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Hearing aid standards and test systems

Hearing aids are the most used management / rehabilitation option for people with hearing loss. Generally, hearing instrument manufacturers perform the hearing aid performance measurements and provide its specification in terms of functionality. However, it is also common for government...

Are you ready? How audiologists’ readiness for change relates to the implementation of remote care

Are we ready to deliver remote care? A question many of us have asked ourselves over the last year. Danielle Glista (Associate Professor, Western University) and colleagues talk through a systematic approach to implementing remote audiological care and suggest gaps...

National selection: is the research section of the portfolio fit for purpose?

Applications for ENT training roles in every country require certain criteria to be met. In the UK, ST3 recruitment applications have scores allocated to research experience. In this opinion piece, the authors share their assessment of the potential issues around...

Risk of malignancy in non-diagnostic thyroid FNACs

Thyroid nodules are present in between 21-68% of the general population. The evaluation of these nodules to exclude thyroid carcinoma includes fine-needle aspiration cytology (FNAC) and a non-diagnostic cytology result occurs between 8-20% of the time. This retrospective cohort study...

Bilateral medialisation thyroplasty for presbylaryngis

This retrospective case series explores the voice outcomes for 21 patients diagnosed with presbylaryngis who underwent bilateral medialisation thyroplasty at a university medical centre in Portland, Oregon, USA. Silastic was implanted in 17 patients; hydroxyapatite in four. Significant improvements were...

From aaargh to zzzzz: the ABC of paediatric anaesthesia

Andrew McTavish is one of those special breeds who not only relishes complex anaesthesia, but also does so in paediatric patients. Dealing with this group of patients requires careful planning according to accepted practice, and here he discusses some recent...

Making healthcare conferences green

Who knew our healthcare conference industry contributed so much to global carbon emissions? This article summarises means to reduce the impact such that we can continue to meet with our peers for educational meetings and networking, but in a sustainable...

A new modified double-flap technique for cochlear implant surgery

The authors retrospectively assessed 342 implantees with a minimum of five years’ follow-up who had been implanted using a lazy S-shaped post auricular incision with a modified double-flap technique. From the notes, postoperative wound complications and any other adverse events...

Intraoperative nerve monitoring: 2017

Having written the definitive text on laryngeal nerves, Gregory Randolph and Dipti Kamani describe the benefits of intraoperative neural monitoring and, importantly, how to proceed if the nerve is pathologically involved or there is loss of signal. Over the years,...

Active smoking predicts poor outcome in HPV positive oropharyngeal squamous cell carcinoma

Tobacco smoking is a well-known risk factor in human papilloma virus (HPV)-negative head and neck squamous cell cancer. Its effects include increased risk of treatment failure, distant metastases and reduced overall survival. HPV has been increasingly implicated as a causative...

Audiometric outcomes following endoscopic stapes surgery

Adding to the evidence base for endoscopic stapes surgery, this systematic review and analysis of outcomes sought to establish the efficacy and safety of this approach. This review included 14 studies with a pooled sample of 314 adult patients. The...

Medialisation laryngoplasty can relieve pain related to voice use

Odynophonia, or pain associated with voice use, is a relatively uncommon manifestation of glottal insufficiency related to vocal fold motion impairment (VFMI). Its incidence is approximately 15% in patients with vocal fold paresis. Medialisation laryngoplasty (ML) was popularised by Isshiki...