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Dead regions in patients with cochlear implants

The very nature of a dead region (DR) in a cochlea means that they are often found in patients who are eligible for cochlear implants. However, a variety of different hearing configurations are found in those with DRs because of...

Semicircular canal dehiscence and cochlear implantation

Semicircular canal dehiscence (SCD) is thought to occur in 3% of the population, it is mostly asymptomatic, but patients may present with sound-induced vestibular symptoms, low-frequency conductive hearing loss, autophony, hyperacusis and aural fulness. With the increasing utilisation of cochlear...

Is a hemithyroidectomy as effective as a total thyroidectomy for compressive symptoms?

The claim made in the title of this paper, that hemithyroidectomy is equally as successful as total thyroidectomy in alleviating compressive symptoms from goitres, is certainly intriguing. And with the inclusion of 45,539 subjects, it would at first glance seem...

Assessment of genetic disorders: congenital sensorineural hearing loss

Severe or profound sensorineural hearing impairment (SNHI) is a common birth defect, affecting approximately 1 in 1000 newborns [1]. SNHI may result from environmental causes or have a genetic basis. The genetic causes can be further subdivided into non-syndromic (isolated...

The Human Ear Canal

If ever a book aptly lived up to its name, it would be ‘The Human Ear Canal’ by Dr Ballachandra. Not once straying from its path, this second edition aims to take the reader on a somewhat tangential tour of...

Advances in laryngeal surgery

We are seeing many advances in laryngology: from the lab, from equipment manufacturers and from developments in surgical techniques. The field of laryngology has been under constant change in recent years, with the introduction of new technologies and research. The...

ENT In this issue...Landmark Papers that Defined ENT and Audiology

In 2018, I compiled a book with the title Landmark Papers in Otolaryngology. The book was inspired by the ENT department journal club that regularly took place in a local Norwich pub, and it discusses 99 of the most cited papers in the ENT and audiology literature.

Directed audio pointing the way to a great listening experience – HyperSound Clear<sup>TM</sup>

In this Spotlight on Innovation we explore an innovative ultra-thin speaker system compatible with TVs, which can be programmed by a hearing professional to a listener’s hearing profile and preferences to deliver a directed 3D listening experience. Whether your patients...

Diseases of the Ear, Nose & Throat in Children: An Introduction and Practical Guide

The name Professor Ray Clarke is well known and well regarded around the paediatric ENT world. With this helpful book, Prof Clarke creates the perfect knowledge base to make paediatric ENT more accessible to those working in general ENT and...

The use of 3D videos to improve patient engagement with compensatory swallowing strategies

Patients with dysphagia are often asked to use compensatory techniques or manoeuvres to facilitate safe swallowing. For example, they may be taught to do a supraglottic swallow to minimise aspiration or a specific postural adjustment to support bolus flow. These...

How best to manage single-sided deafness?

Nowadays there is a plethora of options for patients with single-sided deafness (SSD) including: Bluetooth contralateral routing of signal (CROS) aids; in-the-ear bone conduction hearing aids (TransEar); intra-oral bone conduction aids (SoundBite) and bone-anchored technologies (BAHA). Unilateral cochlear implantation is...

Wilde and the foundations of medical epidemiology

William Wilde (father of Oscar) was renowned as an otologist, but less well known for his work in epidemiology. The bedrock of the modern discipline of public health is good data collection, and we hear from our good friend, Ray...