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A dizzying response to the silent killer

In this recent case control report by Kandemir and colleagues, we are asked to consider the association between hypertensive disease and hearing impairment, tinnitus and dizziness. A 200-strong cohort of normotensive and newly-diagnosed hypertensive patients underwent pure tone audiometry, Tinnitus...

Patient barriers: adult cochlear implantation systematic review

The literature across a 35-year time span highlights disproportionately low rates of cochlear implantation among adults compared to paediatric populations, despite the significant benefits of cochlear implants (CIs) for individuals with severe to profound hearing loss. Barriers span psychological, informational,...

How does endoscopic surgery for subglottic stenosis affect voice outcomes?

Patients with subglottic stenosis (SGS) require interventions to improve their breathing and airway patency. Increasingly, these interventions are completed endoscopically but little is known about how endoscopic surgery impacts voice outcomes. The authors of this study completed a systematic review...

Polidocanol – a safer and equally effective alternative to ethanol for the treatment of thyroid cysts?

Percutaneous needle aspiration is a minimally invasive treatment option for thyroid cysts but suffers from a high recurrence rate (86% in 1 case series). This recurrence rate can be reduced substantially with the instillation of ethanol following aspiration. Ethanol instillation...

ADHEAR in the paediatric population

ADHEAR is a non-surgical bone conduction device (BCD) available from Med-El from 2017. It uses an adhesive adapter consisting of a soft rubber pad with a centre rigid plate that has a snap coupling for attachment of a sound processor....

Telehealth for cochlear implant follow-up care

For individuals with moderate-to-profound sensorineural hearing loss, cochlear implants are a highly effective form of hearing rehabilitation. Despite their effectiveness, utilisation is low, with approximately only 12.7% of suitable adult candidates receiving implants. Barriers to access include the geographic distribution...

BPPV and pregnancy

This narrative review explores the limited evidence surrounding benign paroxysmal positional vertigo (BPPV) during pregnancy. Although BPPV is the most common vestibular disorder and is known to affect women more frequently than men, the literature specifically examining its occurrence in...

The BAYAD alar technique – visual landmark guided paradigm in alar base reduction

Alar base reduction can be a technically demanding component in rhinoplasty, especially within the ethnically diverse populations where rigid anthropometric norms may not apply. Mahmood introduces the Balanced Aesthetic Yielding of Alar Design (BAYAD) technique – a rulerless intraoperative visual...

GIRFT: improving ENT care through standardised clinical pathways

Clinical pathways can help to ensure consistency of approach and efficient use of resources. We hear about new developments in the UK. Variation in ENT care In today’s data-driven healthcare landscape, significant variation persists in the provision of ENT services...

Getting the message right on hearing loss and dementia

Are we reaching a consensus on how hearing professionals should talk about hearing loss and dementia? In 2024, the British Society of Audiology (BSA), in collaboration with the British Academy of Audiology (BAA) and the British Society of Hearing Aid...

Predicting aspiration pneumonia in adults

Aspiration occurs when oropharyngeal or gastric contents are inhaled into the larynx and lower respiratory tract. When the aspirated material is colonised by pathogenic microorganisms, this may result in aspiration pneumonia. In contrast, aspiration of sterile gastric contents may lead...

Quicker than reading the BNF

It has long struck me that it might be helpful to search medication-induced side effects by symptom, rather than having to look up each individual drug. For many years, there have also been regularly cited categories of medications to be...