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Public Health Planning for Hearing Impairment (2022)

The World Report on Hearing, published in 2021 by the WHO reports that 430 million people in the world have moderate or worse hearing loss, all of whom require rehabilitation [1]. Over 1.5 billion have any degree of hearing loss....

Rehabilitation of single-sided deafness with cochlear implants

The relatively recent emergence of cochlear implantation as a potential means of restoring hearing to a deafened ear, in the presence of normal hearing in the other ear, has proved an exciting and yet surprising development. James Tysome explores the...

A practical approach to tinnitus

Tinnitus is the perception of sound without an external source. The estimated prevalence in adults is between 10-15% [1]. In patients with significant tinnitus, prompting them to seek medical attention, 50% will have improved to mild or no tinnitus by...

Cerebrospinal fluid leaks after vestibular schwannoma surgery

This study analyses 30-day readmission data after vestibular schwannoma surgery using a multicentre longitudinal State of California dataset. The authors studied risk factors, and timing of readmission in 6820 patients over 15 years. Of these, 490 readmissions were reported for...

On-call in ENT Surgery

The On-call in ENT Surgery, as part of the On-call Series, is written explicitly as the “survival guide” for all junior doctors starting out in ENT or as “a tool to aid consolidation of knowledge gathered by more senior ENT...

Endoscopic CSF leak repair using nasoseptal flap

Many of us during training or in established practice will have encountered the complication of anterior skull base CSF leak. This can be a challenging problem to deal with and in this article the authors describe their favoured approach. Cerebrospinal...

Effects of blast and acoustic trauma: assessment of hearing status on war veterans

Introduction Acoustical conditions of the military are often dangerous and there is a real risk of blast trauma and acoustic trauma [1, 2]. Levels of military noises maybe reach up to 125 dBA [3]. Weapons produce instant shock waves (10μs)...

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...

Should we be doing earlier MRIs in sudden sensorineural hearing loss?

There is recognised variation between ENT departments in exact imaging protocols for the workup of idiopathic sudden sensorineural hearing loss (ISSNHL) but a routine MRI to exclude retrocochlear pathology is standard, usually following immediate treatment with oral +/- intratympanic steroids....

ENT in this issue...Historical Figures in ENT and Audiology

GUEST SECTION EDITORS Katherine Conroy, ST7 at Manchester Royal Infirmary, Northwestern Deanery, Department of ENT, Manchester Royal Infirmary, Manchester, UK. E: katherine.conroy@cantab.net Prof Ray Clarke, BA, BSc, DCH FRCS, FRCS(ORL), Consultant Paediatric ENT Surgeon, Alder Hey Children’s Hospital, Liverpool, UK;...

Otorhinolaryngology training in Haiti: a call for accompaniment

Haiti is a small Caribbean country in which a group of freedom fighters successfully defied Napoleon and the French military. It has faced embargoes, economic isolation, political crises and devastating natural disasters since its independence. Its GDP is 0.01% of...

A brief history of the acoustic ear trumpet and some collection favourites

If you think you know a thing or two about ear trumpets, I’d bet Michael Briggs knows more! In this fascinating article, he tells the history of the ear trumpet, as well as sharing some wonderful pictures from his Guiness...