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How can we manage children with poor speech discrimination but with normal audiogram

We often come across children and young adults brought in for consultation for suspected hearing loss and having hearing difficulty in noisy backgrounds but who often have normal audiograms. Such patients are suspected to have auditory neuropathy. The term auditory...

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...

In conversation with Sam Lear, BAA President: leading audiology forward

Dr Samantha Lear is the current British Academy of Audiology President, and Senior Audiology Policy Advisor at the National Deaf Children’s Society. With reviews ongoing in paediatric audiology in England and Scotland, Sam is ideally placed to lead the profession....

A funny thing happened on the way to a conference – and other stories

This series of stories is dedicated to those of you with whom some of these moments were shared (or endured) and, above all, to my amazing and long-suffering husband, David Howard. Most of you know him as an exceptional head...

QuietStar continues to set new standards in noise control

Working in partnership with a local main contractor, QuietStar recently finished a complete ISO-compliant paediatric audiology test room suite for St Helen’s House in Ipswich, UK, part of the West Suffolk NHS Foundation Trust.

An office procedure to close small tympanic membrane perforations

Various methods have been described for closure of small tympanic membrane perforations, ranging from paper patching to use of fibrin glue. The procedure needs to be non-invasive and cost effective. Use of Terdermis to close perforations of all sizes has...

Balance and fall prevention in individuals with hearing impairments: clinical insights

Exploring how hearing loss heightens fall risk and how integrated audiologic, vestibular and technological strategies can transform balance care and prevention. Hearing impairment is one of the most common chronic health conditions worldwide, affecting an estimated 466 million people according...

Embracing the changes prompted by lockdown

March 2020 introduced the concept of lockdown to audiology services in the NHS, prompting a rethink of how to best provide hearing care. In this issue, we hear from Hanna Jeffery, a Clinical Scientist working at the Royal Glamorgan Hospital...

Management of peritonsillar abscesses – should we be offering a hot tonsillectomy?

Peritonsillar abscesses (PTAs) are one of the most common reasons for patients being referred to ENT services on an emergent basis worldwide. The conventional treatment for adult patients with a PTA in the UK involves needle aspiration or incision and...

4th Irish Head and Neck Society Annual Conference 2025

Nadia Van Den Berg, ST4, Otolaryngology, Waterford University Hospital, Ireland. The 4th Annual Irish Head and Neck Society (IHNS) Conference was held in April with huge success, in the idyllic Lyrath Covention Centre with over 200 delegates in attendance. After...

25 years of forearm free flaps – 1 vein or 2?

This is a prospective 25-year study from 1998 to 2023 of 368 forearm free flaps, 314 of which were radial and 54 ulnar in 364 patients. Of these, 68 had 1 venous anastomosis whilst 238 had 2. These were assessed...

Auditory Electrophysiology

It is a delight to read a new publication in this area. The editors have focused on the most commonly currently used auditory electrophysiological tests and included discussion and information on their various uses. The price is typical of what...