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The role of the respiratory physician in sleep medicine

ENT surgeons may feel that they are the first point of referral for the majority of patients with snoring and possible obstructive sleep apnoea, but in reality a significant number of patients with sleep-disordered breathing (of any cause) are seen...

Leadership challenges in the world 
of AQP and accreditation – learning from experience

The words ‘choice and competition’, ‘any qualified provider (AQP)’ and ‘accreditation’ have irrevocably become part of audiology jargon in the last two years in England. Commissioners who chose ‘Adult Hearing Aid Services for age-related hearing loss’ have begun the process...

Aspirin desensitisation for aspirin-exacerbated respiratory disease (AERD)

In this article, the authors describe the importance of identifying aspirin-exacerbated respiratory disease in patients with chronic rhinosinusitis refractory to standard medical treatment. This can then open the door to considering aspirin desensitisation treatment which, in their hands, has proven...

Empathic consulting: elevating audiology through connection

A new course in empathic consulting helps audiologists deepen patient trust and engagement, focusing on emotional insight to improve care quality and consultation outcomes. Leightons and The Hearing Care Partnership have developed an innovative course focused on empathic consulting for...

Old age is hard to swallow

This article takes us through the diagnosis and management of swallowing problems common in older age. As our global population continues to grow and live longer, dysphagia will continue to be a global problem which needs to be recognised, understood...

Developing medical devices for children: opportunities and challenges

The development of medical devices for infants and children lags significantly behind the development of devices for adults. While in the United States the Food and Drug Administration (FDA) has set up incentives for developing child age-specific pharmaceuticals, there is...

Have we reached our limits in endoscopic skull base surgery?

As being an anterior skull base surgeon becomes the aspiration of many ENT trainees, Professor Nicolai gives his personal insights into the future for this exciting subspeciality. Having been directly involved in the evolution of transnasal endscopic surgery (TES) since...

Advances in ear and hearing telehealth

Telehealth in ear (or tele-otology/tele-audiology) and hearing care has steadily increased as an area of both research and clinical interest over the past 15 years [1]. Driven by rapid advances in connected technologies and wide-ranging potential use cases, telehealth had...

Young ESPO – looking back and looking ahead

In 2018, after the virtual ESPO Marseille meeting, a new committee of ESPO Juniors was established. Last year, the name was changed to Young ESPO.

From clinics to campaigns: my audiological career so far

In this article we hear about the Franki Oliver’s journey from clinical practice in audiology to the third sector. Hi! I’m Franki and I’m the audiology manager at the Royal National Institute for Deaf People (RNID), a charity supporting people...

A surgeon’s perspective on the challenges facing cochlear implantation in children

Cochlear implantation in children offers a different set of challenges and goals to adult practice. In this article, Iain Bruce, Professor of Paediatric Otolaryngology in Manchester, UK, explains some of the current clinical and research challenges in paediatric cochlear implantation,...

Acupuncture for tonsillectomy pain in children

The challenge: tonsillectomy pain Tonsillectomy is a uniform surgical insult which results in a 10-day recovery for children. Severe pain can occur which can give rise to poor oral fluid intake, dehydration and potentially the need for intravenous fluid resuscitation....