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The missing link: how migraine neurophysiology amplifies tinnitus

This article discusses an emerging hypothesis linking bothersome tinnitus with migraine-related sensory processing dysfunction. When evaluating patients with tinnitus, a range of contrasting experiences are noted, from mild, non-bothersome symptoms to those associated with significant distress – broadly corresponding to...

Partial reconstruction of the pinna

Reconstruction of the pinna is one of the most challenging procedures in facial plastic surgery. Although there has been significant progress since one of the earliest recorded descriptions by Sushruta in 600 BC, the complex three-dimensional structure of the pinna...

Intratympanic steroids in Ménière's disease: what’s the evidence?

The days of drastic surgery for Ménière's disease are long gone. We know that intratympanic injections can deliver high doses of medication to the inner ear with minimal discomfort and minimal risk. But how do we choose from the myriad...

Recent changes in vestibular science and assessment

Clinical assessment of the dizzy or imbalanced patient is all about the patient’s history. History, history, history. But what about puzzling cases when we feel we need more information? Sally Rosengren gives us a rundown of the vestibular tests which...

Looking forward: incoming RSM presidents preview the year ahead

This November, Professor Simon Lloyd takes over from Patrick Axon as Otology Section President of the Royal Society of Medicine, and Professor Vin Paleri takes over from Michelle Wyatt as President of the Laryngology and Rhinology Section. Both incoming presidents share highlights from their programmes for the forthcoming year.

The future of facial plastics and rhinoplasty

Interest in facial plastic surgery and in particular rhinoplasty has never been greater. From his wealth of experience in the field, Professor Palma outlines the potential problems of this increasing popularity and how they may be addressed, areas on which...

Preventing avoidable deafness and death from ear disease in Ethiopia

In the July/August edition of the magazine, we featured an article on humanitarian work in Ethiopia, focusing on head and neck surgery. Continuing this theme, Misha Verkerk tells us about an international collaboration providing otology care and training in that...

The British Laryngological Association and Industry

In 2011 British laryngologists Martin Birchall and Guri Sandhu, assisted by ENT SpR Chad Al Yagachi, organised the first highly successful three-day international ‘Cutting-Edge Laryngology for the 21st Century’ conference at the Royal College of Surgeons in London. The Kenes...

Returning to practice

Here, we provide a combination of written guidelines, podcasts and videos providing information on returning to practice and elective services during the COVID-19 pandemic. Resources will be updated as and when they become available. - Guidelines - 7 July -...

From the editor JulAug 2021

Declan Costello, MA, MBBS, FRCS(ORL-HNS), Editor, ENT & Audiology News; Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.net It’s rare that one of our five senses hits the headlines and touches the public consciousness,...

Case study suggesting mtDNA mutation as a tinnitus factor: ND1:m.3394T>C

Konadath et al report a genetic case study of a 24-year-old female experiencing reduced hearing sensitivity and tinnitus along with a blocked sensation in her right ear, sudden onset one year prior with no other otological complaints. Standard audiometry along...

Sniffing out the evidence – COVID-19 and loss of sense of smell and taste

Louis Pasteur once observed: “In the fields of observation chance favors only the prepared mind.” Professor Hopkins was certainly prepared when a few anecdotes of smell problems started to accumulate early in the pandemic’s course. Post-viral olfactory loss is nothing...