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Recent changes in vestibular science and assessment

Clinical assessment of the dizzy or imbalanced patient is all about the patient’s history. History, history, history. But what about puzzling cases when we feel we need more information? Sally Rosengren gives us a rundown of the vestibular tests which...

Tone deafness and perfect pitch

If you think you are tone deaf, do not despair. Singing tuition should help but it is probably too late to hope to develop perfect pitch. Consultant otolaryngologist and keen musician, Chris Aldren, discusses the complex and fascinating subject of...

Thyroid ultrasound elastography: does nodule stiffness predict malignancy?

Approximately 50% of the general population has a thyroid nodule while 5-15% of these are malignant [1]. A major challenge, therefore, is how to detect the malignant nodules for appropriate, timely treatment and avoid unnecessary, costly investigations for the remainder....

Management of benign oesophageal strictures

Benign strictures of the upper oesophagus and pharynx, while not very common, can be a challenging condition to successfully manage. The authors of this article provide us with a detailed description of their technique for using the CO2 laser, balloon...

Breaking barriers in Uganda: the story of Elaine Mukaaya

More than 9% of sub-Saharan Africa’s one billion people live with disabling hearing loss, with children having among the highest rates of childhood hearing loss in the world [1]. Sadly, in concordance with the inverse care law – proposed by...

Dementia assessments for people with deafness, deafblindness or visual impairment in Scotland

How is the medical community doing with assessing cognitive decline in those with a sensory impairment? The ALLIANCE Scottish Sensory Hub was tasked with finding out. Background There is growing evidence of a connection between dementia and sensory loss. However,...

COVID-19 ENT Useful Resources

Below is a list of useful resources connected to the COVID-19 pandemic. This list will be updated as and when more become available. 1 June - BLA & ENT UK Guidelines (endorsed by RCSLT) : A graduated return to elective...

From the editor September/October 2023

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTw: @Voicedoctor_uk Who do you think you are? And – perhaps equally important – how do you come across to other people? For...

BIHIMA calls for minimum standard for assistive listening systems in theatres

Most theatres use assistive listening systems, but according to the British Irish Hearing Instrument Manufacturers Association (BIHIMA), this does not always ensure a good experience for audiences with hearing loss.

From the editor Jul/Aug 2025

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 Regular readers will know that we have been publishing supplements in different specialties every four months; these give us...

The development of the Paediatric Arabic Auditory Speech Test for iPad

Speech in noise testing provides real-life assessments of hearing that conventional pure tones cannot deliver. Rania Alkahtani describes the development of such a test for Arabic speaking children. It also has the additional benefit of being able to be delivered...

Tinnitus in middle-age: prevalence and incidence

Population-based studies of tinnitus provide crucial underpinning evidence which highlights the need for further research on the effective diagnosis and clinical management of this heterogenous condition. Furthermore, such studies provide evidence of the burden of this condition both on the...