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Performing a labyrinthectomy

This article takes the reader through the two main approaches for a labyrinthectomy for intractable Meniere’s disease. These are the traditional trans-mastoid and the less well known trans-canal. They state that according to the House clinic, the selection criteria for...

Otology, Neurotology and Skull Base Surgery Book Review

This concise pocket-sized textbook aims to provide a practical reference that clinicians can use in every day otological and skull base practice. The senior author, Derald Brackmann, is one of the leading neurotologists of the modern era and, together with...

The process of medical innovation

You’ve got an amazing idea for a new device. It is going to change how your speciality of surgery is practised. It will lead to better operative results and lower risks to patients – that’s amazing, can I see it?...

Music is noise

Marshall Chasin recaps what we know acoustically about music and noise, and discusses the potentially damaging levels of music, how temporary threshold shift (TTS) is not necessarily temporary and gives us some considerations for protective devices for musicians. Most of...

Rhinoplasty for cleft nose deformity

Modern cleft lip and palate repairs produce excellent functional and aesthetic results at an early age. Tony Holmes, a craniofacial surgeon with over 40 years’ experience, shares his wisdom on the best timing and techniques for addressing the associated complex...

Hearing aid microphone considerations for binaural hearing: When to select natural or aggressive directional microphone technology?

Should I use omni-directional or fixed directionality? Does it make a difference if I’m fitting a unilateral hearing loss? Mark Laureyns discusses the current evidence on directional microphones and provides practical advice on the systems and when to employ them....

VACANCY: Audiology Partner – Pontypridd

Take on this existing successful business and make it grow, look after your private customers, serve your community, create an asset for your family’s future and enjoy the profits of all your hard work.

Diagnosing persistent postural-perceptual dizziness (PPPD)

The authors, part of an influential committee of experts of the Bárány Society, proposed this consensus document after reviewing 30 years of research on phobic postural vertigo, space-motion discomfort, visual vertigo, and chronic subjective dizziness. They also reviewed interesting historical...

Voice after posterior cordotomy: we think voice is bad, patients think it’s better!

Bilateral vocal fold immobility (BVFI) is a condition that can affect voice with an impact on quality of life (QOL). Surgical trauma from damage to bilateral recurrent laryngeal nerves, such as from previous thyroid, parathyroid, or mediastinal surgery are common...

NASBS (North American Skull Base Society) 29th Annual Meeting

Report By: Gauri Mankekar, OLOL Hearing and Balance Center, Baton Rouge, Louisiana, USA The 29th Annual North American Skull Base Society (NASBS) Meeting was organised by President James Evans with co-chairs, Amir Dehdashti and Adam Zanation. Delegates consisted of neurosurgeons,...

From the editor May/June 2023

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTw: @Voicedoctor_uk The management of swallowing disorders is often seen as a ‘Cinderella’ field, so it is a real pleasure to be able...