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Hearing healthcare in India

With a population of more than a billion people, and an estimated prevalence of hearing loss of somewhere between 5.9% and 16.5%, depending on which definition you use, India has a significant number of hearing impaired individuals. They are served...

Alternative listening devices: reaching the places hearing aids don’t

The stigma surrounding hearing aids means that many people who would benefit from wearing them are put off from doing so. Alternative listening devices could provide the solution to this. David Maidment discusses these devices, their effectiveness and the impact...

Collaborating with patients on research priorities in hyperacusis: the James Lind Alliance project

An innovative and inclusive approach to the identification and prioritisation of research questions is to place the views of patients at the heart of the process, and in partnership with clinicians. The application of this to hyperacusis is described by...

Precision and personalised genomic and epigenomic medicine in audiology/hearing loss

A detailed look at the pathogenesis of acquired hearing loss due to exposure to ototoxicity during pregnancy or shortly after birth. Insights from genomic medicine have shown that, along with environmental factors causing epigenetic alterations, hearing loss may be caused...

Acute otitis externa: what are the important outcomes?

Matthew Smith discusses a project looking at outcomes of acute otitis externa interventions, and how, going forward, the INTEGRATE team are working with patients to develop outcome measures. Acute otitis externa (AOE) is one of the most common conditions of...

How to deliver bad news better

Delivering bad news well takes experience and time. The Ida team recommend the SPIKES protocol; providing structure for relaying bad news, giving confidence to those delivering it, and leaving recipients feeling cared for and informed. It’s among the most distressing...

In conversation with De Wet Swanepoel, President of the International Society of Audiology

Gareth Smith caught up with the new President of the International Society of Audiology, De Wet Swanepoel, about the aims of the society, the upcoming World Congress of Audiology and the current state of hearing healthcare in Africa. De Wet...

Why one should not be seduced into organising a conference

Having enjoyed yourself at so many meetings, it may strike you or be suggested to you by ‘friends’, that it would be a good idea to organise an international conference. Think of the kudos, the fame, the financial gain for...

Current practice in cochlear implantation

From candidacy to surgery and rehabilitation, cochlear implant practice is evolving, with new technologies shaping outcomes for patients worldwide. Image courtesy of MED-EL. Cochlear implants restore a sense of hearing in the profoundly deaf, representing the most successful neuroprostheses available,...

Pioneering standards of aural care in the UK: vision and initiatives of the NACSG

Ear wax removal remains a controversial subject in the UK. How will a strategy group support reform in the sector? Background: elevating standards in aural care The National Aural Care Strategy Group (NACSG) was established to address the multifaceted challenges...

From the editor Nov/Dec 2025

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTW / X: @Voicedoctor_uk For ENT&A Nov/Dec2025, we are delighted to celebrate the remarkable educational institution ENT Masterclass®, which marks its 20th anniversary...

Apprenticeships in audiology: an option to earn while you learn

Changing careers later in life can be daunting. Beverley and Darren reflect on their experience completing an apprenticeship in audiology, and provide advice for prospective apprentices. Beverley Philip, Associate Practitioner, NHS Fife, UK. Could you share a bit about your...