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Virtual vestibular rehabilitation (VR) is as effective as in-person VR
The effectiveness of vestibular rehabilitation (VR) for patients with several vestibular disorders is well established. Access for in-person clinic-based VR is however patchy and limited. To widen access, offering VR via virtual platforms is increasingly being adopted. The authors conducted...The experience of being a new ENT SHO
In this article, Matt Donachie shares insights on the daunting yet enjoyable experience of starting as an ENT junior doctor, offering valuable advice. Starting your first job as a junior doctor in any specialty in the UK can be a...Temporoparietal fascia flap for blind sac closure
Chronic ear disease can be challenging to manage and difficult for patients to live with. In this article, the authors describe their technique for otomastoid obliteration and blind sac closure of the external canal allowing for a more tolerable situation...
Peripheral nerve stimulation for chronic refractory pain
Peripheral nerve stimulation (PNS) plays an important role in treating chronic refractory pain syndromes that manifest in limited distributions and overlap with areas of neurologic innervation. The process is generally thought to capitalise on the inhibition and activation of pain-related...Globalisation, interconnectivity and unintended consequences
Drs Mom and Lea have thrown down the gauntlet, challenging us all to openly assess the global impact we have as countries, societies, surgeons and individuals. Being a surgeon is not all about surgery. How we respond will define our...
Help seeking for tinnitus – experiences of the diagnostic and treatment process
Population-based and self-selecting adult participants of this Australian cohort study (n=281) completed survey questions exploring varied outcome measures related to tinnitus. Primary outcomes assessed communication of initial tinnitus diagnoses and subsequent treatment offering, with participants rating their satisfaction at the...Music is noise
Marshall Chasin recaps what we know acoustically about music and noise, and discusses the potentially damaging levels of music, how temporary threshold shift (TTS) is not necessarily temporary and gives us some considerations for protective devices for musicians. Most of...BRS Annual Meeting and Juniors Day 2025
Will Tsang (ST1-3) BRS President Professor Peter Andrews opened the 2025 Annual Meeting in sunny Edinburgh, welcoming over 180 delegates — a record turnout. The programme was packed with speakers pushing the boundaries of modern rhinology.Highlights from day one included...Decreased sound tolerance in autism: understanding and distinguishing between hyperacusis, misophonia, and phonophobia
Decreased sound tolerance (DST) affects a significant proportion of autistic people throughout their lifetime and, as Zachary J Williams explains, it is important that clinicians are aware of the three distinct subtypes of DST when making a diagnosis. Autism spectrum...Vocal cord dysfunction and dysfunctional breathing: an evolving clinical paradigm
Patients frequently present to the ENT department with breathing difficulties. The entity of ‘vocal cord dysfunction’ (also known as paradoxical vocal cord movement, inducible laryngeal obstruction, and many other names) is increasingly well recognised. Ravi Thevasagayam gives us an overview....
