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Pollen forecasting apps: don’t worry, bee happy!

Hay fever sufferers rejoice! Around a fifth of people in the UK self-report to having hay fever (allergic rhinitis). In the majority of cases, this is thought to be a sensitivity to grass pollen. Symptoms may present as nasal congestion,...

Decreased sound tolerance in autism: understanding and distinguishing between hyperacusis, misophonia, and phonophobia

Decreased sound tolerance (DST) affects a significant proportion of autistic people throughout their lifetime and, as Zachary J Williams explains, it is important that clinicians are aware of the three distinct subtypes of DST when making a diagnosis. Autism spectrum...

Speech Testing

Gareth Smith, MSc, AuD,Consultant Clinical Scientist (Audiology), Mid and South Essex NHS Foundation Trust, UK. gareth.smith8@nhs.net@garethlsmith How often do patients come to hearing healthcare professionals having noted a difficulty hearing quiet beeps in a silent environment? Rarely? Never? Yet they...

Aetiology, investigation and acute management of sudden sensorineural hearing loss

The cause of a single sided sensorineural hearing loss has a wide variety of aetiologies. This review, by Edwin Halliday, looks specifically at the differential diagnostic causes of a sudden sensorineural hearing loss, the relevant investigations and the management should...

COVID-19 innovations

The coronavirus pandemic has mobilised medical innovators in an amazing way. We take a look at just a few of the hundreds of innovative products and techniques that have been developed and used in the last few weeks. Some of...

Total Otolaryngology - Head and Neck Surgery

This single volume, 1098 page book with 667 illustrations, covers all aspects of otolaryngology in both theory and practice. Compiled together by a team of world renowned co-editors from North America, as well as authors from differing specialities, this book...

Diagnostic criteria for haemodynamic orthostatic dizziness

Over the past several years, the Bárány Society has been developing an International Classification of Vestibular Disorders (ICVD) in order to standardise diagnosis and nomenclature for both clinical and research purposes. Many in vestibular practice would be familiar with the...

Bones, stones and surgical moans: rethinking PTH dynamics in parathyroid surgery

Intraoperative parathyroid hormone (IOPTH) testing has revolutionised minimally invasive unilateral parathyroidectomy (MIP) as the gold standard treatment for primary hyperparathyroidism, replacing old-timey four-gland exploration. IOPTH testing ensures reliable excision of all hypersecreting glands, including those pesky hard-to-find ones, without relying...

3rd Annual Young Auditory Implanters’ Forum

David Dick MB BCh BAO MSc FRCS Ed (ORL HNS) ST8 ENT Trainee, Royal Victoria Hospital, Belfast. The Young Auditory Implanters’ Forum (YAIF) was again well attended in the third annual meeting held in Belfast. Organised by the current president,...

Cochlear implantation in asymmetric hearing loss

Criteria for cochlear implantation (CI) is a constant topic of debate. The UK traditionally had relatively restrictive guidance, although this has been greatly improved by more recent guidance released in 2019. Nevertheless, because of the lack of evidence for cost-effectiveness,...

Leaving an impression – OTOSCAN ear scanning solution

Every person has uniquely-shaped ears that continue to grow over time. Making an accurate reproduction of the ear is an important part of delivering a customised ear product. From the early 1950s, this was achieved using a paste which set...

Otoacoustic emissions in the diagnostic test battery for hearing loss

So, they are great for screening, but how can otoacoustic emissions be integrated into the diagnostic test battery? Beth Prieve examines the role of diagnostic OAEs by asking three simple questions. Audiologists and otolaryngologists are familiar with otoacoustic emissions (OAEs)...