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When things go wrong
The new-age, Paediatric Surgeon, Ray Clarke, (fear uasal, íseal), eloquently demands throwing off the shackles of the past and welcomes the dawning of an era of openness, transparency and candour, preferably suffused with compassion for both the patient and the...
Allergic rhinitis, the usual suspects
Allergic rhinitis (AR) is characterised by allergen binding to IgE on mast cells and basophils and subsequent histamine, prostaglandine D2 (PGD2) and cysteinyl leukotrienes (cysLTs) release causing early-phase response. This is followed by late-phase response mediated by eosinophils. Other cells,...
THRIVE: redefining airway management in endoscopic oesophageal surgery
Transnasal humidified rapid insufflation ventilatory exchange (THRIVE) is no longer just a tool to help anaesthetists secure a difficult airway. Thanks to the work of authors like Yang and colleagues, it is being revolutionised to provide apnoeic oxygenation during endoscopic...The changing landscape of thyroid and parathyroid surgery
How has clinical practice in the management of thyroid and parathyroid disease has evolved in recent years? I perform very few head & neck operations where the patient tells me just one week following surgery that they ‘feel much better’....Rehabilitation of single-sided deafness with cochlear implants
The relatively recent emergence of cochlear implantation as a potential means of restoring hearing to a deafened ear, in the presence of normal hearing in the other ear, has proved an exciting and yet surprising development. James Tysome explores the...Working with people with hearing loss and dementia
A member of the SENSE-Cog team in the UK, Dr Littlejohn provides an overview of multidisciplinary recommendations for diagnosis, management and care of older adults with hearing loss, vision loss and dementia. She underscores how consideration of hearing status when...Celebrating deaf identity through art: the ‘Hearing Care for ALL’ Virtual Gallery Project
Dr Dalia Tsimpida tells us about the art initiative she created in the midst of the pandemic to promote ear and hearing care, and celebrate the vibrant and diverse world of deaf identity. In the face of the COVID-19 pandemic,...Hearing screening during childhood using speech and sounds in noise
Although there is high prevalence of late-onset, progressive, and acquired hearing losses during childhood, these hearing losses can easily go undetected due to the lack of systematic hearing screening beyond newborn hearing screening. In this article, the authors share the...Effective and profitable provision of paediatric audiology care in the private sector
Similar to other specialty areas of hearing healthcare, paediatric audiology is a potential net loss for a private-sector, for-profit, business. Given the time-intensive needs of patients with cochlear implants, tinnitus and those who are under the age of 18 years...
Aural fullness in Ménière’s disease
This survey of the Finnish Ménière’s Association aimed to examine the severity and consequences of aural fullness, the least reported cardinal symptom of Ménière’s disease. An initial pilot survey informed a second, restructured survey, giving a total of 726 respondents...
How patients reacted to postponement of cochlear implant surgery due to COVID-19
The onset of COVID-19 in 2020 required widespread cancellation of elective surgeries, one of these being cochlear implant for profoundly deafened adults and post-lingually deafened children. Through a questionnaire, to which 23 out of 38 patients responded, this qualitative study...
