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Decreased sound tolerance in autism: understanding and distinguishing between hyperacusis, misophonia, and phonophobia

Decreased sound tolerance (DST) affects a significant proportion of autistic people throughout their lifetime and, as Zachary J Williams explains, it is important that clinicians are aware of the three distinct subtypes of DST when making a diagnosis. Autism spectrum...

Hyperacusis and autism spectrum disorder

Several different auditory deficits have been found to be co-morbidities of ASD. This article reviews literature with respect to the relationship between hyperacusis and ASD. Autism spectrum disorder (ASD) can be characterised as a neurodevelopmental condition that is marked by...

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

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...

Teenagers with misophonia

Misophonia can be a distressing condition for teenagers and can have devastating effects upon their home and school lives. There is little research in this area and, as Lucy Partridge explains, more is greatly needed in order to identify interventions...

The role of the multidisciplinary team in laryngology and airway – the Charing Cross experience

As the National Centre for Airway Reconstruction, the Charing Cross laryngology MDT provides expert care to patients with airway problems as well as voice and swallowing disorders. In this article, the team explain their raison d’etre and why the MDT...

A multidisciplinary approach to the management of the adult balance - dizzy patient

Richard Gans and Kimberly Rutherford, renowned experts from The American Institute of Balance, give their team’s overview of the stages involved in reaching ‘diagnosis based strategies’. For the dizzy patient, this focuses on patient-centred clinical pathways for individualised therapy with...

Musical hallucinations and audiology

Many of us will have been stuck with an ‘earworm’ for a day but consider how it would be to have that earworm stuck on repeat, possibly forever. Drs Lauw, Blom and Coebergh review the current literature on musical hallucinations...

In conversation with Professor Valentina Parma, Head of GCCR

Smell has long been regarded as the Cinderella of the senses, oft neglected by clinicians, the research community and lay public. The Global Consortium for Chemosensory Research looks to change all that. Our roving reporter, Abigail Walker, talks to its...

Imaging and management of head and neck vascular anomalies

Vascular anomalies are a diffuse spectrum of abnormalities which often involve the head, neck and oral cavity. They are frequently misnamed, often being generically labelled as haemangiomas. This lack of basic understanding can cause confusion leading to a cascade of...

Chronic cough hypersensitivity syndrome

We all have patients who give us a ‘heartsink’ feeling; for many of us, the coughing patient is exactly such a situation. In this overview, Bhaskar Ram and Sangeeta Maini outline their approach to diagnosis. Declan Costello, Editor. Introduction Chronic...

Facial pain: the differential diagnosis in an ENT clinic

The patient presenting with facial pain can be a heartsink. Fear not – Bhaskar Ram and Sangeeta Maini are here with a succinct overview of the common non-sinogenic causes of facial pain and headache, and how to manage them. Facial...