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Using tele-audiology in Zambia’s ear and hearing care desert

Addressing the medical desert with tele-audiology and tele-education. If a ‘medical desert’ is defined as a community that lives more than 60 miles away from the nearest acute care hospital, then try to imagine an appropriate term for a situation...

Stricture after total laryngectomy: what are the risk factors?

Stricture after total laryngectomy is common but not inevitable. New insights into risk factors could help clinicians anticipate problems and improve swallowing outcomes. Why this complication deserves renewed attention Total laryngectomy remains one of the defining operations in head and...

Building a shared future for otolaryngologic care: the Global OHNS Initiative

A global OHNS network is bringing clinicians, researchers and advocates together to tackle inequities in ENT care through research, training and local partnerships. The care gap For billions of people worldwide, access to otolaryngologic care is determined by where one...

Current considerations on neural development and hearing loss in young children

The young child’s brain has the ability to change in response to new stimuli, resulting in learning, the foundation of adaptive and intelligent behaviour. For children with hearing loss, a reduction or lack of auditory stimuli can have a ‘lifelong...

The effects of polypharmacy in the elderly

Another pill to cure the ill? Alec Lapira discusses the warning signs of polypharmacy in the elderly population. Polypharmacy in the elderly Polypharmacy – defined as the use of five or more medications – occurs in 20–37% of older people...

Congenital CMV: investigations and management in the audiology setting

Congenital cytomegalovirus (cCMV) is the only cause of congenital sensorineural hearing loss (SNHL) for which there is a medical treatment available to prevent further hearing loss. Dr Simone Walter discusses cCMV infection, cCMV-related hearing loss, and how to facilitate their...