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The Dilemma of Beethoven’s Deafness
Beethoven was one of the world’s greatest musicians, and his deafness is well known. Many details of his medical conditions are known, and various theories of his hearing loss have been proposed. Ludwig van Beethoven was born in 1770 in...Leadership challenges in the world of AQP and accreditation – learning from experience
The words ‘choice and competition’, ‘any qualified provider (AQP)’ and ‘accreditation’ have irrevocably become part of audiology jargon in the last two years in England. Commissioners who chose ‘Adult Hearing Aid Services for age-related hearing loss’ have begun the process...
Lost and sound: exploring hyperbaric oxygen therapy for refractory SSNHL
Can hyperbaric oxygen therapy (HBOT) offer a breakthrough for patients with refractory sudden sensorineural hearing loss (SSNHL)? SSNHL is defined as acute hearing loss of ≥30 decibels in three consecutive frequencies within three days. Typically, it’s treated with two weeks...
N-acetylcysteine may have a role in the protection of cochlear hair cells
Gentamycin is an aminoglycoside antibiotic which is widely used throughout the world, despite its ototoxic potential. It therefore seems wise to continue the search for accessible otoprotective agents. The aim of this study was to clarify the potential protective role...
Unilateral vocal cord mobility impairment and laryngopulmonary physiology
The concept of iatrogenic recurrent laryngeal nerve injury following thyroid surgery is often considered with respect to voice change but its potential impact on airway physiology has thus far not been evaluated. A cross-sectional observational study reviewed 21 patients with...
Is benign intracranial hypertension underdiagnosed in patients with spontaneous CSF leaks?
In ENT practice we come across spontaneous CSF leaks. Patients present either as unilateral watery rhinorrhoea or otorrhoea, or sometimes as hearing loss with a watery middle ear effusion. Clinicians, after confirming the diagnosis of CSF leak with beta 2...Otoacoustic emissions in the diagnostic test battery for hearing loss
So, they are great for screening, but how can otoacoustic emissions be integrated into the diagnostic test battery? Beth Prieve examines the role of diagnostic OAEs by asking three simple questions. Audiologists and otolaryngologists are familiar with otoacoustic emissions (OAEs)...
I am Malala
Tuesday 9th October, 2012 started like any other ordinary day in the life of a 15-year-old girl in Swat, Northern Pakistan. A trip to school and back with an exam in the morning. But this was not a normal day,...
Friendly bacteria in the ear nose and throat to combat the bad…
The author presents a thorough review of bacterial interference and the studies that have been conducted in common ENT conditions. The simple concept is that a strong population of normal flora will interfere with colonisation and subsequent infection by pathogenic...
To drain or not to drain
These two separate papers neatly tie together the same ideas. The first, a retrospective study of 107 patients and 116 procedures over a 10-year period who underwent a CSF leak repair, 82.2% without a lumbar drain and 17.8% with. The...
Outpatient closure of CSF leaks: a good idea or a step too far?
After day-case septoplasty, day case thyroidectomy, now day case CSF leak repair – has the pendulum moved too far? The authors put forward a convincing case for what, only 10 years ago, would have sounded like a provocation. They quote...
