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New MRI technique assesses treatment response in skull base osteomyelitis

This paper describes another useful imaging technique to monitor Necrotising Otitis Externa (NOE). Echoplanar diffusion weighted magnetic resonance (DW MR) shows high signal on the ‘ADC map’ with active disease and this reduces in signal intensity as symptoms improve. This...

Speech analysis via mobile phone – is there an app for that?

Experienced ENT surgeons will often be able to discern the likelihood of significant laryngeal pathology in a patient referred with dysphonia by the sound of their voice during the initial history-taking phase of a consultation. With the move earlier in...

Early cochlear implant activation and its effects on the cochlea

In this article, Alhabib et al consider the changes to electrode impedance with early device activation (day one) compared to conventional activation (day 30). Activation at day 30 is a cautious approach, which has been popular for many years. However,...

Balloon Eustachian tuboplasty – is it time to start doing it in children?

Given the potential applications for balloon Eustachian tuboplasty (BET) in children, its uptake in most centres has been slow. The reasons for this are multifactorial. There are technical issues – the feasibility of obtaining the correct size balloon and manoeuvring...

ENT OSCEs: A guide to your first ENT job and passing the MRCS (ENT) OSCE – Third Edition

ENT OSCEs has, in recent years, become one of the most widely used resources for trainees preparing for the MRCS (ENT) OSCE. Although the examination has now been phased out, the book remains highly relevant for the everyday clinical responsibilities...

A global view of thyroid surgery practices

The incidence of thyroid cancer continues to increase, and both surgery for benign and malignant disease carries an important and persistent incidence of perioperative complications. This paper reports the results of an electronic survey sent to members of seven surgical...

Who’s minding the gap?

In this article we focus on minding the gap between education and clinical audiology for children and young people who are deaf (CYPD) and their families, through interprofessional education. This article is provided by Dr Joy Rosenberg who leads the...

Unexplained dizziness in elderly patients

How do we explain unexplained dizziness in elderly patients? How far should we go with investigations? And most importantly, how should we manage this challenging and expanding group of patients whose balance affects their safety? Richard Ibitoye and Diego Kaski...

In conversation with Dr Naufal Kassim

Jane and I first met you six years ago, when we were questioning the apparent high incidence of childhood deafness in Tanzania, and it is a real pleasure doing this interview with you. Your contribution to ENT and general health...

Speech perception in the ageing population

Speech perception can present a challenge as we grow older. One of the factors responsible is, of course, hearing loss. Now research indicates that other non-auditory factors like cognitive decline may also contribute to difficulties in understanding speech. The authors...

Does diet have a role in the prevention of tinnitus?

Tinnitus, diet and healthy ageing Despite the high prevalence of tinnitus, its exact aetiology remains unclear. Research has explored the role of various biological pathways in the development of tinnitus including age-related changes in the auditory system, impaired vascular function,...

From the editor Nov/Dec 2024

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTW / X: @Voicedoctor_uk Never let it be said that we don’t provide a broad range of topics for you to digest. For...