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Diagnosing and managing somatic tinnitus
Interactions between auditory and somatosensory pathways can lead to interesting tinnitus experiences which can be very bothersome. Dr Sarah Michiels describes her pioneering work in this area, and the possibilities of physiotherapy based therapy. Background Somatic (also called somatosensory) tinnitus...
Getting your nose dry: endoscopic vidian neurectomy – an old technique given new life
We are often faced with patients with intractable watery rhinorhea – patients with no demonstrable allergy, a diagnosis of NAR and no response to ipratropium or capsaicine. For such patients, vidian neurectomy has been devised – an old technique that...Laryngotracheal stenosis
Airway stenosis has been an enormous challenge to laryngologists since the dawn of the sub-specialty. Careful evaluation is essential, as this will determine the best treatment. We hear more from one of the UK’s leading airway centres. Until the advent...ENT and evidence-based medicine: How do they benefit each other?
How do we assess evidence, and how should ENT surgeons use EBM? Evidence-based medicine (EBM) is the practice of medicine based upon high quality scientific research. There are several formal definitions of EBM, the most widely quoted being that of...
Outpatient closure of CSF leaks: a good idea or a step too far?
After day-case septoplasty, day case thyroidectomy, now day case CSF leak repair – has the pendulum moved too far? The authors put forward a convincing case for what, only 10 years ago, would have sounded like a provocation. They quote...
Leisure listening does not affect the hearing of young people
The existing literature highlights concerns regarding the possibility of leisure activities involving listening to music on portable music players causing hearing loss. However, there is much speculation regarding actual effect. This article outlines a project involving young persons aged between...What’s new in implantable devices? New indications in cochlear implantation
For over 40 years, cochlear implant procedures have steadily increased. Outcomes for patients are improving as a result of modified surgical techniques, a wider portfolio of electrode arrays, advances in programming strategies, access to improved technology and a better understanding...Building low-cost high-fidelity simulation for ENT
In this article, the authors describe their ingenious technique to produce affordable yet realistic simulation models for some common ENT procedures. The use of surgical simulation in otolaryngology training has significantly increased in recent years. This is most likely due...
Blindness after orthognathic surgery
This is a case report and review of the literature of this rare, but well recognised alarming complication. The authors discuss the possible mechanisms, suggesting that it does not arise from a direct injury to the optic nerve and is...
Lonely, so lonely
The pandemic has evidenced the negative mental and physical health outcomes that are associated with isolation and loneliness. This study was undertaken in Australia, where one quarter of the population live alone. Giving our ageing population worldwide, the number of...
Better conversations for children with Autism and peers for now and for their futures
There are around 700,000 people with diagnosed Autism Spectrum Disorder (ASD) in the UK, according to 2011 census figures. A key diagnostic feature in ASD are difficulties in social interactions and conversations, social-emotional responses and relationships. The authors of this...
