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Questionnaires to measure tinnitus severity

The handicap associated with tinnitus can arise from any combination of stress, anxiety, depression, emotional distress, insomnia, difficulties concentrating, or impairments in quality of life or everyday functioning. Measuring such handicap and determining clinical need is therefore far from trivial....

Accurately diagnosing reflux to direct personalised treatment

Laryngopharyngeal reflux (LPR) frequently causes severe extra-gastrointestinal symptoms – such as a persistent cough, vocal problems, asthma or difficulty swallowing – that can be easily confused with a common cold and allergies.

St Æbbe the Younger of Coldingham, patron saint of the nose

Stories of the saints are often rather dark and unpleasant – and this is certainly the case with St Æbbe, as we hear from our roving historian, John Riddington Young. In two previous articles, we have discovered the fascinating stories...

TEN testing in paediatric patients

Threshold equalising noise (TEN) testing is used to identify dead regions (DRs) of the cochlear. Alexandra Lusty considers the challenges of using the TEN test in the paediatric population as well as the importance of identifying DRs. Diagnosing dead regions...

Brussels, a multicultural city with varied ENT practice

Brussels has a proud history in the world of ENT. Jérome Lechien, who is on the Communications Committee for the CEORL-HNS 2019 Congress, and Daniele de Siati, a member of the international Scientific Committee, give us a history lesson and...

ENT in this issue...The Future of ENT (Mar/Apr19)

Chris CoulsonENT Surgeon; Managing Director of endoscope-i E: chris@endoscope-i.com The future, predict it at your peril’, said me – just now. But despite this (rather late) warning, we have managed to commission five articles from futurists within our midst. The...

Management of necrotising otitis externa

Although uncommon, necrotising (previously malignant) otitis externa (nOE) can be very aggressive, particularly if not managed appropriately. In this study the authors perform a retrospective review of 25 patients admitted with nOE over a four year period at a tertiary...

A comparison between trainee and trainer outcomes in mastoid surgery

In this era where training faces restrictions due to theatre time, fewer sessions available to trainees and requirements of consultant-led and consultant-delivered services, one unit confirmed that myringoplasties given to trainees reduced from 34.2% to 16%. This study compares outcomes...

Can we prevent chronic rhinosinusitis?

The old adage ‘prevention is better than cure’ is considered by Professor Hopkins in respect to chronic rhinosinusitis, a condition affecting around 10% of the adult population and associated with huge impact on quality of life and economic cost. A...

Military noise induced hearing loss and the Lost Voices report: the evolution of earshot

Brigadier Robin Garnett gives us a snapshot of the 2014 Royal British Legion report on hearing problems of Service personnel and veterans. The difficulties in assessing and managing hearing loss are reiterated in this article, with an introduction to how...

From aaargh to zzzzz: the ABC of paediatric anaesthesia

Andrew McTavish is one of those special breeds who not only relishes complex anaesthesia, but also does so in paediatric patients. Dealing with this group of patients requires careful planning according to accepted practice, and here he discusses some recent...

Music and single-sided deafness: challenges and solutions

Music is an integral part of many of our lives, providing entertainment, relaxation and a backing track to our past experiences. In this overview, Gemma Crundwell and David Baguley examine the impact of SSD on the perception of music and...