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Detecting postoperative cholesteatoma with diffusion weighted magnetic resonance imaging

Middle ear cleft cholesteatoma is an inflammatory disease that erodes local bony structures and can cause otorrhea, hearing loss, vertigo and intracranial complications. It is usually treated with surgery, typically canal wall up (CWU) or canal wall down (CWD) surgery....

2020 Unmasked: Hidden strengths and vulnerabilities laid bare - By Joseph Sinnott

Masks were everywhere in 2020. The most visible to stop the spread of COVID-19 but others concealed soon-to-be revealed strengths and weaknesses. In April 2020, the UK Prime Minister was taken to intensive care suffering with this new and frightening...

Introduction to Aural Rehabilitation Serving Children and Adults with Hearing Loss - Third Edition

As the name indicates, this book deals with the bread and butter of audiologists or at least what should be our bread and butter. We work with changing people in changing environments, therefore, along with an acute understanding of technology,...

Case study suggesting mtDNA mutation as a tinnitus factor: ND1:m.3394T>C

Konadath et al report a genetic case study of a 24-year-old female experiencing reduced hearing sensitivity and tinnitus along with a blocked sensation in her right ear, sudden onset one year prior with no other otological complaints. Standard audiometry along...

Time to professionalise medical leadership

For a profession proud of its adherence to an evidence base, medicine has been remarkably slow to acknowledge and to act on the evidence which underpins the value of good leadership to patients and the healthcare system. Mr Robert Francis...

Audiology in this issue...New Landscapes in Audiology

Keiran Joseph, Clinical Lead, Evelina London, Children & Young People’s Audiology Centre, Guy’s & St Thomas’ NHS Foundation Trust, UK. E: Keiran.Joseph@gstt.nhs.uk Over the past year, the world of audiology has changed faster than ever before. The COVID-19 pandemic has...

ChatGPT Quiz skills need refinement!

On 30 November 2022, ChatGPT was launched, free for all to use online. For those who are not aware, ChatGPT (Chat Generative Pre-trained Transformer) is an artificial intelligence (AI) chatbot which utilises the web to create detailed and natural human-like...

Nasal septoplasty: is it more effective than medical management?

Question1. How do we know that undertaking an operation will benefit a patient? Question 2. How do policy makers / health systems know an operation is effective and ‘good value for money’? As trained professionals, we spend our careers seeking...

Continuous intraoperative neural monitoring and thyroid surgery

Continuous intraoperative neural monitoring enhances thyroid surgery safety, helping predict and prevent recurrent laryngeal nerve injury in real time. Recurrent laryngeal nerve (RLN) injury with resultant vocal cord paralysis (VCP) can have a significant impact on patient quality of life...

Cochlear implant care for deaf children in Côte d’Ivoire

Deafness is a global public health problem. More than 1.5 billion people (nearly 20% of the global population) live with hearing loss, and 430 million of them have disabling hearing loss, including 34 million children. In sub-Saharan Africa, nearly eight...

2014: Are today’s implantable devices better than conventional solutions for patients with conductive or mixed hearing loss?

Patients with conductive or mixed hearing loss become candidates for amplification when reconstructive surgery is not viable. Three common amplification options are conventional acoustic devices, such as behind-the-ear devices (BTEs), (implantable) bone-conduction devices and active middle ear implants. The goal...

Monstrous craws and horrid butchery: a concise history of thyroid surgery

Prior to the foundation of our speciality, thyroid surgery had a dubious reputation and universally dismal outcomes. Jenny Walton casts a critical eye over this dark chapter. Diseases of the thyroid gland have been referenced in historic texts for well...