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Clinicopathological features of follicular variant of papillary thyroid carcinoma

The follicular variant (FV) of papillary thyroid carcinoma (PTC) is characterised by the presence of nuclear features of PTC together with a follicular growth pattern. It is currently reported to make up 11.8% to 53.3% of all PTC cases. It...

Mindfulness meditation: how personal experience of managing severe pain contributes to understanding tinnitus management

In this interesting article the author describes the potential benefit of mindfulness in the management of tinnitus, using a case report to illustrate this.This may well be an additional direction we can suggest for our patients. Mindfulness is a word...

Well drilling vs. subperiosteal pocket for cochlear implants – comparison of operative time, complications and cost-effectiveness

The choice of method for securing the receiver/stimulator (R/S) package during cochlear implant surgery is usually dependant on several factors, but primarily surgeon preference. The initial recommendation from manufacturers was to drill a bony well (WD technique) and use bony...

Reduction in recurrent cholesteatoma rates with bony obliteration tympanoplasty technique

This large retrospective study from the Erasmus Medical Centre in Rotterdam compares outcomes in traditional canal wall up (CWU) and canal wall down (CWD +/- partial obliteration of mastoid bowl) mastoid surgery for cholesteatoma with bony obliteration tympanoplasty (BOT, which...

REVISIONS acronym for preoperative imaging review in revision endoscopic sinus surgery

The authors have developed an acronym to aid evaluation of preoperative sinus CT imaging in revision endoscopic sinus surgery (RESS). To determine which pertinent aspects of anatomy to include, a systemic review of studies that investigated anatomic contributions to persistent...

Psychoacoustics: Perception of Normal and Impaired Hearing with Audiology Applications

The field of psychoacoustics and the practice of audiology have always been curious bedfellows. In the clinic, we commonly assess patients’ hearing ability through pure-tone detection, a classic psychoacoustical phenomenon, but just one of the many, many ways in which...

History of innovation in ENT

Innovation seems to have been in the strapline of every meeting, conference and course for the last few years. You would be forgiven for thinking it is a new a concept, but as Neil Weir beautifully details, innovation has been...

Audiology in this issue... Paediatric Audiology Gamechangers (NovDec18)

Fifty years ago, the National Conference on Education of the Deaf followed up on the Babbidge Report of 1965, recognising the failure of oralism in deaf education. Because young, deaf children at that time did not have access to sound, they could not develop speech and language. Further, because children were identified at two years or later, early intervention was only a dream.

The Performer’s Voice – Second Edition

The editors of this 450-page book are amongst the most respected laryngologists in the world, with a vast amount of experience between them. It is therefore no surprise that they have put together a very comprehensive and well thought-out book....

Hearing loss and dementia – a webinar with Professor Kevin Munro

Transforming the narrative around hearing loss and dementia A webinar with Professor Kevin Munro The British and Irish Hearing Instrument Manufacturers Association (BIHIMA) and Professor Kevin Munro, a leading expert in audiology, will host a webinar to discuss the critical...

Matthew Clark: full-time otologist, spare-time sculptor

Drilling a temporal bone may seem like torture to some trainee surgeons. To others it is but a stepping stone to something altogether grander... I took Art A-level a year early so as not to interfere with the ‘important subjects’,...

Improving cochlear-implant performance in the short- and medium-term

Can bespoke cochlear implant programming strategies reduce the variability seen in patient performance with an implant? Bob Carlyon reviews the current situation and gives us a glimpse of the future. Although many cochlear implant (CI) patients understand speech well in...