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Modified barium swallow studies: what is the radiation risk?

A modified barium swallow study (MBSS), also called a videofluoroscopy swallowing study uses ionising radiation to assist the clinician in visualising swallowing biomechanics from the oral cavity to the oesophagus. This procedure is currently one of the best methods used...

Textbook of Otitis Media: The Basics and Beyond

This book is a comprehensive resource that discusses the multifaceted condition of otitis media. It aims to serve a wide range of medical professionals, including otolaryngologists, audiologists, paediatricians, and medical students, by providing both fundamental knowledge and advanced insights into...

The Business of Audiology

Brian J Fligor, PhD, PASC, President, Audiologist-in-Chief, Tobias & Battite Hearing Wellness, Boston, Massachusetts, USA. DrBrian@tobias-battite.com When it works well, capitalism is an excellent driver of innovation, generation of wealth, and adherence to best practices resulting in optimal outcomes. When...

Less than full time training: the best of both worlds!

Every one of us can feel the pressures of competing interests of everyday life and commitment to our careers. This can be even more difficult when bringing up a young family, especially when we have had to move away from...

Anaesthesia for sleep nasendoscopy and snoring / obstructive sleep apnoea surgery

Surgery for sleep disordered breathing inevitably requires surgeon and anaesthetist to share the airway. Here, Edward Bick gives us the anaesthetic viewpoint, reiterating that communication is the key. A specific note is made of the anaesthetic technique for sleep nasendoscopy,...

Drug eluting stent vs INCS for CRS

A prospective, randomised study from Finland to compare a drug eluting stent (DES) and intranasal corticosteroids (INCS) in 63 patients as assessed by SNOT-22, VAS, endoscopy, CT and rhinometry pre-treatment, at three and six months post treatment. Recruitment was over...

Clinical Management of Children with Cochlear Implants - Second Edition

This substantial volume is nearly 900 pages long but definitely worth the shelf space. That said, it hasn’t actually made it to a shelf since its arrival at our department as everyone who spotted it has wanted to borrow it!...

Management of patulous eustachian tube dysfunction

Idiopathic sudden sensorineural hearing loss (iSSNHL) is defined as a hearing loss of 30 dB or more at three contiguous frequencies within 72 hours, with acute low-tone hearing loss (ALHL) excluded from this category. Despite standard treatment, outcomes vary: one-third...

Musical hallucinations and audiology

Many of us will have been stuck with an ‘earworm’ for a day but consider how it would be to have that earworm stuck on repeat, possibly forever. Drs Lauw, Blom and Coebergh review the current literature on musical hallucinations...

The challenge of disrupting the hearing care market in the USA

Barry Freeman, an Audiology Consultant of extensive global experience, examines the business model of hearing care service delivery in America. He discusses the challenges the profession has faced, and proposes some food for thought on learning from other health care...

Government Guidance on Hearing Aids

The UK Government’s Department of Health and Social Care (DHSC) has announced that tens of thousands of people with hearing loss will have access to new hearing aid devices, thanks to fresh guidance allowing businesses around the world to sell certain pioneering hearing aids in the UK.

CT-scan instead of rigid bronchoscopy in paediatric foreign body aspiration?

Many centres would still use rigid bronchoscopy as the gold standard for possible foreign body aspiration (FBA) in children. Evidence is growing that CT scanning in these situations is a reliable alternative, especially as rigid bronchoscopy (RB) still carries a...