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When things go wrong

The new-age, Paediatric Surgeon, Ray Clarke, (fear uasal, íseal), eloquently demands throwing off the shackles of the past and welcomes the dawning of an era of openness, transparency and candour, preferably suffused with compassion for both the patient and the...

Decreased sound tolerance in autism: understanding and distinguishing between hyperacusis, misophonia, and phonophobia

Decreased sound tolerance (DST) affects a significant proportion of autistic people throughout their lifetime and, as Zachary J Williams explains, it is important that clinicians are aware of the three distinct subtypes of DST when making a diagnosis. Autism spectrum...

Audiology support for Philippine call centre employees

Call centre employees face unique challenges that impact their hearing health. BPO companies are implementing initiatives in the Philippines to safeguard their auditory wellbeing. The Business Process Outsourcing (BPO) industry in the Philippines is a dynamic and rapidly growing sector....

Using SNOT-22 to predict revision sinus cases

A simple way of predicting which patients will require revision endoscopic surgery does not yet exist. This study, which is a prospective, longitudinal cohort study, part of the UK national audit, aims to predict this by using a relatively simple,...

Preoperative prediction of pain outcomes in patients with trigeminal neuralgia

The authors of this retrospective study have developed a preoperative trigeminal neuralgia (TN) grading system for the preoperative prediction of long-term pain relief after microvascular decompression (MVD). Patients who had become refractory to or developed toxicity to carbamazepine or oxycarbamazepine...

Electrocochleography and speech-perception in cochlear implant (CI) patients

It is difficult to predict the speech perception outcomes of cochlear implantation. Previous studies showed that total response electrocochleography (ECochG-TR) may explain the variance in CI performance better than biographic, audiometric, and surgical factors combined. The authors’ objectives were to...

What’s new in laryngology: the next 10 years!

At a time of unprecedented technological advances, Taran Tatla and Jonathan Fishman gaze into the laryngological crystal ball… Introduction The recent explosion in science, technology and innovation takes us into a new era, with the opportunity and capability to transform...

Barotrauma

Barotrauma is an injury which is due to the effects of pressure upon an air-containing space. Healthy middle ear cavities and paranasal sinuses are normally in equilibrium with the atmospheric pressure, but if an individual moves away from the surface,...

Management of benign oesophageal strictures

Benign strictures of the upper oesophagus and pharynx, while not very common, can be a challenging condition to successfully manage. The authors of this article provide us with a detailed description of their technique for using the CO2 laser, balloon...

A new approach to workplace hearing conservation

The traditional approach to managing workplace noise has failed - how can we better protect our nation’s hearing using smart hearing protection? Occupational noise-induced hearing loss (ONIHL) is the most common occupational health condition in the world and the most...

Reflections on educational gatherings in the COVID era

The COVID pandemic has brought disruption and uncertainty for the organisers of medical conferences. ENT and audiology have always thrived on a healthy exchange of views and the sharing of knowledge across subspecialties and across national boundaries. Ray Clarke asked...

History of photography in otorhinolaryngology in the 19th Century

In this final article of the History of ENT edition, João Clode introduces us to the history of medical photography in the 19th century, giving us some fascinating early examples of otorhinolaryngology photographs. Medical photography – the early years The...