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The modern management of Ménière's disease

In this article, John Phillips considers the evolution of management options for Ménière’s disease. Treatment options past and present are discussed, together with an insight into future developments regarding the role of intratympanic steroids. Ménière's disease can be the source...

Developing ENT and audiology services in Southern Africa (Part 2)

In the last issue of ENT & Audiology News, we heard from retired Professor Christopher Prescott on the challenges faced and progress made made locally to address the inequity and inequality of access to ENT and allied health professional services...

The missing link: how migraine neurophysiology amplifies tinnitus

This article discusses an emerging hypothesis linking bothersome tinnitus with migraine-related sensory processing dysfunction. When evaluating patients with tinnitus, a range of contrasting experiences are noted, from mild, non-bothersome symptoms to those associated with significant distress – broadly corresponding to...

A brief overview on chronic facial pain in rhinology practice

Chronic facial pain is a common yet complex issue in rhinology, often neurologic in origin and frequently misattributed to sinus disease. Facial pain is a very common complaint in the rhinology clinic. In a community-based ENT practice where patient symptoms...

Telehealth for cochlear implant follow-up care

For individuals with moderate-to-profound sensorineural hearing loss, cochlear implants are a highly effective form of hearing rehabilitation. Despite their effectiveness, utilisation is low, with approximately only 12.7% of suitable adult candidates receiving implants. Barriers to access include the geographic distribution...

William Hunter’s work on the anatomy of the human ear

The Hunterian Society offers an annual award for an essay and presentation on a subject of relevance to John or William Hunter, or medicine in the 18th Century. This article is based on Emma Stapleton’s 2014 winning essay, which was...

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...

Giacomo Puccini’s laryngeal cancer

Giacomo Puccini, one of the best known composers of all time, was diagnosed with laryngeal cancer and died from the disease in 1924. In this article, Rosario Marchese-Ragona and Alessandro Martini describe Puccini’s experience of the disease with quotes from...

Reducing hierarchy for individuals and teams across ENT

Alexander Pope said that “to err is human”, but medical errors can have serious consequences. How can better communication minimise the risk of them occurring in the first place? Allowing all members of the surgical team to feel empowered to...

Ultramarathons, frostbite and running with wolves

“I could just keep going when most sane people would stop”- the secret to success in head and neck surgery? In August 2015 I crossed the finish line of La Ultra - The High. A small camp of tents and...

Streamlining ENT pathways

Laryngopharyngeal reflux (LPR) may present with severe extra-gastrointestinal symptoms – including a persistent cough, vocal problems, asthma or difficulty swallowing – that can be incorrectly attributed to ENT problems because patients and GPs alike assume they stem from colds, allergies or over-using the voice.

Making the most of your surgical rotations as a medical student in theatres

This article provides practical tips for medical students to navigate theatre etiquette, engage with teams and gain valuable surgical experience. I am the kind of person who needs a set of alarms ringing every two minutes just to get out...