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1986 results found

Dysphagia in complex laryngology – maintaining the balance

These authors from the speech and language therapy department at Imperial College Healthcare NHS Trust, describe their view of a patient-centred approach to managing dysphagia in complex laryngology. Careful consideration of the balance of airway, voice and swallow, which is...

Intraoperative MRI use during pituitary tumour resection

This article provides an overview of intraoperative MRI (iMRI) use in transphenoidal surgery (TSS) for pituitary tumours. Traditionally imaging of the surgical field during surgery involves intraoperative fluoroscopic imaging or neuronavigation which help to avoid injury to critical structures but...

Dead regions in patients with cochlear implants

The very nature of a dead region (DR) in a cochlea means that they are often found in patients who are eligible for cochlear implants. However, a variety of different hearing configurations are found in those with DRs because of...

In space no-one can hear you scream…or can they?

Plasma, eardrums the size of planets and questioning the wisdom of your school physics teacher! Martin Archer explains the fascinating world of sound and space. Is there sound in space? If you believed the marketing of the movie Alien, or...

Mindfulness meditation: how personal experience of managing severe pain contributes to understanding tinnitus management

In this interesting article the author describes the potential benefit of mindfulness in the management of tinnitus, using a case report to illustrate this.This may well be an additional direction we can suggest for our patients. Mindfulness is a word...

The seven ages of BACO

Chris Potter is a man whose prose style needs no introduction. Here, he gives us a poetic discourse on the different generations of attendees at BACO. Alfred, Lord Tennyson has washed his hair and can’t do anything with it. It’s...

Sleep apnoea in children with craniofacial syndromes

Whilst snoring and obstructive sleep apnoea are relatively common diagnoses in paediatric ENT, children with craniofacial syndromes take the problem to the next level. Robert Nash and Michelle Wyatt describe the Great Ormond Street multidisciplinary approach to treating this complex...

The role of metrics in studies of hearing and cognition

Introduction When perceiving sounds in real-world listening environments, older adults encounter several sources of degradation that can interfere with the perceptual process (Figure 1). Target signals (i.e. the sounds that a listener wants to focus on) have specific acoustic characteristics...

Clinical guidance: using the NAL-NL3 Fitting System in practice

NAL-NL3 modernises hearing aid prescription with modular, evidence-based modules, improving real-world comfort and communication for diverse listening needs. Hearing aid prescription has long relied on a single, audiogram-based formula to guide amplification. While this approach has delivered reliable outcomes for...

Maxillofacial and neck surgery in Iraq and Afghanistan

Introduction Over the past 150 years, military personnel wounded in action had a survival rate of approximately 80% [1]. During the current conflicts in Iraq and Afghanistan, those servicemen wounded in action have a 90.4% survival rate [2]. During the...

ENT leadership

Challenges The first challenge is to agree what we mean by the term leadership because there are many different ways in which the term is used. What is, however, a consensus is that the key distinction between leadership and management...

The changing role of audiology

Audiology has changed dramatically in recent years. Cochlear implants and high power hearing aids have made hearing really available to children with essentially any degree of hearing loss. Those of us who have been in the field for a long...