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Intraoperative nerve monitoring: 2017

Having written the definitive text on laryngeal nerves, Gregory Randolph and Dipti Kamani describe the benefits of intraoperative neural monitoring and, importantly, how to proceed if the nerve is pathologically involved or there is loss of signal. Over the years,...

Higher risk and a tailored need

Historically, in audiology there is almost an unspoken understanding that when presented with a musician, a nuanced approach is likely to be required. Previous research has already shown there is a higher risk of noise exposure and accompanying signal distortion...

Sex and the Nose

For regular attentive readers of our little magazine, JRY will need no introduction. The word ‘polymath’ barely does him justice: a Colonel in the Medical Corps with an MPhil in poetry and apparently one of the “50 coolest people in...

Matthew Yung and Chris Raine Travelling Scholarship to Iowa

I was the grateful recipient of the 2020 Matthew Yung and Chris Raine scholarship, although due to the Covid pandemic and its aftermath I could not take up the opportunity until June this year. I chose to visit the otology and neurotology department at Iowa University Hospitals, in particular to meet with Bruce Gantz, an early adopter of bony obliteration of the mastoid, himself inspired by the work of Ulf Mercke of Sweden who developed this technique in the 1980s.

Addressing the non-use of hearing aids

We all know non-use of hearing aids occurs, but why, and what can we do about it? Numerous studies have investigated the challenges surrounding the underutilisation of hearing aids, examining factors such as reluctance to seek assistance, the impact of...

New toolkit educates GPs on how to support hearing loss patients

An educational toolkit developed by the Royal College of GPs (RCGP), in collaboration with hearing loss charity RNID and NHS England & Improvement, aims to support GPs to deliver care for patients with hearing loss. The RGCP toolkit, sponsored by...

What’s new in genetic testing for hearing impairment?

Often the first question following the diagnosis of a hearing loss is ‘why?’ In this article Ali Danesh explores the advances made in uncovering ‘why’ from a genetics perspective. Ali describes the panel of genetic tests now commercially available to...

In memory of Robert Allan Yorston (10th March 1920 – 1st October 2016)

In this special feature article, Alan Gibb writes a touching tribute to his friend and colleague Dr Bob Yorston, a Dundee otolaryngologist, who had a special talent for humour and art. In addition to illustrating the eighth, ninth and tenth...

The making of a paediatric airway surgeon: In conversation with David Albert

Michael Kuo interviews David Albert to find out what drew him to paediatric airway surgery, the mentors who shaped his surgical approach, and to ask his advice for budding young paediatric airway surgeons. David Albert. When did you first get...

Which factors affect the postoperative CSF leak following endoscopic skull base surgery?

Endoscopic skull base surgery is being increasingly performed worldwide for skull base tumours. Common indications include pituitary tumours, rathke cleft cysts, chordomas, craniopharyngiomas and olfactory neuroblastomas. The most common and important complication following endoscopic skull base surgery is postoperative CSF...

Is there an association with cognitive impairment and hearing loss in a developing country?

Hearing loss (HL) is the third leading chronic health condition among older adults. Most studies investigating HL and cognition have been performed in high-income countries. Risk factors for dementia (eg. hypertension, midlife hearing loss, obesity and physical inactivity) are more...

Valsalva manoeuvre treatment of otitis media with effusion in adults

Otitis media with effusion (OME) is common in children but has a low prevalence in adults. There is some evidence to advocate middle ear inflation as a successful treatment for children with OME. This form of treatment is also recommended...