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The emotional weight of tinnitus

Health professionals often overlook the considerable impact tinnitus has on the individual, from its emotional burden to its complex relationship with the nervous system. Tinnitus, which is defined as the perception of sound without an external source, affects an estimated...

How neuroimaging has changed our understanding of tinnitus

Brain imaging advances are revealing tinnitus-related neural networks, shedding light on its pathophysiology, heterogeneity and potential therapeutic targets. Tinnitus is a highly common but poorly understood disorder [1]. Its subjective nature and the fact that its treatment may span multiple...

Nursing leadership in clinical practice

This series explores the four pillars of advanced clinical practice and here, Regina Tavengwa explores the pillar of leadership and management. I have been in my current role as a matron for eight years, with a background of practicing as...

ENTelligence: driving safe and transparent AI innovation in ENT

AI is seemingly going to be ubiquitous. How do we as ENT clinicians help to shape its direction? Artificial Intelligence (AI) is reshaping modern medicine. Algorithmic analysis is now influencing decisions once made solely by clinicians. Yet, in surgical specialties...

Being comfortable with the uncomfortable: ENT emergency simulation

When uncommon emergencies create uncertainty, simulation-based training offers a safe space to build confidence, competence and collaborative learning. ENT emergencies can be daunting to manage, especially for those who have less familiarity with their nature. Colleagues from neighbouring specialties are...

Does hand dominance impact ENT surgeons?

Recognising handedness could help create a more inclusive surgical environment. A team from Imperial College and Cambridge explores the challenges and practical solutions. Surgical disciplines require a high level of fine motor skills. Many procedures in ENT simultaneously challenge a...

Wideband tympanometry: translating complexity into clinical clarity

Clinicians often encounter patients with a Type A tympanogram who still present with conductive hearing loss. Traditional 226 Hz tympanometry has served as a reliable tool in audiology and otolaryngology practices since the 1970s, yet it often misses subtle variations...

Advances in speech testing for improved diagnosis and rehabilitation

Measuring an individual’s ability to hear speech in quiet or in the presence of background noise has long been a key component of a comprehensive audiological assessment. Moving beyond the pure-tone audiogram allows us to gain insights that extend far...

The role, aims and organisation of the 2017 IFOS World Congress

IFOS is a truly international organisation – indeed, its rules state that the Executive Committee must have representation from every continent. IFOS President, Chong Sun Kim, tells us more. Dear friends and colleagues, I am very pleased to welcome all...

A shifting landscape of otitis media

In light of pneumococcal vaccination programmes, is otitis media evolving to have a different natural history? Acute otitis media (AOM) is a major public health problem in children worldwide, as it is the leading bacterial infection and first cause of...

Ultrasonic bone aspirators for internal auditory meatus ‘drilling’ in retrosigmoid vestibular schwannoma resection

In this article, the authors describe the retrosigmoid approach to a vestibular schwannoma, using an ultrasonic bone aspirator as an alternative to the standard drill. Vestibular schwannomas (VS) are benign, usually slow-growing tumours of the vestibular nerve. Management of VS...

Developing ENT and audiology services in Southern Africa

Much has been said of the paucity of ENT and its related services in low- and middle-income countries. This article from a retired paediatric otolaryngologist discusses the progress that has been made locally to redress these health inequalities. He has...