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Round window niche drilling with intratympanic for ISSHL. A new option for salvage?

This paper from China compares the technique of widening the round window via a posterior tympanotomy approach and steroid-soaked gelatin sponge with intratympanic steroids alone for salvage therapy in severe idiopathic sensorineural hearing loss. Salvage therapy was defined as patients...

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...

Decreased sound tolerance in autism: understanding and distinguishing between hyperacusis, misophonia, and phonophobia

Decreased sound tolerance (DST) affects a significant proportion of autistic people throughout their lifetime and, as Zachary J Williams explains, it is important that clinicians are aware of the three distinct subtypes of DST when making a diagnosis. Autism spectrum...

In conversation with Helen and De Wet in Paris: cochlear implants in the year 2074

The World Congress of Audiology (WCA), held in Paris, France, in September 2024, provided a fantastic opportunity to reconnect with colleagues from around the globe. I took the chance to sit outside in the sunshine with De Wet Swanepoel from...

In conversation with Helen and De Wet in Paris: cochlear implants in the year 2074

The World Congress of Audiology (WCA), held in Paris, France, in September 2024, provided a fantastic opportunity to reconnect with colleagues from around the globe. I took the chance to sit outside in the sunshine with De Wet Swanepoel from...

Erasmus Darwin and the larynx – but why is it where it is and when?

Charles Darwin’s grandfather was not only on to where we all came from by the end of the 18th century, but dared to declare it in verse whilst resident in Lichfield Cathedral Close. This needed exceptional temerity, since not only...

Sound Seekers: audiology in the developing world

Kavita Prasad, the current CEO of Soundseekers, is an inspirational woman in a leadership role within the audiology world. Here, she gives us an overview of the scope of the charity and the ways in which they improve the lives...

Subjective tinnitus – adding mutebutton™ to your tinnitus toolbox

Neurophysiologic tinnitus or subjective tinnitus is typically a sound or a number of sounds that originate from the auditory nervous system. They are unwanted sounds that do not exist in the external environment. They can be heard in one or...

CI music: seeking perfection, accepting reality

Having just read about the challenges cochlear implant technology and music appreciation present, the musician Richard Reed beautifully illustrates the realities of this patient journey. An old friend of mine is an ardent music fan, and completely tone deaf. Long...

Is flexible nasendoscopy really aerosol generating?

Amid the COVID-19 pandemic, the safety of office-based laryngoscopy has been a source of considerable concern, speculation and debate. Flexible nasendoscopy is a key diagnostic tool in the assessment of the ENT patient, however most healthcare providers consider this to...

Maturation of BC attenuation

The aim of this study was to clarify the reason for differences between bone-conduction hearing in adults and infants. The authors investigated how the sound pressure level in the ear canal changes depending on the bone-conduction transducer placement. By using...

Controlling tinnitus

The absence of sufficient evidence for the use of integrated sound generators for the management of tinnitus led the authors to conduct a randomised blind clinical trial in which they compared the use of a conventional hearing aid with a...