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Do personal listening devices cause cochlear synaptopathy?

Cochlear synaptopathy is a condition in which noise interrupts the synaptic communication between sensory inner hair cells and low spontaneous rate cochlear nerve fibres. Since these nerve fibres are associated with signal coding in noisy backgrounds, their disruption leads to...

Effects of diet and exercise on tinnitus

Subjective tinnitus is the perception of sound without any external stimulus. There is no consensus on the aetiology of tinnitus. Obesity is one condition that has been associated with subjective tinnitus. The authors conducted a randomised controlled trial to assess...

Hearing aid outcomes in older adults: what and when to measure

What matters to older adults when purchasing a hearing aid? Larry Humes explores the domains that should be measured for this key group. This article identifies key domains of hearing aid outcome in older adults. Increasingly, third-party payers and private-pay...

Demystifying laryngology in the era of examination and collaboration

In the field of laryngology, perhaps more than in any other area of ENT, there has been a philosophical shift (as well as a technological one) in the approach of clinicians caring for patients. Albert Merati explains. Progress in laryngology...

Securing the future of ENT in the UK

A career in otolaryngology is fascinating, fulfilling and fun, but how do we convince our potential successors? Jay Doshi, Asad Qayyum, Bradley Storey and Tom Milner outline the fantastic efforts to showcase ENT throughout the UK. Student and foundation doctors...

Minimise waiting times with Peptest!

In laryngopharyngeal reflux (LPR), refluxed stomach contents travel up the oesophagus and reach the larynx, causing chronic extra-gastrointestinal symptoms such as a persistent cough, hoarseness or difficulty swallowing, meaning it is often attributed to ENT problems.

Supporting the definitive diagnosis of LPR

Voice disorders affect one in 25 people in the UK, and laryngopharyngeal reflux (LPR) is a common culprit. LPR occurs when the stomach contents – including strong digestive enzymes like pepsin – flow back up into the throat, causing inflammation...

Multidisciplinary approach to managing individuals with trisomy 21

Michelle Chung and Narad Mathura outline the Down syndrome one-stop clinic; a multidisciplinary clinic introduced at the Children & Young Persons Audiology Centre (CYPAC) at Guys and St Thomas’ NHS Foundation Trust for children and young people with Down syndrome....

Thyroid dysfunction and Meniere’s disease: is there a relationship?

The set of symptoms described as Meniere’s disease may have several causative factors. Timothy Hain and Patthida Maroongroge look for a relationship in the literature between Meniere’s disease and hypothyroidism. Meniere’s disease (MD) affects around two in 1000 people and...

Composing with Meniere’s disease: a personal reflection

Is a fluctuating hearing loss and composing music incompatible? Professor Andrew Hugill discusses his personal experience of Meniere’s disease and the work that has developed as a result of the condition. As I write this article, I am in the...

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...

Introduction to virtual healthcare job interviews

What’s the best way to run a video job interview? Matthew Wu and Elliott Kozin provide some top tips – both for interviewer and interviewee. The ongoing COVID-19 pandemic has changed almost every aspect of society. For the foreseeable future,...