziness. Uh-oh. We really have a very limited understanding...

Audiological monitoring in ototoxicity - Are we doing enough?

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...

The power of the multidisciplinary team in paediatric cochlear implant assessment

Marette, Kate and Justine from the Birmingham Paediatric Centre give a detailed insight into how their team works together to assess children and young people for potential cochlear implantation. Cochlear implants and the specialist MDT The multidisciplinary team in cochlear...

Targeted focal parathyroidectomy

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...

From India to Bonnie Scotland

Not many people know that one of the UK’s first cochlear implant surgeons was Raj Singh, OBE, an Indian immigrant whose passions for otology and technology led him to found the Scottish Cochlear Implant Programme, and the Help to Hear...

The association of frontal recess anatomy and mucosal disease on the presence of chronic frontal sinusitis: a computed tomographic analysis

Ostial obstruction is a primary pathophysiological mechanism contributing to sinusitis, which can be caused by anatomical variations, mucosal inflammation or both. This retrospective case series aimed to identify anatomical factors and inflammatory areas relating to chronic frontal sinusitis on nasal...

Centenary birthday of Jean-Marc Sterkers: pioneer of vestibular schwannoma surgery

Professor Jean-Marc Sterkers has been a leading figure in the field of otology and neurotology for several decades. On the verge of his 100th birthday, we celebrate an exceptional career through the memories of his son and colleagues. Prof Olivier...

Patient-led wax and aural foreign body removal technology – is it safe?

As ENT and audiology professionals, wax impaction and aural foreign bodies are common presentations to our clinic that can cause significant distress to patients and can preclude diagnostic testing such as pure tone audiograms and tympanometry. We often advise patients...