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Does the overuse of noise-cancelling headphones cause APD?

Have you heard the noise around APD? With a flurry of interest around noise-cancellation and APD, Dale Hewitt offers his take on the evidence and theory. When and why did this question first arise? An article was published by BBC...

ENT Masterclass®: Cyber Textbook of Operative Surgery - 5th Edition

The fifth edition of Cyber Textbook of Operative Surgery by ENT Masterclass has been a game changer. It is probably the world’s largest ‘virtual library’ of ENT surgical videos with over 540 videos of ‘surgical masters’ from International Centres of...

Is it beneficial for children to undergo bilateral cochlear implantation before 12 months old?

Universal newborn hearing screening has allowed early diagnosis and, subsequently, early intervention in hearing loss. In 2020 the Food and Drug Administration candidacy criteria for cochlear implants (CI) expanded to include profound sensorineural hearing loss (HL) in children as young...

Children with Hearing Loss: Developing Listening and Talking, Birth to Six - Third Edition

I was very excited to read this book as I have seen some of Carol Flexer’s presentations on the auditory brain and the concepts have fitted well into my paediatric rehabilitation clinics, especially in relating the complexities of hearing loss...

Fitting and Dispensing Hearing Aids, Second Edition

As you might expect from two authors of such stature, this book is extremely effective and well written. In form it is as close to a pop-science book as one could get while still being very much focussed for those...

“It’s paediatric resus calling…”

This article is one of many within this issue that addresses a variety of ENT emergencies. The article outlined the stepwise process of assessing and managing a child with a suspected foreign body (FB) inhalation. Nuts, seeds and vegetable matter...

OTO-104 in noise-induced and cisplatin-induced hearing loss

These two animal studies report on potential new applications for intra-tympanic OTO-104, a slow-release hydrogel formulation of dexamethasone that is currently being used in a Europe-wide randomised trial for Ménière’s disease. In the first paper, guinea pigs were given a...

Effectiveness of oral pressure therapy in obstructive sleep apnoea: a systematic analysis

Oral pressure therapy (OPT) is a relatively new form of therapy for obstructive sleep apnoea (OSA). Paradoxically it seems to work even though it creates a vacuum in the oral cavity as opposed to the gold standard of continuous positive...

Vascularised tissue in salvage total laryngectomy

Chemoradiation (CRT) has become the mainstay for locally advanced laryngeal cancer since the RTOG 91-11 trial. Unfortunately there is still a substantial demand for salvage laryngectomies, which have a higher complication rate, the most notable being pharyngocutaneous fistula (PCF). Several...

Head injury and prolonged bed rest, but not inner ear disease, predict poorer outcome after Epley manoeuvre in posterior semicircular canal benign paroxysmal positional vertgo (P-BPPV)

This Japanese study included 197 patients with P-BPPV treated over a two and a half year period. The vast majority had idiopathic BPPV (n=157). The remaining 40 had secondary BPPV, eight following head trauma, 14 due to prolonged bed rest...

ADHEAR in the paediatric population

ADHEAR is a non-surgical bone conduction device (BCD) available from Med-El from 2017. It uses an adhesive adapter consisting of a soft rubber pad with a centre rigid plate that has a snap coupling for attachment of a sound processor....

“Oh Manchester is Wonderful”...And other chants you might hear from the football stands or at BACO

Chris Potter is a lad of the North West, and we see him here letting his bleach blond hair grow out to show us his Northern roots. When I was a lad, Manchester was a troubled city in apparent terminal...