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Can junior doctors provide immediate help in airway and other ENT emergencies?

1 September 2016 | | Accident and Emergency Department, Education, Otolaryngology
In the present trends for centralisation of ENT emergency services, availability of immediate middle grade or senior help in acute ENT emergencies does not always exist on site and hence the role of junior doctors in handling this is enhanced...

Two for the price of one - multiple parotid neoplasms

1 November 2015 | | Adenomas, Parotid, Synchronous, Unilateral
With advancing years come many benefits, but one drawback is the acquisition of parotid (or thyroid) neoplasms. Conventional teaching is that most are benign and slowly enlarge, and not infrequently are found bilaterally as in Warthin’s. Pleomorphic adenomas are also...

Serum urea and epistaxis

1 September 2015 |
This was a small retrospective review from Swansea looking at 278 patients who attended a teaching hospital Accident and Emergency department with a diagnosis of epistaxis. Only 119 of these patients had their serum urea measured. The investigators found that...

Hidden genetic disorders in children that may present to the otolaryngologist

1 November 2014 | | Paediatric ENT, Genetics
Background Among the many hundreds of children presenting to the otolaryngology clinic are a few whose symptoms are due to an underlying genetic condition. In most cases the underlying syndrome is obvious and has already been diagnosed, such as the...

Advances in vestibular function testing

1 November 2015 | | ENT, Vestibular Disorders
Vestibular function testing has historically been limited by difficulties in testing individual parts of the vestibular apparatus. Jas Sandhu describes new tests available to clinicians that address this problem. Advances in vestibular function testing Vestibular function testing has historically been...

Measuring the pitch and loudness of tinnitus

24 May 2017 | | Tinnitus, Audiology - Adult
Matching the characteristics of tinnitus Many researchers and clinicians have explored the subjective nature of tinnitus by asking people with tinnitus to adjust a sound so that it matches their tinnitus in some way. This can be useful both for...

The basis of the bargain: outcomes not inputs

1 January 2018 | | Audiology - Diagnostic, Audiology - Adult
There are international drivers focusing our attention on measuring outcomes; Anthony Hogan looks at the data to see how we are currently measuring up. Introduction A global paradigm change is impacting on the provision of disability services. At its heart,...

Hidden hearing loss in humans: cochlear synaptopathy is superseded by cognitive effects when listening to speech in noise

1 March 2018 | | Audiology - Diagnostic
Elizabeth Beach presents an overview of the recent research being undertaken at the National Acoustic Laboratories on speech in noise and its relationship to cochlear synaptopathy. Our team at the National Acoustic Laboratories (NAL) has been investigating hidden hearing loss...

Multifrequency tympanometry

1 March 2019 | | Audiology - Adult, Audiology - Paediatric, Audiology - Diagnostic
There are many good reasons to start using multifrequency tympanometry as opposed to a traditional, single 226Hz probe tone. Here, Leigh Martin of Interacoustics discusses the uses and benefits. Tympanometry is a core test in the audiologist’s test battery. In...

An audiologist abroad

2 May 2022 | | Audiology - Adult
Ever thought of working abroad? In this issue we hear from Caroline Hudson, International Audiologist with special interest in paediatrics and research, who took the leap to work in Canada after qualifying and working in the UK. She will provide...

Old age is hard to swallow

4 May 2023 | | ENT, Laryngology / Swallowing / Voice
This article takes us through the diagnosis and management of swallowing problems common in older age. As our global population continues to grow and live longer, dysphagia will continue to be a global problem which needs to be recognised, understood...

Adult speech testing in the UK

4 May 2023 | | Audiology - Adult, Speech and Language Therapy
What do hearing healthcare providers see as the benefits and barriers to delivering speech testing? This article explores the latest research. Why speech testing? Speech tests have been used across ENT and audiology practice to measure an individual’s speech recognition...