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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...

Surgeons and swearing

We will all know colleagues who have raised the act of swearing to an art form; just as Malcolm Tucker in The Thick of It could cut a workmate in half with a well-placed swear word, surgeons can be equally...

Maxillofacial and neck surgery in Iraq and Afghanistan

Introduction Over the past 150 years, military personnel wounded in action had a survival rate of approximately 80% [1]. During the current conflicts in Iraq and Afghanistan, those servicemen wounded in action have a 90.4% survival rate [2]. During the...

Radiology of referred otalgia

Otalgia is a common presenting complaint to Ear Nose and Throat Departments. Otalgia is either primary or secondary (referred) [1]. Referred otalgia is a ‘red flag’ symptom and can be a diagnostic challenge for clinicians and radiologists as the pathology...

What’s new in electrophysiology?

Steve Bell is a lecturer at the University of Southampton and a member of the British Society of Audiology’s (BSA) Special Interest Group in Electrophysiology. Given the current surge in interest in electrophysiology, both in rehabilitation and diagnostic arenas, Steve...

Rhinoplasty: state-of-the-art

Rhinoplasty surgery has evolved over the years, and Pietro Palma introduces a further new concept. When flicking through the topics of major rhinoplasty meetings, the astute observer will realise that, at present, there are two mainstream schools of rhinoplasty, which...

PLUM: using parent observations to identify persistent otitis media

Can parent observations help identify persistent otitis media sooner? PLUM uses everyday listening behaviours to flag children who may need urgent specialist care. Otitis media (OM) remains one of the most persistent health inequities facing Indigenous children globally. While prevalence...

The missing link: how migraine neurophysiology amplifies tinnitus

This article discusses an emerging hypothesis linking bothersome tinnitus with migraine-related sensory processing dysfunction. When evaluating patients with tinnitus, a range of contrasting experiences are noted, from mild, non-bothersome symptoms to those associated with significant distress – broadly corresponding to...

Patient initiated follow-up in head and neck cancer

Is it time for a change in the way we follow up head and neck cancer patients after treatment? Paul Nankivell and Hisham Mehanna explain the rationale for the PETNECK2 trial. After completion of curative intent treatment, clinical follow-up currently...

Trainee-led collaborative research and audit in ENT: where are we now?

In late 2015 INTEGRATE, the UK ENT Trainee Research Network, was formed. Since then, two national projects have been completed and INTEGRATE has grown into a larger, more structured organisation, with otology, head and neck and rhinology subcommittees working alongside...

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...

Military noise induced hearing loss and the Lost Voices report: the evolution of earshot

Brigadier Robin Garnett gives us a snapshot of the 2014 Royal British Legion report on hearing problems of Service personnel and veterans. The difficulties in assessing and managing hearing loss are reiterated in this article, with an introduction to how...