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Comparing AutoREM accuracy to NAL-NL2 targets: real patient data and simulator verification

A new study examines how accurately AutoREMs from four major brands hit NAL-NL2 targets, revealing strengths, limits and clinical implications. Automatic real ear measurements (AutoREMs) have emerged as a promising way to make hearing aid fittings faster and more consistent....

Why is a Raven like a writing desk? Some reflections on countertenors and castrati

The countertenor voice has seen a resurgence in popularity in the last 50 years. Nicholas Clapton is one of the foremost performers and teachers of his generation, and he tells us here about the link between countertenors and the (fortunately...

Observations and ruminations - a week of collaboration and learning in Ghana

A week of surgical exchange in Ghana reveals the power of collaboration, resilience and mutual learning in advancing global ENT care. Isabelle JM Williams. Isabelle’s perspective It was a Saturday lunchtime at Heathrow airport, terminal 3. Professor David Howard, Miss...

HEAL 2024: Hearing Across the Lifespan

This year around 350 people representing 40 countries attended, with about 290 oral and poster presentations. Special sessions addressed a range of global challenges, including Precision Diagnostics and Therapy Across the Lifespan, Empowering healthcare professionals in supporting older adults with comorbid hearing and cognitive impairment Listening effort and Ecological Momentary Assessment.

Medicine and Seamus Heaney

Seamus Heaney grew up in the 1940s. Infectious diseases – diphtheria, poliomyelitis, mumps, measles and rubella – were rife. Stepping Stones recalled talk among older neighbours of ‘a-waiting on’ when they were close to death. Aunts and uncles succumbed to...

Medical training initiative (MTI): stepping outside the box

Medical training initiative (MTI) scheme in the UK are becoming increasingly available and are actively supported by ENT UK. Despite this, knowledge of them is limited and there can be a mismatch between supervisors and potential candidates. Our authors, Manuela...

Post tonsillectomy recovery in thermal welding method compared with recovery in cold steel method

Many different methods for tonsillectomy have emerged but whether they provide an improvement over the traditional cold steel tonsillectomy is another matter. Thermal welding is a recent method of tonsillectomy in which the tissues are simultaneously coagulated and divided. In...

Speech analysis via mobile phone – is there an app for that?

Experienced ENT surgeons will often be able to discern the likelihood of significant laryngeal pathology in a patient referred with dysphonia by the sound of their voice during the initial history-taking phase of a consultation. With the move earlier in...

The decision-making process by parents of children with residual hearing who receive cochlear implants

It can be a difficult decision for parents whose children have residual hearing whether or not to undergo cochlear implantation. Their children may seem to be hearing with their hearing aids, and even in some cases can hear without aids....

An otological cure for globus?

Globus pharyngeus is a common benign condition frequently encountered in ENT practice. Laryngopharyngeal reflux and psychological stressors are often considered to be contributory factors, but globus symptoms do not always respond to antacid medications. Such medications can also be limited...

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...

Environmental sounds and hearing disability in auditory neuropathy

This cross-sectional study examined whether environmental sound perception contributes to self-perceived hearing abilities in individuals with auditory neuropathy spectrum disorder (ANSD). In total, 42 participants with ANSD completed the Speech, Spatial and Qualities of Hearing Scale (SSQ), alongside measures of...