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Review: Cochlear Implantation in SSD?

Contra lateral routing of signals (CROS) using hearing aids and bone conduction devices has been the conventionally accepted modality for the treatment of single sided hearing impairment. The CROS hearing aid has been found to improve speech understanding in noise,...

International classification of bilateral vestibulopathy (BVP)

In the past few years the Bárány Society have been standardising the diagnostic criteria for various vestibular disorders – International Classification of Vestibular Disorders (ICVD). Diagnosis of BVP relies on history, bedside clinical assessment and objective vestibular tests. The authors...

Hidden genetic disorders in children that may present to the otolaryngologist

Background Among the many hundreds of children presenting to the otolaryngology clinic are a few whose symptoms are due to an underlying genetic condition. In most cases the underlying syndrome is obvious and has already been diagnosed, such as the...

Pioneering in simulation surgery

Plastic temporal bones transformed ear surgery training, letting trainees practise complex procedures safely before operating on patients. I attended the Stell and Maran’s surgical course in the early 70s. It was superb but, with the confidence of naivety, I thought...

SEQaBOO: SEQuencing a Baby for an Optimal Outcome

There are at least 15 countries now running genome sequencing projects. The team in Manchester, UK, and Boston, USA, share their SEQaBOO project. Abstract SEQaBOO (SEQuencing a Baby for an Optimal Outcome) will transform newborn hearing screening (NBHS) by bringing...

Everyone has the right to say no

Despite the introduction of the Mental Capacity Act in 2005, healthcare professionals remain uncomfortable with individuals who choose not to follow medical advice - who make informed decisions to decline a treatment or management plans. This paper highlights that speech...

Beyond ‘sticky floors’ and glass ceilings’: eight women department and society leaders share their stories

In the United States and Canada, there have been a total of 12 women otolaryngologists who have achieved high positions of leadership. Eight of these women were interviewed for this piece. Each woman’s responses were thoughtful and truthful. Common themes...

Migraine related vertigo

Migraine is one of the commonest conditions an otologist will have to manage with up to half of migraineurs displaying vestibular symptoms. David Selvadurai provides an overview and management plan for this increasingly well recognised disorder. Migraine is a common...

Gardasil vaccination for laryngeal RRP – an update

This paper reports the results of a follow-up study investigating the possible role of adjuvant Gardasil vaccination in patients with recurrent laryngeal papillomatosis. The preceding study – also published in the Journal of Voice (2017) – reported the changes in...

The hippo and the nose

Chronic rhinosinusitis with nasal polyps (CRSwNP) leads to histological changes including thickening of the basilar membrane and epithelial proliferation. Molecular mechanisms underlying these changes are still not fully clear. A signalling pathway called the hippo with Yes‐associated protein (YAP) as...

Rhinotillexomania - how bad can nose picking get?

This is a fascinating first case report of rhinotillexomania associated with empty nose syndrome (ENS). Rhinotillexomania encompasses compulsive, pathological nose picking and is a variant of self-harm. Tranchito and Chhabra describe an elderly patient presenting with longstanding symptoms of nasal...

RSM ‘Otology Dragon’s Den’

The Royal Society of Medicine Otology Section recently held an ‘Otology Dragon’s Den’ event. Following on from our interview with Professor Gerry O’Donoghue, RSM Otology Section President, in the run-up to this event, we interviewed Steve Broomfield, Consultant Otologist in...