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Intratympanic steroids in Ménière's disease: what’s the evidence?

The days of drastic surgery for Ménière's disease are long gone. We know that intratympanic injections can deliver high doses of medication to the inner ear with minimal discomfort and minimal risk. But how do we choose from the myriad...

Endotypes in chronic rhinosinusitis: clinical relevance

Identifying endotypes enables personalised therapies that target specific pathophysiological processes, potentially resulting in better treatment outcomes for patients. The contemporary model of chronic rhinosinusitis (CRS) pathogenesis revolving around endotype, in combination with an expanding toolbox of diagnostics and therapeutics, enables...

Communication Disorders: a combined discipline of audiology and speech and language pathology – the Israeli perspective

Liat Kishon-Rabin provides an excellent summary of audiology training in Israel, encapsulating the development of audiology services in the country. Readers will be intrigued by the systematic approach taken to its development, and its pairing with speech and language pathology....

Targeting the microbiome in chronic rhinosinusitis

Researchers at St Paul’s Sinus Centre and UBC in Vancouver are testing a novel treatment for CRS: transferring mucus from a healthy donor into a patient’s sinuses. Chronic rhinosinusitis (CRS) is one of the most common diseases managed by otolaryngologists...

Assessing dizziness-related quality of life in the paediatric population

In this article, Devin McCaslin and Gary Jacobson share their experience of assessing dizziness-related quality of life in paediatric patients, and demonstrate that the involvement of care-givers is vital in ensuring the most appropriate assessment and treatment for this particular...

Hearing healthcare in India

With a population of more than a billion people, and an estimated prevalence of hearing loss of somewhere between 5.9% and 16.5%, depending on which definition you use, India has a significant number of hearing impaired individuals. They are served...

Noise monitoring on a smartphone

“The smartphone has more computing power than was used to put the first man on the moon.” Robert Eikelboom discusses the potential of the smartphone as an effective noise monitoring device. Noise exposure and public health Excessive exposure to noise...

Hearing care systems – European examples

In this article, Vice President of the European Federation of Hard of Hearing, Lidia Best, explores the drivers for improvement and change in European hearing care systems. In 2010, the European Committee for Standardization (CEN) issued the EN-15927 European Standard...

Microgravity: an extreme environment for otolith organs

Motion sickness in a car can be upsetting for all involved. Transferring this concept into a tiny cabin bound for space could have devastating consequences. Are the processes involved in ‘space motion sickness’ the same as motion sickness? How do...

Mapping the financial and disease burden of hearing loss and associated interventions

The prevalence and burden of ear and hearing disorders is huge and, historically, has been underappreciated. Globally, unaddressed hearing loss poses a growing public health challenge, requiring urgent attention from policymakers, health professionals and civil society. The recently published World...

Mapping the financial and disease burden of hearing loss and associated interventions

The prevalence and burden of ear and hearing disorders is huge and, historically, has been underappreciated. Globally, unaddressed hearing loss poses a growing public health challenge, requiring urgent attention from policymakers, health professionals and civil society. The recently published World...

Aspirin desensitisation for aspirin-exacerbated respiratory disease (AERD)

In this article, the authors describe the importance of identifying aspirin-exacerbated respiratory disease in patients with chronic rhinosinusitis refractory to standard medical treatment. This can then open the door to considering aspirin desensitisation treatment which, in their hands, has proven...