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Misophonia

Decreased sound tolerance is a common audiologic complaint. Unlike the classic characteristics of hyperacusis whereby a patient is sensitive to the frequency or volume of a sound, misophonia is a strong emotional and psychological reaction to a sound with a...

First UK hypoglossal nerve stimulation implant in the treatment for moderate to severe OSA

Obstructive sleep apnoea has been treated in many different ways over the years. We hear from Yakubu Karagama about one of the latest surgical developments. Introduction Obstructive sleep apnoea (OSA) is by far the most common sleep disorder, affecting all...

Rhino Refresher – a virtual course

Overall, I thought it was a great initiative, well-organised and I hope that we will copy the idea to other subspecialties. Such revision days are an excellent opportunity to refresh our pre-existing knowledge and to point out areas for further reading.

20th ‘Anniversary’ National ENT Masterclass®

The faculty this time consists of some of the leading stars of ENT in the UK, including eleven past-presidents of the Royal Society of Medicine ENT sections. The programme includes 32 state-of-the-art lectures and three panel discussions on a range of topics in otolaryngology and head & neck surgery.

A Guidebook for the Auditory Perception Test for the Hearing Impaired

The Auditory Perception Test for Hearing Impaired (APTHI) assesses functional auditory skills that are the building blocks for language and academic development. The test is aimed at children with at least a moderate-to-severe hearing loss, aged three and over, but...

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...

Do you use the evidence or do you just know to do that?

In this day and age we generally consider healthcare practice to be evidence-based. Unfortunately there are not always the plethora of research articles available that address the dilemmas of day-to-day clinical practice. This piece of work considers what factors influence...

What is the evidence for contralateral tonsillectomy in TORS for known unilateral tonsil malignancy?

The concept of field changes by carcinogens within the upper aerodigestive tract is well established with reported rates of synchronous tumours of 4% and second primaries of 36%. The tonsil in particular has the highest rate of synchronous tumours, postulated...

What can we tell about swallow physiology from a bedside clinical assessment?

Knowledge about swallowing physiology has greatly increased with the use of instrumental assessments such as videofluoroscopy (VFS). The authors of this paper performed an analysis of data obtained from 60 stroke patients who were assessed via a clinical swallow examination...

Cochlear implantation in SSD

There are currently several trials for cochlear implantation (CI) in single-sided deafness (SSD) being undertaken to answer some of the questions this paper from New York raises. Who is best suited to receive one? What are their outcomes and how...

Salivary gland blues…

Intravenous methylene blue is a well-described method to assist in intraoperative localisation of parathyroid glands. The technique does come with challenges as anybody will know who has had to run adjacent to a theatre-bound trolley to ensure that the infusion...

Smaller gauge voice prosthesis is effective in secondary trans-oesophageal puncture

Placement of voice prosthesis at the time of trachea-oesophageal puncture is well described using 20-French prostheses. There is debate about the optimal size of the prosthesis with work in the 1980s and 1990s supporting larger prostheses. The rationale was that...