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ENT In This Issue - Trainee Takeover
Jonathan Lee, ST3, MRCS, Department of Ear, Nose and Throat Surgery, Warwick Hospital, University Hospitals of South Warwickshire NHS Foundation Trust, UK. ENT training has undoubtedly taken a significant hit since the COVID-19 pandemic. Crises, however, often lead to collaboration...In conversation with Dr Helen Bevan: Approaching change in the NHS with a new mindset
Dr Helen Bevan has been a leader of large scale change in the English National Health Service (NHS) for more than 20 years and was recently recognised as one of the 60 most influential people in the history of the...Loss of smell after COVID-19: a view from the patient forums
Patient advocate, Chrissi Kelly, founder of AbScent, talks about how the pandemic has changed the way we think about smell loss. The high prevalence of chemosensory impairment as a result of the SARS-CoV-2 virus has shone a much-needed spotlight on...
The sleep nasendoscopy learning curve
There seems to be no accepted way of surgically assessing patients with sleep disordered breathing (SDB). Because of this, clinicians fall roughly into three camps: those who just use one operation for all patients, those who have given up surgery...
Darn it! It’s going to take longer to get good at stapes surgery!
Traditionally, it has been said the learning curve for a particular operation lies between 20 and 30 cases. In stapedotomy, a surgeon is deemed successful and perhaps competent if closure of the air-bone gap (ABG) is reached to within 10dB...
How best can we manage Samter’s Triad/AERD?
The classic ‘Samter’s Triad’ of asthma, chronic rhinosinusitis with nasal polyposis (CRSwNP), and aspirin sensitivity is now referred to as aspirin-exacerbated respiratory disease (AERD) or non-steroidal anti-inflammatory-exacerbated respiratory disease. We often come across in our rhinology setting, patients with recalcitrant...Dispelling myths about audiologic counselling: part two
In the second of a two-part series, Drs Clark and English explore how addressing emotions, embracing silence and managing expectations enhance person-centred care. As discussed in part one of this article [1], when we provide patient education, we must monitor...Voice analysis
Traditionally voice analysis has been done by ear at a subjective auditory-perceptual level. The three main characteristics of voice are: pitch – normal for age and gender, too high or too low; loudness – normal, too high or too low;...The Malawi Hearing Project
Rachael Collins, ENT trainee in the UK, and Mwanaisha Jauza Phiri, audiologist in Malawi, explore the challenges and innovations in delivering ear and hearing care (EHC) across Malawi. The Malawi Hearing Project, a partnership between QECH and Cambridge Global Health...Current practice in cochlear implantation
From candidacy to surgery and rehabilitation, cochlear implant practice is evolving, with new technologies shaping outcomes for patients worldwide. Image courtesy of MED-EL. Cochlear implants restore a sense of hearing in the profoundly deaf, representing the most successful neuroprostheses available,...
A Guidebook for the Auditory Perception Test for the Hearing Impaired
The Auditory Perception Test for Hearing Impaired (APTHI) assesses functional auditory skills that are the building blocks for language and academic development. The test is aimed at children with at least a moderate-to-severe hearing loss, aged three and over, but...
