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Should intratympanic steroids be the first line treatment for sudden sensorineural hearing loss?

This article looked at whether intratympanic steroids (ITS) provide more benefits over systemic steroid therapy (SST) as initial therapy in patients with idiopathic sudden sensorineural hearing loss (ISSHL). This meta-analysis study, based on published RCTs, concluded that ITS treatment exhibited...

How good ideas become great products: in conversation with three medical innovators

Ever had a great idea for an innovation that would significantly improve your practice, but wondered how to go about developing it? Lucy Dalton interviewed three consultant ENT surgeons-come-successful innovators (one international, one novice and one experienced) who explain what...

Reflections on educational gatherings in the COVID era

The COVID pandemic has brought disruption and uncertainty for the organisers of medical conferences. ENT and audiology have always thrived on a healthy exchange of views and the sharing of knowledge across subspecialties and across national boundaries. Ray Clarke asked...

Current considerations on neural development and hearing loss in young children

The young child’s brain has the ability to change in response to new stimuli, resulting in learning, the foundation of adaptive and intelligent behaviour. For children with hearing loss, a reduction or lack of auditory stimuli can have a ‘lifelong...

3rd Royal National ENT Hospital Advanced Otology & Auditory Implants Course

The 3rd Royal National Ear Nose & Throat Advanced Otology & Auditory Implants Course is a unique 2-day symposium aimed at Consultant Otologists & Auditory Implant surgeons, senior Otology trainees and SAS doctors. This unique event will run as a...

Adenoidal hypertrophy in children with allergic rhinitis

Nasal congestion in children with allergic rhinitis can be confounded by adenoidal hypertrophy. This retrospective Turkish study examines this association in more detail. The sample studied was 566 children (age 2-18) that were diagnosed (based on ARIA guidelines) and treated...

Semi implantable bone conduction devices: challenges and developments

Bone conduction mechanisms and history of bone conduction aids Bone conduction hearing devices work by stimulating hair cells via the bone conduction hearing pathways. These pathways are less well understood than the air conduction pathways, but recent research has shown...

Listening to families - the essential app for families of Deaf children

The National Deaf Children’s Society (NDCS) has recently launched an app designed to support families with children affected by hearing loss throughout their childhood. This app was developed in response to the community’s demand for expert-guided information presented in a...

One stage nasal reconstruction with local flaps

This is an excellent and authoritative review of an often difficult and controversial (as there are so many options or so few) clinical subject. Better education and earlier diagnosis of skin tumours allows defects with limited size and depth to...

Assessing surgical tracheostomy skills

Surgical tracheostomy is an essential operation that trainees must be competent in. There is a lot of research currently looking into assessing trainees’ surgical abilities, particularly into assessments that can be used to demonstrate progress, so this article is very...

Focus on ENT trainees with additional qualifications

In this Trainee Matters, we focus on ENT trainees with additional qualifications. Eight accomplished trainees tell Emma Stapleton how their achievements have benefitted them both professionally and personally. Their professional achievements have included a National Training Number in ENT, presentations,...

Which technique is better for turbinate reduction: surgical turbinoplasty or radiofrequency ablation?

Turbinate hypertrophy; radiofrequency; surgical turbinoplasty; visual analogue score