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Information to support decision-making: does it make sense online?

The internet has become a major source for health information, with many people preferring to use the internet to search for advice than speaking to health professionals. Yet much of the information available is very difficult to read for the...

Videofluoroscopic swallowing studies: balancing risks and benefits

Videofluoroscopic swallow studies (VFSS) are an important part of the diagnostic toolkit and arguably the current gold-standard for assessing swallow biomechanics and diagnosing dysphagia. However, the procedure does involve exposure to radiation, and any clinician requesting this should be able...

Targeted CMV screening and hearing management of children with congenital cytomegalovirus infection

Congenital cytomegalovirus (cCMV) infection is a common congenital infection and is the leading infectious cause of sensorineural hearing loss (SNHL) in children. Prof Karen Fowler discusses current research and the exciting future of screening for cCMV in newborns. Figure 1....

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...

Steroid use in acute acoustic trauma

Acute acoustic trauma (AAT) injuries include noise-induced damage to inner and middle ear presenting as hearing loss, tinnitus and vertigo. Classic presentation is sensorineural hearing loss with an intact tympanic membrane. The authors carried out a case-control study in military...

Is one glass of wine on call safe?

It’s a standard question for those about to sit a Specialist Training (ST) interview; you are on call and you call a senior colleague in to perform an operation. You smell alcohol on the breath of the surgeon, so what...

Congenital cytomegalovirus causing deafness in children: an update

Congenital CMV is the leading non-genetic cause of sensorineural hearing loss in children. Keith Trimble draws our attention to this and gives a comprehensive guide on diagnosis and treatment. Congenital cytomegalovirus (cCMV) infection is common, affecting 1% of all newborns,...

Paediatric vestibular evaluation

Richard E Gans is a renowned expert in the areas of vestibular evaluation and rehabilitation techniques. In the first of two articles (see here for the second article), Dr Gans gives an overview of the approach he and his team...

Whale hearing tests through evoked potential audiometry

Covering over 70% of the earth’s surface and reaching known depths of 11km, the world’s oceans tick the box for an extreme environment. What do we know of the impact of environmental noise on the deep-sea dwellers of this habitat?...

The Graham Fraser Foundation

Graham Fraser (1936-94) was a pioneering otolaryngologist, in whose memory the Graham Fraser Foundation was set up, and an eponymous annual lecture and a travelling fellowship in otology were established. It’s an honour to profile the Foundation in this extended...

Cartilage interposition versus PORP ossiculoplasty

In this Egyptian study, the authors looked at the hearing outcomes in patients who underwent ossiculoplasty with cartilage interposition versus those with partial ossicular replacement prosthesis (PORP). They looked at a total of 47 ears from 45 consecutive patients with...

Relationship between high resolution radiological features of the otic capsuleand audiometric parameters in patients with otscerosis

The audiometric pattern in patients with otosclerosis and outcomes of stapedectomy are variable. Whether this has anything to do with the number of sites affected by otosclerosis in the otic capsule and the disease pattern according to foci location, foci...