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Evidence based guidelines for ONS treatment in occipital neuralgia

Occipital neuralgia (ON) can flummox otolaryngologists especially when it follows mastoid surgery. The paroxysms of sharp, electrical pain originating from the occiput can extend along the posterior aspect of the scalp and even up to the mastoid. Although the aetiology...

Hearing loss and QOL

This article evaluates the impact of hearing loss and its rehabilitation on the quality of life (QoL) of adults. The authors suggest that the currently used scale, Aphab, is long, complicated and does not take into account minor changes. The...

Milestones profile for children with cochlear implant

Over the last eight years, Nottingham auditory implant programme have developed and validated a profile of auditory milestones for use with children receiving bilateral cochlear implants under the age of two years. The structure of the Nottingham Auditory Milestones profile...

PPPD - the problem with the label

The recently described diagnostic entity of persistent postural perceptual dizziness (PPPD) has its merits regarding guiding intervention and treatment, but the label itself can be problematic for patients. This study was designed to determine the views of patients of the...

New Tinnitus UK report highlights critical gaps in tinnitus care

Tinnitus UK, the leading UK charity dedicated to supporting individuals with tinnitus, has published a comprehensive report, Ringing the Alarm: The tinnitus care crisis. It exposes alarming gaps in tinnitus care and professional training across the NHS and private audiology...

Enhancing surgical outcomes in TOETVA – with neuromonitoring essentials by Langer Medical

Intraoperative neuromonitoring has become a standard practice in all thyroid surgery, allowing for the precise localisation and reliable monitoring of neurophysiological structures at-risk.

Spring RAMI Section of Oto-Rhinolaryngology Head and Neck Surgery Prize Meeting

The Spring RAMI Section of Oto-Rhinolaryngology Head and Neck Surgery Prize Meeting, held on 28 March 2025 in Portlaoise, proved to be an exceptional gathering of both current and future leaders in the field.

Paroxysmal downbeating nystagmus and proton pump inhibitors

This case report highlights the effect of long-term use of proton pump inhibitors on the vestibular system. The authors reported a case of a 70-year-old woman who was admitted with delirium, ataxia, slurred speech and slowness of thought. She had...

From the editor Nov/Dec 2024

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTW / X: @Voicedoctor_uk Never let it be said that we don’t provide a broad range of topics for you to digest. For...

IOS 2024

The 65th Irish Otorhinolaryngology / Head and Neck Surgery Society conference was hosted by IOS president, Professor Rory McConn Walsh in Titanic Belfast.

Random-pattern skin flaps: part 2 - rhomboid and bilobed flaps

In the second of our series on local skin flaps (see Part 1 here, Part 3 here and Part 4 here), the authors describe more techniques and examples of various skin flaps that trainees should find very interesting. Rhomboid flap...

Direct-to-consumer hearing devices: a need to combine cosmetic appeal with device capabilities

How safe and desirable are direct-to-consumer amplification devices? A team has put a range of devices through their paces and compared them to a standard NHS hearing device. Why do most individuals who would benefit from hearing aids not try...