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Advances in neural stimulation of the auditory pathway

This article reviews the use of neuroprosthetic devices such as cochlear and auditory brainstem implants (ABI) to stimulate the auditory pathway, discussing the successes, limitations and advances in this area. Currently, neuroprosthetic devices deliver electrical impulses to the cochlear nerve...

How rare is vocal fold paralysis after spinal and epidural anaesthesia – should we be more concerned?

The authors present an unusual case of right vocal fold paralysis. Their patient was a 38-year-old woman who experienced new onset dysphonia following neuraxial anaesthesia (NA) for a caesarean section. Flexible nasendoscopy showed a right VFP with fixation in the...

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,...

SONNET 3 – the next generation in hearing technology for ultimate user experiences

MED-EL has announced the new SONNET 3, its smallest and lightest behind-the-ear audio processor for cochlear implant users. Integrating cutting-edge technology to enhance hearing experiences, it is designed to deliver an exceptional hearing performance alongside the latest connectivity features -...

What is Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE)?

THRIVE is a physiological mechanism for oxygenating and ventilating patients who are under general anaesthesia and who have diminished or absent respiratory effort [1]. Classical ventilation requires bulk flow of gases into and out of the lungs driven by chest...

Journal Clubs – The Happy Hour!

Kim W Ah-See is stepping back from his role at the magazine, having first joined as a journal reviewer in 1997. We revisit his first article as How I Do It section editor from 2007. It is with immense pleasure...

Radiology of referred otalgia

Otalgia is a common presenting complaint to Ear Nose and Throat Departments. Otalgia is either primary or secondary (referred) [1]. Referred otalgia is a ‘red flag’ symptom and can be a diagnostic challenge for clinicians and radiologists as the pathology...

Rotational chair testing: “To rotate, or not to rotate, that is the real question”

Passive whole body rotation tests are widely considered to be the ‘gold standard’ for the identification of bilateral peripheral vestibular disorders (bPVD), but also have a part to play in identifying unilateral disorders (uPVD). In this article Paul Radomskij discusses...

Hidden hearing loss in humans

Awareness of cochlear synaptopathy (‘hidden hearing loss’) is growing. Chris Plack gives us an introduction to the condition, defining it and reviewing recent research in humans and animals with respect to noise exposure. The main cause of hearing loss is...

A quick and simple approach to correcting the deviated nasal septum

Nasal septal surgery is a very common procedure that we tend to learn as junior trainees. Most of us still find that we have a lot to learn with every deviated septum that we encounter. There is a range of...

Imaging and management of head and neck vascular anomalies

Vascular anomalies are a diffuse spectrum of abnormalities which often involve the head, neck and oral cavity. They are frequently misnamed, often being generically labelled as haemangiomas. This lack of basic understanding can cause confusion leading to a cascade of...

COVID-19 innovations

The coronavirus pandemic has mobilised medical innovators in an amazing way. We take a look at just a few of the hundreds of innovative products and techniques that have been developed and used in the last few weeks. Some of...