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Developments in diagnostic approaches for acutely dizzy patients

The acutely dizzy patient can be a diagnostic and management dilemma for emergency departments and general practitioners, with many patients consequently having delayed access to specialised assessment and treatment. David Jay tells us about HINTS, a bedside test that can...

MDT clinics for adults with learning disabilities and hearing loss

Healthcare providers can have limitations and challenges providing optimum care for patients with intellectual disabilities. Siobhan Brennan and Susanna Goodhart highlight key professionals and carers who may be instrumental when trying to deliver good management and care along with other...

The benefits of mindfulness for tinnitus

Mindfulness-based psychological therapy for tinnitus has, in recent times, been the subject of well-designed clinical research that demonstrated impressive benefits. Dr Liz Marks guides us through this field, and advocates for better access and availability of these techniques. Mindfulness can...

Cognition and hearing – you can’t test one with the other!

Cognitive Psychologist, Boaz M Ben-David, provides insights into the import of considering cognitive factors when assessing speech perception ability to maximise intervention success. Failing to do so, he suggests, is “ageist”, a predisposition healthcare professionals must avoid. Cognitive performance is...

The preventative audiologist

Rob Shepheard has been championing the role of ‘the preventative audiologist’ for many years. In this article, he explores how that can be achieved.

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...

Selective upper airway stimulation

Obstructive sleep apnoea (OSA) is one of the most common diseases in industrialised countries and is characterised by an intermittent obstruction of the upper airway during sleep. The standard treatment for OSA is continuous positive airway pressure (CPAP) therapy, which...

Endoscopic arytenoid abduction lateropexy for bilateral vocal cord paralysis in neonates

We are delighted to publish a further update on the use of the technique for vocal fold lateralisation in neonates from Laszlo Rovo and Shahram Madani, who have previously informed us of this new technique [1]. These cases are rare...

Endoscopic DCR

In this interesting article, our experienced colleagues describe their favoured technique for performing endoscopic DCR and share with us the key steps for a successful outcome. Dacrocystorhinostomy (DCR) was historically performed by ophthalmologists for nasolacrimal obstruction using external techniques. The...

Targeted focal parathyroidectomy

Leanne Hamilton and Louise Clark describe their technique for helping to localise parathyoid adenomas. Surgically this can be difficult, so careful preoperative evaluation using imaging as described can help minimise difficulties intraoperatively when identifying the parathyroid adenoma. Preoperative imaging has...

Triple semicircular canal occlusion and Meniere’s disease: a rising alternative treatment?

Patients with dizziness form a large part of the workload for ENT surgeons. In the overwhelming majority of cases, management will be medical and successful. However, occasionally some patients present a challenge when they have not responded to conventional treatments....

EBM and ENT: In conversation with Martin Burton

As part of our new Evidence-Based Medicine section, we’re honoured to feature an interview with Professor Martin Burton, Director of the UK Cochrane Centre. Professor Burton is Professor of Otolaryngology at the University of Oxford and Consultant Otolaryngologist at Oxford...