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Diana Deutsch

20 July 2017 | ENT
Audiologists think about sound a lot. In fact, it is a bit of an occupational hazard. The majority of that time is usually devoted to thinking about sound in a purely functional sense (for example, adjusting a hearing aid to...
The Journal Laryngology & Otology cover

Algorithm for malignant otitis externa

1 November 2019 | | Laryngology / Swallowing / Voice | Diabetes Mellitus, Otitis Externa, Pseudomonas, Skull Base
Timely detection and effective management of this potentially fatal condition cannot be overemphasised. This study presents 16 cases over 12 months in a tertiary referral centre. Most patients had diabetes and others were immunocompromised due to radiotherapy, immunosuppressive medication or...

COVID-19 ENT Useful Resources

25 March 2020 | COVID-19
Below is a list of useful resources connected to the COVID-19 pandemic. This list will be updated as and when more become available. 1 June - BLA & ENT UK Guidelines (endorsed by RCSLT) : A graduated return to elective...

Strategies to improve early development of vocabulary post-cochlear implantation

1 January 2019 | | cochlear implants, early receptive skills, fine motor development, gesture use, vocabulary, young children
Cochlear Implantation (CI) is now the standard of care for rehabilitation of children with bilateral severe to profound sensorineural hearing loss. It improves the children’s linguistic input and helps them to develop language. The literature published so far has shown...

Multi-channel cochlear implants: past, present and future

1 September 2017 | | Audiology - Adult, Audiology - Paediatric, Auditory Implants, ENT, Otology
Forty years since the first multi-channel devices were implanted, who better than Ingeborg Hochmair, who has been a key figure throughout their evolution, to offer her thoughts on the past, present and future of multi-channel cochlear implants? Read on for...

Vascularised tissue in salvage total laryngectomy

1 September 2014 | | Salvage laryngectomy, free flaps, pedicled flaps, pharyngocutaneous fistula, reconstruction, recurrent laryngeal cancer
Chemoradiation (CRT) has become the mainstay for locally advanced laryngeal cancer since the RTOG 91-11 trial. Unfortunately there is still a substantial demand for salvage laryngectomies, which have a higher complication rate, the most notable being pharyngocutaneous fistula (PCF). Several...
Head and Neck journal front cover image

Patient reported outcomes following total laryngectomy using the Swallowing Outcomes After Laryngectomy (SOAL) questionnaire

7 July 2020 | | Laryngology / Swallowing / Voice | SOAL, dysphagia, laryngectomy, patient-reported outcome measure, swallowing
Following a total laryngectomy, alterations in the pharyngeal musculature and changes in the pharyngo-oesophageal segment due to reconstruction, results in altered bolus transit. Swallowing dysfunction after total laryngectomy for head and neck squamous cell carcinoma can vary from 10%-90%. There...

Health related quality of life measures as outcome parameters in middle ear diseases

1 January 2018 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric, Otology
Surely the only outcome needed for post-surgical ears is a better PTA? Marcus Neudert argues there should be more to it than that. To draw a comprehensive picture of the disease-associated restrictions in patients with chronic otitis media, audiometric outcome...

Loss of smell after COVID-19: a view from the patient forums

1 July 2021 | | ENT, Rhinology / Sinus, COVID-19
Patient advocate, Chrissi Kelly, founder of AbScent, talks about how the pandemic has changed the way we think about smell loss. The high prevalence of chemosensory impairment as a result of the SARS-CoV-2 virus has shone a much-needed spotlight on...

Machine learning and the future of otolaryngology

9 September 2020 | | ENT, Head and Neck, Imaging
If you are over 30 years of age, you have witnessed a technology revolution that has grossly affected how we live: computers have come from being an oddity to an everyday feature in our households and places of work; the...

Improving cochlear-implant performance in the short- and medium-term

1 September 2017 | | Audiology - Adult, Audiology - Paediatric, Audiology - Diagnostic, Auditory Implants, ENT, Otology, Paediatric ENT
Can bespoke cochlear implant programming strategies reduce the variability seen in patient performance with an implant? Bob Carlyon reviews the current situation and gives us a glimpse of the future. Although many cochlear implant (CI) patients understand speech well in...

EEG as a measure of neuroplasticity in children

6 January 2023 | | Audiology - Paediatric, Auditory Implants, Audiology - Diagnostic
Measuring changes in neural activity can teach us a lot about hearing loss and the effect of gained functional hearing. In this article, the authors describe how electroencephalography (EEG) is being used to effectively measure such changes in children with...