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Untangling the emotional and physiological aspects of hyperacusis

In hyperacusis, the physiological and the emotional aspects can become deeply entwined. Dr Sarah Theodoroff draws us into her perspectives on this important aspect of the condition. Background Sounds and Emotions The basic act of hearing sounds triggers an emotional...

Manual of Paediatric Balance Disorders

There is a lot of literature available describing the pathophysiology and causes of balance disorders in adults. However, balance disorders in children are not as well understood and this is reflected in the relative dearth of literature. The standard reference...

Better Hearing with Cochlear Implants

This soft cover book of 453 pages describes in detail the work undertaken at the Research Triangle Institute (RTI) in North Carolina which has led to many of the designs and theories of speech processing in cochlear implantation. It is...

Otolaryngology Prep and Practice

Jennifer Shin and Michael Cunningham from Boston, USA have published an impressive book with 37 chapters in 1226 pages. It aims to enable the reader to retain ENT knowledge by presenting it in a way that enforces application of knowledge,...

Surgeon, Heal Thyself

Once a taboo topic, stress and psychological illness in doctors is now much more widely discussed. This is probably partly due to changing societal attitudes (with more acceptance of the importance of acknowledging mental illness) and changes amongst medics themselves,...

History of photography in otorhinolaryngology in the 19th Century

In this final article of the History of ENT edition, João Clode introduces us to the history of medical photography in the 19th century, giving us some fascinating early examples of otorhinolaryngology photographs. Medical photography – the early years The...

Random-pattern skin flaps: part 1 – advancement flaps

In the first of a short series covering random pattern skin flaps and their use in clinical practice (see Part 2 here, Part 3 here and Part 4 here), Christopher Thompson and Miles Bannister describe in some detail their techniques...

Cartilage myringoplasty to treat patulous eustachian tube dysfunction

Patulous eustachian tube (PET) dysfunction, where the eustachian tube is abnormally opened at rest, is a notoriously difficult condition to treat. Symptoms can mimic symptoms of superior semicircular canal dehiscence: autophony, aural fullness, hyperacusis and breathing synchronous tinnitus. Treatment has...

How well are we managing epistaxis cases?

Epistaxis constitutes 34.5% of all emergency admissions to otolaryngology departments nation-wide. Presently there are no detailed consensus guidelines for this commonest emergency, and there is tremendous variation of practice. Quite often, non-ENT trained doctors manage this emergency. This paper reviews...

Postoperative bleeding rates after inferior turbinate reduction using three different techniques

The most serious complication of inferior turbinate reduction surgery is postoperative bleeding, soon after the operation or later on. In this study comprising 751 patients, the authors have compared three common methods. Partial turbinectomy involved resection of the inferior turbinate,...

The mounting burden of hearing loss worldwide: gearing up global collaboration

As audiology and ENT professionals we all have an inkling about the prevalence and impact of hearing loss, but the true gravity of the situation is even greater than previously thought… It may seem hard to believe, but in the...

Cochlear implants and speech perception

Cochlear implants can be an effective treatment for specific hearing losses. They may often be the only way to restore hearing for profoundly deaf people. Therefore, it is very important to understand all processes that may influence effective fitting of...