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Clinical coding: variability and error in otolaryngology

The ever topical spectre of coding in otolaryngology is comprehensively evaluated in this article. It attempts to debunk the mystique of current coding practices and the challenge of health informatics in the modern NHS. A total of 3131 randomly selected...

Canine hearing testing and the role of otoacoustic emission tests

Otoacoustic emissions testing is an accepted method of hearing testing in humans, but have you ever considered the situation in dogs? This article discusses deafness and hearing testing in dogs and the current role of OAE testing in this species....

Octreotide in the medical management of chyle fistula post neck dissection

Chyle leak, although rare (1% and 2.5%), is a well-documented complication following surgical dissection of the neck. Although the left side of the neck is the most common site, chyle fistulas have been reported in the right side of the...

A multidisciplinary approach to the management of the adult balance - dizzy patient

Richard Gans and Kimberly Rutherford, renowned experts from The American Institute of Balance, give their team’s overview of the stages involved in reaching ‘diagnosis based strategies’. For the dizzy patient, this focuses on patient-centred clinical pathways for individualised therapy with...

Remote care apps: comparing the options

With much of the world in full or partial lockdown and social-distancing measures in full swing, the COVID-19 crisis has sparked renewed interest in remote teleaudiology services. Modern teleaudiology platforms, now offered by all major hearing aid brands, offer audiologists...

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...

Reflux – diagnostic tools and special considerations in singers

Depending on your point of view, laryngopharyngeal reflux (LPR) is either ubiquitous or is over-diagnosed. Are singers more prone to LPR? What are the best tests? Mark Watson and Jane Shaw tell us more. Laryngopharyngeal reflux (LPR: the backflow of...

Audiology Papers of the Year 2015-16

In this short review we have asked Melanie, Carolina, Josephine and Cherilee to consider the best article they have read in the last 12 months and provide us with a short review. All contributors have managed to succinctly highlight the...

Video otoscopy

The COVID-19 pandemic and challenges in offering health services at the time showed how useful telehealth services can be. One of the undoubted benefits of video otoscopy is that both images and recordings can be sent to specialists for assessments....

Screening: evaluating the outcomes of early intervention

Newborn hearing screening is now the accepted standard of care in several countries, and is becoming increasingly more established worldwide. White [1] reported eight countries screening over 90% of newborns, ten screening between 25-89% of births and a further 54...

Open hearing-aid fittings or closed

There is always a balance between different types of hearing aids and their advantages and disadvantages that influence choice of device and ultimately user preference. Personal choice also plays a role when deciding on behind the ear or in ear...

Continuous intraoperative neural monitoring and thyroid surgery

Continuous intraoperative neural monitoring enhances thyroid surgery safety, helping predict and prevent recurrent laryngeal nerve injury in real time. Recurrent laryngeal nerve (RLN) injury with resultant vocal cord paralysis (VCP) can have a significant impact on patient quality of life...