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Alfred Alexander: a life in ENT, but mainly music

Your own voice clinic may be filled with teachers, elderly clergy and badly trained pub singers, but it wasn’t always like this... When I was first invited to write an article about opera and ENT for this edition of ENT...

From technology to humanity: a conversation on person-centred hearing care

With a career that has spanned continents and disciplines – clinical audiology, cochlear implant technology and global leadership – Mei Dingxiang Feng is now leading a movement to bring person-centred care (PCC) to the forefront of hearing healthcare. In this...

From technology to humanity: a conversation on person-centred hearing care

With a career that has spanned continents and disciplines – clinical audiology, cochlear implant technology and global leadership – Mei Dingxiang Feng is now leading a movement to bring person-centred care (PCC) to the forefront of hearing healthcare. In this...

Unexplained dizziness in elderly patients

How do we explain unexplained dizziness in elderly patients? How far should we go with investigations? And most importantly, how should we manage this challenging and expanding group of patients whose balance affects their safety? Richard Ibitoye and Diego Kaski...

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...

Hidden hearing loss in humans

Awareness of cochlear synaptopathy (‘hidden hearing loss’) is growing. Chris Plack gives us an introduction to the condition, defining it and reviewing recent research in humans and animals with respect to noise exposure. The main cause of hearing loss is...

Hear Glue Ear - affordable bone conduction and microphone kits

Glue ear is a very common problem in children. This article explores a simple and affordable solution to help overcome some of the challenges it can cause. Background Glue ear (also known as otitis media with effusion – OME) is...

A bittersweet finding

This is an elegant study, documenting the role of, and activation of, nitrous oxide in chronic sinusitis. Bitter taste receptors (TR2) have recently been identified as novel ‘players’ in sinonasal innate immunity and in chronic rhinosinusitis. The receptors are triggered...

Lower respiratory involvement in allergic rhinitis and chronic sinusitis

The recent ARIA (Allergic Rhinitis and its Impact on Asthma) project has generated interest in simultaneous involvement of the lower respiratory airway in cases of chronic rhinosinusitis and allergic rhinitis. This study takes into account the extent of pulmonary function...

Intra orbital treatment to save the eye!

Invasive fungal sinusitis can be a devastating condition, and accepted management is surgical debridement of infected tissue, systemic antifungal treatment and reversal of immunosuppression. Orbital involvement is common, affecting up to 75% of cases, and in advanced disease orbital exenteration...

Endoscopic Transnasal Anatomy of the Skull Base and Adjacent Areas

This book is a well-designed colour atlas of sinus surgery which is up to date with all the modern techniques used in endoscopic sinus surgery. The multiple authors include well-established and renowned surgeons. It is divided into distinct chapters, with...

Saline irrigation in CRSwNP after surgery

This article, largely from Germany, aims to prove the effectiveness of nasal saline irrigation in postoperative patients with CRS with nasal polyps. A prospective, single blinded randomised trial was designed with an irrigation and non-irrigation arm. Patients who underwent sinonasal...