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Experience on the front line
21st January 2021 Back to basics Yesterday I went right back to where my medical career began. I grew up in Germany, bilingual. A prerequisite to studying medicine in Germany is that applicants have to spend two months working as...In conversation with Simone Botha Welgemoed, dancer and model
In this article, Simone Botha Welgemoed shares deep insights on what it is like to have a profound hearing loss and cochlear implant as a professional ballet dancer and model, and the challenges she faced from childhood to get to...
Lockdown has been bad for children, but it might mean they don’t need surgery anymore
Our editor’s choice for this edition reviews an article looking at the effects of lockdown on symptom prevalence in children with adenotonsillar diseases. In this unprecedented COVID-19 era that we are all living and working in, risk assessment has taken...
Smartphone hearing test
Our Editors’ Choice for this edition reviews an article looking at the use of a smartphone app for hearing screening. We have all had to integrate telehealth into our practice to some extent recently and this paper examines a teleaudiology...
British Skull Base Society Clinical Consensus Document on Management of Head and Neck Paragangliomas (HNPGLs)
All forms of HNPGLs should be managed by a multidisciplinary team (MDT) of core members from skull base otolaryngology, head and neck surgery, clinical genetics, oncology, endocrinology, vascular surgery, radiology and pathology. Extended members include neurosurgery, endocrine surgery, nuclear medicine,...
Can we centralise cochlear implant surgery and keep most appointments close to home?
The NHS Five Year Forward View promoted seeing patients closer to home in order to provide better care, cut down on missed appointments and reduce costs. This encouraged the development of ‘hub and spoke’ models of care, but this model...
Well drilling vs. subperiosteal pocket for cochlear implants – comparison of operative time, complications and cost-effectiveness
The choice of method for securing the receiver/stimulator (R/S) package during cochlear implant surgery is usually dependant on several factors, but primarily surgeon preference. The initial recommendation from manufacturers was to drill a bony well (WD technique) and use bony...
Can amplification preserve auditory function?
Hearing loss is a noted modifiable risk factor for dementia, and is also associated with depression, decreased quality of life and isolation. Hearing aids are the main intervention for presbycusis and a 2017 Cochrane Review showed that they have a...
Moving towards implanting children below 12 months of age
Newborn hearing screening has ensured that deaf infants are identified soon after birth so that habilitation can begin as early as possible. Cochlear implantation is a key component of early intervention for some children, but it is often not performed...
Complications associated with intra-tympanic steroid injections for sudden sensorineural hearing loss
Around 15,000 people in the UK experience a sudden sensorineural hearing loss (SSNHL) each year, and in the majority of cases the cause is unknown. Treatment options for idiopathic SSNHL include various modalities of steroid treatments which have known limitations...
Obstructive sleep apnoea in common vestibular disorders
The importance of getting a good night’s sleep is often acknowledged but may be particularly difficult to achieve for those with obstructive sleep apnoea (OSA). In addition to high blood pressure, increased risk of stroke and depression, balance problems may...
