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Gadolinium enhanced MRI and the diagnosis of Ménière’s disease

Despite various criteria applied over the years to diagnose Ménière’s disease since the concept of endolymphatic hydrops was first observed in postmortem examinations of patients in 1938, the diagnosis still remains mainly clinical. To visualise endolymphatic hydrops in MRI imaging,...

Parapharyngeal space tumours – is the transoral approach effective?

Several approaches are described to the parapharyngeal space to permit resection of tumours in this region, with the most commonly employed approach being the transcervical route. The transoral approach remains somewhat controversial as it is felt that this approach can...

Intra orbital treatment to save the eye!

Invasive fungal sinusitis can be a devastating condition, and accepted management is surgical debridement of infected tissue, systemic antifungal treatment and reversal of immunosuppression. Orbital involvement is common, affecting up to 75% of cases, and in advanced disease orbital exenteration...

Not the answer yet, but it may be in the future

AI is certainly a topical issue these days and radiomics refers to techniques which allow the extraction of quantitative features from medical imaging to produce large data sets for clinical problem solving. This paper looks at CT imaging of the...

Optimal timing of radiological follow-up in detection of cholesteatoma recurrence

This is a meta-analysis assessing the optimal timing of postoperative magnetic resonance imaging (MRI) for surveillance in detecting cholesteatoma recurrence. A systematic literature review of searches of articles between 2013 and 2024 in PubMed, Embase and Cochrane were conducted according...

Perspectives on audiology training and education in Canada and New Zealand

In this Trainee Matters we look at audiology training in two different locations from around the world, Canada and New Zealand. Marshall Chasin gives us an overview of the education system in Canada, while Amy Arrowsmith explains the history of...

Sound sensitivity in children

Sound tolerance symptoms in young patients can be a challenge, Veronica Kennedy and Claire Benton share their clinical experience in navigating the issues that can arise in diagnosis and management. In any noisy environment, it’s a common sight to see...

From the editor November/December 2023

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTw: @Voicedoctor_uk There can be no more pressing and worrying issue in the global consciousness than climate change. The alarming rise of disinformation...

Remote care apps: comparing the options

With much of the world in full or partial lockdown and social-distancing measures in full swing, the COVID-19 crisis has sparked renewed interest in remote teleaudiology services. Modern teleaudiology platforms, now offered by all major hearing aid brands, offer audiologists...

Moving forward for better communication for the Deaf and hard of hearing – Wavefront Centre

Now more than ever, guaranteeing accessibility and inclusion is a vital need for people of all abilities. The Wavefront Centre for Communication Accessibility in Vancouver, BC, is a model on to how to effectively address these issues and serve the...

The history of bone-conduction devices

The evolution of bone-conduction hearing devices from the 1400s’ rudimentary designs to today’s advanced models has greatly improved hearing for individuals with conductive or mixed hearing loss. This article delves into the history and technical advancements over the years, as...

In conversation with Paul Surridge, BIHIMA Chair

With the launch of an exciting new toolkit for GPs and global challenges to the hearing instrument market, it seemed a timely opportunity to catch up with Paul Surridge, BIHIMA Chair, for a virtual coffee and chat about the industry....