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How can we treat a patient with aural fullness?

Aural fullness is a common complaint that we often come across in many of our otology patients. Management of this condition can be quite challenging. Common differentials include eustachian tube dysfunction, patulous eustachian tube dysfunction, otitic barotrauma, superior canal dehiscence...

Saddle nose deformity repair – structured approach

We often come across saddle noses in our specialist rhinology clinics. The saddle nose deformity represents collapse of the cartilaginous and / or bony nasal support structures resulting in dorsal height loss. Acquired cases are due to trauma or surgery...

2nd Liverpool Nasolacrimal and Orbital Dissection Course

This course is aimed at Otorhinolaryngology (ENT) and Ophthalmology higher surgical trainees (ST5-ST8), senior fellows and consultants looking to improve their understanding and surgical skills in joint ENT/ophthalmology nasolacrimal and orbital surgeries. The aim of this course is to provide...

Migration and training: a British-Nigerian surgeon’s perspective

Less than 4% of doctors on the UK’s medical register describe their ethnicity as African or part African, yet there are myriad driving forces behind the migration of medical trainees from Africa to the UK and other developed countries. Ekpemi...

Botox application for drooling shrinks salivary glands

The large majority of sialorrhoea (drooling) in paediatric patients is managed conservatively. However in severe cases, often where there is associated developmental delay or a motor disorder, medical and surgical techniques can be used to decrease salivary flow. Botulinum toxin...

Swallow this: management of dysphagia in progressive neurological conditions

Whether the person with the swallowing difficulty has an acquired or progressive neurological condition, understanding the aetiology will allow the speech and language therapist assessing the swallow to have a better understanding of the likely implications for future swallow management...

Paediatric conductive hearing loss management

This review article discusses the current guidelines for the management of paediatric otitis media, tympanostomy tube placement indications, management of risk factors for chronic otitis media, intraoperative and postoperative management guidelines and the management of complications. The important takeaways include...

Demonstrating unobservable effects of therapy through PROMS: a review

Ultimately, healthcare should meet the needs of the people it is designed for. One way of measuring this is using patient-reported outcome measures (PROMS). These tools capture the patient’s perspective and have been described as demonstrating the unobservable effects of...

Say what you don’t mean: cognitive difficulties in Parkinson’s can worsen intelligibility

Hypokinetic dysarthria, seen in 70–90% of people with Parkinson’s, causes reduced range of movement during speech production, reduced volume, rate, pitch and intelligibility. This study aimed to explore the role of higher cognitive function in speech production by asking 20...

Physician illness

Getting in the zone, recognising our personal stress limits and looking after ourselves are vital components in our efforts to stay healthy advises Abbie Lane, after almost a generation of de-stressing others. They say a rugby player like Brian O’Driscoll...

Embracing the changes prompted by lockdown

March 2020 introduced the concept of lockdown to audiology services in the NHS, prompting a rethink of how to best provide hearing care. In this issue, we hear from Hanna Jeffery, a Clinical Scientist working at the Royal Glamorgan Hospital...

Labour rights violations in the manufacture of healthcare goods

Every year trillions of dollars are spent on medical supplies globally. The operating theatre is a significant proportion of this spend, typically accounting for a third of a hospital’s supply costs. When making purchasing decisions consideration is given to value...