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Influence of smoking on vocal fold polyps

A vocal fold polyp is a benign lesion related to phonotrauma which induces upregulation of inflammatory processes and histological changes can occur in the epithelium and lamina propria. Whether smoking produces additional or enhanced changes is the subject of this...

Psychogenic vestibular disorders: understanding and management

‘Psychogenic vestibular disorders’, also known as ‘functional vertigo and dizziness’, are common causes of dizziness and balance difficulty. Although our understanding of their underlying pathophysiology remains incomplete, Drs Diego Kaski and Amy Edwards outline how early identification and positive diagnosis...

What is the evidence for duration of antibiotic prophylaxis in head and neck free-flap cases?

The topic of this systematic review is one which is commonly heard in discussions between microbiologists and head and neck surgeons – what is the evidence for antibiotic prophylaxis in clean-contaminated free-flap cases, and crucially, how long should antibiotics be...

Continuous Ambulatory Vestibular Assessment (CAVA)

This article presents initial test findings using a novel system called CAVA - Continuous Ambulatory Vestibular Assessment. Akin to the 24-hour ECG tape to identify cardiac arrhythmias, this system aims to continuously monitor the presence of a nystagmus pattern in...

Electrocochleography and speech-perception in cochlear implant (CI) patients

It is difficult to predict the speech perception outcomes of cochlear implantation. Previous studies showed that total response electrocochleography (ECochG-TR) may explain the variance in CI performance better than biographic, audiometric, and surgical factors combined. The authors’ objectives were to...

Further understanding of GJB2 hearing loss

For many years, hearing loss has been an area which has attracted the interest of clinical and academic geneticists. Genetic testing for severe-profound hearing loss is now commonplace in many healthcare systems. Understanding the genetics of hearing loss has improved...

Sit back, relax and enjoy the flight! & Arrivals

This series of stories is dedicated to those of you with whom some of these moments were shared (or endured) and, above all, to my amazing and long-suffering husband, David Howard. Most of you know him as an exceptional head...

Tinnitus UK Conference 2025

Join the Leading Event for Tinnitus Research and Care The Tinnitus UK Conference 2025 will be the UK’s premier event dedicated to tinnitus research, clinical management and innovation. Taking place on 19 September 2025 in Birmingham and online, this one-day...

Less pain more gain: impact of prophylactic gabapentin on swallowing outcomes in head and neck cancer patients undergoing radiation treatment

Patients planned for chemoradiation to the head and neck are usually advised to expect some pain and soreness during their treatment and that pain relief will be offered as and when it is required. Uncontrolled pain and mucositis affect oral...

Swallow this: management of dysphagia in progressive neurological conditions

Whether the person with the swallowing difficulty has an acquired or progressive neurological condition, understanding the aetiology will allow the speech and language therapist assessing the swallow to have a better understanding of the likely implications for future swallow management...

In conversation with Robin Youngs

Members of ENT UK (The British Association of Otolaryngologists and Head and Neck Surgeons) have a long tradition of humanitarian work in countries in Africa and Asia (see article with Professor Davis Howard in previous issue for example). The ENT...

The European Board Exam in Otorhinolaryngology-Head and Neck Surgery (EBEORL-HNS) and the benefits it will have on your career

Ulrik Pedersen, Chairman European Board Examination in Otorhinolaryngology-Head and Neck Surgery, and Shawkat Alaa Shawkat Abdulrahman, Rhinology Consultant Tallaght Teaching Hospital, Dublin, outline the history and format of the EBEORL–HNS and demonstrate the huge benefits gained from the qualification with...