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Gender-affirming voice surgery

Professor Ahmed Geneid is a laryngologist and phoniatrician at Helsinki University Hospital and a founding member of the International Association of TransVoice Surgeons. Here, he presents the intricacies and nuances of gender-affirming voice surgery after own hospital’s 30 years of...

The role of artificial intelligence and applications in ENT surgery

AI is progressing apace. If you’re wondering how it might affect our working lives in ENT, read on for insights and a pilot study that show us what may be possible. The recent launch of ChatGPT, an open access artificial...

The emergence of in-office ventilation tubes for the treatment of otitis media in children

In-office tympanostomy tube systems offer a quicker, anaesthesia-free alternative to traditional surgery for children, with promising outcomes and reduced costs. Tympanostomy tube or grommet insertion is the most common surgery performed on children worldwide. Whilst a relatively short and straightforward...

Nasal sidewall reconstruction

Expert reconstruction of nasal sidewall defects requires careful selection of techniques across nasal layers, balancing aesthetics, structural support and patient needs. When reconstructing a nasal skin defect, a variety of factors should be taken into account in order to achieve...

The costs of applying to ENT specialty training

Training doctors is costly. In the UK, medical school costs an estimated £230,000 made up of £163,000 in government grants and £65,000 in student loans [1]. Repayment of the student loan begins once the graduate earns above a certain threshold,...

What does functional neuroimaging tell us about tinnitus?

One of the most common causes of tinnitus is noise exposure, be that either cumulative day-to-day exposure over a lifetime or experience of acute noise trauma such as a loud concert or shooting incident. Observational data indicate that up to...

How cognition influences hearing aid use

Introduction Hearing aids are designed to provide amplification for individuals with poor auditory sensitivity. Signal processing algorithms are designed and implemented in hearing aids to further enhance speech intelligibility and to improve listening comfort by attenuating unwanted background noise. Sarampalis...

Why and what should hearing care professionals know about cognitive impairment and dementia

Good reasons to care about cognitive impairment and dementia in audiology If asking people what they fear most when getting to old age, it is cognitive decline that is named most often. This comes with the expectation of limitations in...

Diabetes and hearing loss: a review

As hearing health professionals we often ask, especially in older patients, if they have diabetes; but what is the link? How is it manifested and should it change current practice? Alec Lapira reviews the changing evidence. Early attempts to establish...

Hidden hearing loss in humans

Awareness of cochlear synaptopathy (‘hidden hearing loss’) is growing. Chris Plack gives us an introduction to the condition, defining it and reviewing recent research in humans and animals with respect to noise exposure. The main cause of hearing loss is...

Taking a fresh look at otoacoustic emissions

So what has changed in four decades of OAEs? Do we now have all the answers? Have we reached our optimum recording ability? Professor Kemp explains what we know, what we don’t know and what’s to come. In the 40...

Physiological mechanisms of hyperacusis: an update

Hyperacusis is a heterogeneous and complex clinical entity, and proposals about physiological mechanisms should reflect these issues. Ben Auerbach helps us navigate through present knowledge in this area, and proposes future directions for research. Hyperacusis is a debilitating hearing disorder...