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Is Gamma Knife Surgery effective for intracanalicular vestibular schwannomas?

Vestibular schwannomas (VSs) are rare, occurring in approximately five per 100,000 adults a year. In circa 8% of cases, the VS is contained within the internal auditory canal, i.e. intracanalicular (iVS). Although radiosurgery is a recognised treatment modality for VSs,...

Aided cortical assessment: uses in a paediatric hearing implant centre

When can an aided cortical assessment help decision making in a child’s hearing journey? In this article, the author demonstrates the application using an enlightening case study approach. A device, be it a conventional hearing aid or hearing implant, ideally,...

ENT registrar national selection: how can we advise aspiring candidates?

With the aim of creating fair selection into the few available training numbers, ENT was one of the first surgical specialties to move to a national selection process for selecting new registrars in England. Since 2013 the selection process has...

Audiological monitoring in ototoxicity - Are we doing enough?

In this article Ghada Al-Malky explores the dichotomy of life-saving, yet hearing loss-causing medication, and questions whether the hearing healthcare community is doing enough to prevent preventable hearing loss. Ototoxicity is the damage to hearing and / or balance functions...

An audiologist abroad

Ever thought of working abroad? In this issue we hear from Caroline Hudson, International Audiologist with special interest in paediatrics and research, who took the leap to work in Canada after qualifying and working in the UK. She will provide...

Nasal and aural foreign body removal: another technique for a common problem

Trying to remove foreign bodies from the ears and noses of children is something we have all struggled with at various times. Many people have their own top tips, and here Oliver McLaren and Alexander Walkden describe an ingenious way...

Chronic rhinitis endotypes

Chronic rhinitis (CR) is common with up to 30% of the population affected, with a significant impact on quality of life. CR includes several phenotypes with different pathogenesis including allergy, autoimmune, age, occupation, pregnancy, neurogenic and drugs. Such variation means...

What’s new in implantable devices? New indications in cochlear implantation

For over 40 years, cochlear implant procedures have steadily increased. Outcomes for patients are improving as a result of modified surgical techniques, a wider portfolio of electrode arrays, advances in programming strategies, access to improved technology and a better understanding...

How would you like your cartilage served – diced, crushed or shaved?

Harvested cartilage can be used to enhance the structural, functional and aesthetic properties of the nose in rhinoplasty. The practice of mechanical fragmentation of harvested cartilage in rhinoplasty is varied with no clear consensus with respect to its indication. This...

Pulse synchronous tinnitus

This article reviews the most common neurosurgical causes of pulse synchronous tinnitus. Traditionally, tinnitus has been characterised as subjective vs. objective, or vascular vs. nonvascular. The authors observe that, in some cases, pulsatile tinnitus (PT) is not heard by examiners...

Multiple free flaps for head and neck cancer

Most patients with advanced head and neck cancers now undergo microvascular free flap reconstruction. This is mainly as flaps facilitate complete tumour and margin removal by providing reliable wound coverage and better restoration of form and function. However despite this,...

The impact of vocal care and oral health on laryngeal function and voice

Maintenance of epithelial health relies on a number of measures. We hear about hydration, irritants and biofilms from a team in Helsinki. Oropharyngeal health Vocal hygiene is a commonly used term that refers to the personal daily habits contributing to...