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Voice issues in transgender individuals

Recently, former decathlete and TV personality, Bruce Jenner, admitted that he is transgender, thereby becoming the most famous and vocal advocate for transgender issues. Transgender refers to female to male or male to female identification. In either case, voice modification...

The telemedicine genie is out of the bottle

Delivering healthcare interventions remotely is not a new concept. The authors of this article provide a brief history dating back to the 1930s, when the International Radio Medical Centre was established to transmit medical advice to global seafarers. In the...

How best to follow up a sinonasal cancer?

Sinonasal malignancies are rare tumours and, in the UK, are usually treated in tertiary treatment centres but may well be followed up long term in the patient’s local hospital, so advice on how best to manage these patients is invaluable....

A twitch in time with a flicker of knowledge

The middle ear muscles can be seen as one of the ear’s safety mechanisms, and the interplay between eyes and ears has been established; think vestibular ocular reflex (VOR) or semi-circular canal dehiscence (SCCD). But can this protective mechanism be...

The hidden dementia in motor neurone disease

It is now well recognised that people with motor neurone disease (also known as amyotrophic lateral sclerosis) are at risk of developing frontotemporal dementia. It can be difficult to recognise the symptoms of cognitive decline in this group due to...

Direct your patients to Life On The Level!

Life On The level, a voluntary Balance Condition Support Group celebrates over five years of helping sufferers of all types of balance conditions, living anywhere in the world.

Sinusitis

This beautiful little book is produced by IAPO (Inter-American Association of Pediatric Otorhinolaryngology) and comes at a time when there is growing recognition of the role of nasal and sinus pathology in airway disease. Both adult and paediatic conditions are...

Improving cochlear-implant performance in the short- and medium-term

Can bespoke cochlear implant programming strategies reduce the variability seen in patient performance with an implant? Bob Carlyon reviews the current situation and gives us a glimpse of the future. Although many cochlear implant (CI) patients understand speech well in...

Assessing extended high-frequency hearing

The frequency range of human hearing spans 20 Hz to 20 kHz. In the UK, standard audiometry usually assesses 0.25–8 kHz; the extended high frequencies (EHFs) are those above 8 kHz. The importance of assessing EHF hearing has been increasingly...

10 steps to improving transition to adult services

Children and parents like the reassurance that staying under the care of the team who looked after them from birth gives, but as the child approaches adulthood he / she must come under the care of a new team. This...

A guided tour of the new thyroid nodule guidelines

The 2026 consensus updates thyroid nodule management with clearer risk assessment, tailored biopsy decisions and more consistent follow-up strategies. Setting off: why do we need new signposts? The management of thyroid nodules is familiar territory for many clinicians, but the...

In conversation with Professor Charles Liberman

Just before I left Cambridge to work with the Hearing Sciences group in Nottingham, I spent a very happy hour alone in the company of Professor Charles Liberman, the Director of the Eaton-Peabody Laboratories based at the Massachusetts Eye and...