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American Thyroid Association Thyroid Cancer Management Guidelines: utilising risk stratification to optimise patient care

1 March 2016 | | ENT, Head and Neck
The steep rise in thyroid surgery around the globe, has led to the development of risk stratification to define the indications for surgery and the extent of surgery as well as adjuvant therapies for papillary carcinoma, to avoid over treatment....

A surgeon’s perspective on the challenges facing cochlear implantation in children

1 September 2017 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric, Auditory Implants, ENT, Otology, Paediatric ENT
Cochlear implantation in children offers a different set of challenges and goals to adult practice. In this article, Iain Bruce, Professor of Paediatric Otolaryngology in Manchester, UK, explains some of the current clinical and research challenges in paediatric cochlear implantation,...

Non-surgical rhinoplasty

1 July 2019 | | ENT, Rhinology / Sinus, Rhinoplasty
Some patients would like to alter the appearance of their nose without surgery or make further subtle changes after a rhinoplasty. Lydia Badia explains how this can be done, thanks to the advent of injectable fillers. This medical procedure in...

Anaesthesia for free-flap surgery

1 November 2019 | | ENT
Adel Hutchinson is one of those calm and controlled anaesthetists for whom nothing seems too difficult. In this article, she describes the key perioperative factors for one of the highest complexity operations in ENT; free-flap surgery. It makes good reading...

Audiology training in South Africa

1 May 2017 | | Audiology - Adult, Audiology - Paediatric, Audiology - Diagnostic
There are many different ways to become an audiologist throughout the world and it is interesting to see how different some of the training routes can be. Dr Cherilee Rutherford, a lecturer in audiology at the University of Cape Town,...

Paediatric vestibular evaluation

1 November 2015 | | Audiology - Paediatric, Audiology - Diagnostic, Vestibular Disorders
Richard E Gans is a renowned expert in the areas of vestibular evaluation and rehabilitation techniques. In the first of two articles (see here for the second article), Dr Gans gives an overview of the approach he and his team...

Vestibular rehabilitation therapy: diagnosis based strategies

1 November 2015 | | Audiology - Adult, Audiology - Diagnostic, Vestibular Disorders
In his second article on this topic (see here for the first article), Richard E Gans explains how to use vestibular rehabilitation therapy to treat vestibular patients, and demonstrates why this method of diagnosis based strategies has proved so successful....

The future of hearing care and the role of audiology

1 March 2016 | | Audiology - Adult, Audiology - Paediatric, Otology
The Clinical Director of Cincinnati Children’s Hospital Medical Center and President-elect of the American Academy of Audiology reviews the status of the present day audiologist’s remit, and discusses the changes we can expect with the changing demographic and behaviour of...

Otoacoustic emissions in the diagnostic test battery for hearing loss

1 May 2018 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric
So, they are great for screening, but how can otoacoustic emissions be integrated into the diagnostic test battery? Beth Prieve examines the role of diagnostic OAEs by asking three simple questions. Audiologists and otolaryngologists are familiar with otoacoustic emissions (OAEs)...

Hyperacusis-related distress and comorbid psychiatric illness

1 May 2019 | | Audiology - Adult, Audiology - Diagnostic, Tinnitus
Research suggests that over 50% of patients presenting with hyperacusis also present with some form of psychiatric disorder. With this in mind, Dr Aazh outlines what tools clinicians can use to screen for psychological disorders and what path to take...

Cambodian otology service – a fellowship with a difference

1 November 2014 | | ENT, Otology
Cambodia is a country of 15 million people, still recovering from a chequered past. In the 1970s, under the Khmer Rouge, most of the medical profession, together with the rest of the educated population, was executed – the fortunate few...

Surgical management of congenital nasal pyriform aperture stenosis

1 May 2014 | | Paediatric ENT, Rhinoplasty
Introduction Congenital nasal pyriform aperture stenosis (CNPAS) is a rare cause of neonatal upper airway obstruction which was first described by Douglas in 1952 [1]. The first radiological description of CNPAS was described by Ey et al in 1988 [2]....