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Hidden hearing loss in humans

1 March 2018 | | ENTA - Audiology - Diagnostic, ENTA - Audiology - Adult
Awareness of cochlear synaptopathy (‘hidden hearing loss’) is growing. Chris Plack gives us an introduction to the condition, defining it and reviewing recent research in humans and animals with respect to noise exposure. The main cause of hearing loss is...

Anaesthesia for excision of vestibular schwannomas

27 February 2020 | | ENTA - ENT, ENTA - Otology
The ‘shared airway’ relationship between ENT surgeons and anaesthetists is well documented. But ENT surgery and anaesthesia interact in numerous other ways, particularly in complex skull base surgery. What do our anaesthetic colleagues want us to know about vestibular schwannoma...

The delivery of ENT services in Mongolia: what are its obstacles?

1 January 2019 | | ENTA - ENT, ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Audiology - Paediatric
Globally, the burden of ENT disease is great. Disabling hearing loss (DHL) for example, is reported to affect half a billion people worldwide. The majority of afflicted individuals live in lower and middle-income countries (LMIC) [1]. This article, a collaboration...

Retrieval of an aspirated voice prosthesis in the awake laryngectomised patient

3 March 2021 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
In this article, the authors describe a simple and effective technique for extracting an aspirated voice prosthesis from within the tracheobronchial tree in the awake laryngectomised patient using the Ambu® aScopeTM 4 Broncho endoscope. Surgical voice restoration remains the dominant...

Monitored safe medical practice: minimising patient harm will reduce medical negligence bill for the NHS

1 September 2018 | | ENTA - ENT
Patrick Bradley ruminates on a celebrated career in ENT head and neck surgery and suggests that increasing the possibility of positive outcomes to contemporary patient safety initiatives by the NHS must involve efforts to develop an enthusiastic contented workforce willing...

Beyond ‘sticky floors’ and glass ceilings’: eight women department and society leaders share their stories

1 September 2019 | | ENTA - ENT
In the United States and Canada, there have been a total of 12 women otolaryngologists who have achieved high positions of leadership. Eight of these women were interviewed for this piece. Each woman’s responses were thoughtful and truthful. Common themes...

Update on the development of an implantable vestibular prosthesis

1 November 2015 | | ENTA - Auditory Implants, ENTA - ENT, ENTA - Vestibular Disorders
Cochlear implants have revolutionised the management of profound hearing loss. Might vestibular implants be the future for the treatment of bilateral vestibular failure? James Johnston and Neil Donnelly explore. The vestibular system is highly complex, integrating visual, labyrinthine and proprioceptive...

The evolving role of OAEs in newborn hearing screening

1 May 2018 | | ENTA - Audiology - Paediatric
An admission on emissions from James Hall! OAEs hold an established place in the screening of infants; Professor Hall introduces how OAEs established this position and the advances keeping the test relevant to today’s infant screening battery. Introduction Truthfully, when...

ENT and evidence-based medicine: How do they benefit each other?

1 November 2016 | | ENTA - ENT
How do we assess evidence, and how should ENT surgeons use EBM? Evidence-based medicine (EBM) is the practice of medicine based upon high quality scientific research. There are several formal definitions of EBM, the most widely quoted being that of...

Superior semicircular canal dehiscence: transmastoid obliteration

1 September 2017 | | ENTA - Audiology - Diagnostic, ENTA - ENT, ENTA - Head & Neck, ENTA - Vestibular Disorders, ENTA - Otology
Sometimes patients with dizziness turn out to have slightly more unusual causes of their problem. Thomas Milner and Georgios Kontorinis describe their technique for managing patients who have a diagnosis of superior canal dehiscence as an identified cause of their...

Hearing loss and cognition: something to think about

3 March 2021 | | ENTA - Audiology - Adult
Irace, Chern and Golub propose causal and non-causal mechanisms for the links between hearing loss and dementia, concluding with a discussion of several proactive measures available to help preserve neurocognitive health in older adults with hearing loss. What is age-related...

Bringing space science to balance and tinnitus

1 July 2016 | | ENTA - Vestibular Disorders
Jameel Muzaffar is a specialist registrar in ENT surgery in the West Midlands. His research interests include applications of imaging to ENT. Chris Coulson is a consultant otologist, particularly interested in the development of technological solutions. He is part of...