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The role of prediction and gain in tinnitus
Dr Will Sedley is a Clinical Academic Neurologist who has done groundbreaking work in the field of tinnitus mechanisms. Here, he introduces and explains the concepts of prediction and of gain as they relate to troublesome tinnitus. This article focuses...
CI and CP
Quality of life improvement is one of the main goals of cochlear implantation. Mobile phones are now a standard daily tool. For many implanted patients, a mobile phone is used for sending short messages rather than for voice calls. This...
Clonidine based vs Remifentanil based hypotensive anaesthesia in FESS
A study investigating the use of clonidine preoperatively in FESS surgery. A double blinded trial of 47 patients in Barcelona randomised into receiving clonidine (20 minutes preoperatively) versus Remifentanil (continuous infusion). Propofol and fentanyl were used for induction and then...
Antibiotics in orthognathic surgery
This paper from the Netherlands looked at 137 patients over a one-year period, 18 of whom had Le Fort I procedures, 68 bilateral sagittal split surgery, and 51 bi-maxillary surgery. A further 54 surgical procedures were undertaken, including 15 having...Why and how I enjoy the history of Otorhinolaryngology, Head and Neck Surgery (OHNS)
In the first article of this History of ENT edition, Albert Mudry explains why history is so intrinsically relevant to the practice of medicine and tells us how to use history as a foundation for the discovery of new ideas,...
How would you like your cartilage served – diced, crushed or shaved?
Harvested cartilage can be used to enhance the structural, functional and aesthetic properties of the nose in rhinoplasty. The practice of mechanical fragmentation of harvested cartilage in rhinoplasty is varied with no clear consensus with respect to its indication. This...
Oropharyngeal malignancies
The authors retrospectively reviewed 44 patients who underwent a combined transoral and transcervical treatment without mandibulectomy for oropharyngeal malignancy. The combined approach was performed first by a neck dissection followed by transoral excision of the lesion and reconstruction by a...Targeted focal parathyroidectomy
Leanne Hamilton and Louise Clark describe their technique for helping to localise parathyoid adenomas. Surgically this can be difficult, so careful preoperative evaluation using imaging as described can help minimise difficulties intraoperatively when identifying the parathyroid adenoma. Preoperative imaging has...How I lost my hearing aid…and other patient experiences
All audiologists, I am sure, would claim that they give full explanations of hearing aid controls and use of the devices at all fitting appointments. However, we know that patients do not always absorb all that they are told and...
Balloon dilatation of the eustachian tube - largely very safe but not entirely without risk
Consent is a fundamental part of our daily working lives. This is something as simple as consent to examine a patient, consent to undertake a procedure as minor as taking blood, through to consent for a major operation. Whatever the...Public health planning for hearing impairment (2017)
In 2009 Professor Andrew Smith and Dr Daksha Patel identified the need for awareness of public health methods in hearing healthcare planning. In 2010 the first training course was held, and since then 760 health workers from 41 countries have...
