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Precision and personalised genomic and epigenomic medicine in audiology/hearing loss

1 July 2021 | | Audiology - Adult, Audiology - Diagnostic
A detailed look at the pathogenesis of acquired hearing loss due to exposure to ototoxicity during pregnancy or shortly after birth. Insights from genomic medicine have shown that, along with environmental factors causing epigenetic alterations, hearing loss may be caused...

Medical racism and the surgical ‘correction’ of the nose in Brazil

4 September 2023 | | ENT, Rhinoplasty
Anthropologist Professor Carmen Alvaro Jarrín has conducted extensive research into plastic surgery practice in Brazil. Here, she explains why social and cultural ideas about race may shape rhinoplasty objectives for patients and surgeons in the country. Health professionals worldwide are...

Less Than Full time Training in Otolaryngology

1 September 2014 | | ENT
A recent Statement from the Association of Surgeons in Training (ASIT) stated that in 2011 there were 17 otolaryngology trainees in Less Than Full Time training (LTFT) [1]. Otolaryngologists in LTFT posts (17/151) is the largest group after general surgery...

Practice and pregnancy during COVID-19

7 January 2021 | | Audiology - Paediatric, COVID-19
The global COVID-19 pandemic has had a significant impact on each of us, both personally and professionally. We have had to adapt the way we live and work and find our ‘new normal’. Francesca Lynch, Senior Paediatric Audiologist at Guy’s...

Vicarious (nasal) menstruation

3 September 2021 | | ENT
Hippocrates himself is known to have said that when a woman’s menses are due, but instead of the usual vaginal menstrual flow, she has a haemorrhage from the nose, then this is a sure sign of pregnancy [1]. Artist’s impression...

Congenital cytomegalovirus causing deafness in children: an update

31 October 2018 | | ENT, Paediatric ENT, Audiology - Paediatric
Congenital CMV is the leading non-genetic cause of sensorineural hearing loss in children. Keith Trimble draws our attention to this and gives a comprehensive guide on diagnosis and treatment. Congenital cytomegalovirus (cCMV) infection is common, affecting 1% of all newborns,...

Universal newborn hearing screening: a global health perspective

1 May 2017 | | Audiology - Paediatric, Audiology - Diagnostic
Intuitively, as health professionals, we know that universal newborn hearing screening (UNHS) makes sense. Bolajoko Olusanya outlines how UNHS fits in with global health priorities, as well as illustrating how such programmes can help to deliver additional benefits to communities....

Aspirin desensitisation for aspirin-exacerbated respiratory disease (AERD)

2 March 2022 | | ENT, Rhinology / Sinus
In this article, the authors describe the importance of identifying aspirin-exacerbated respiratory disease in patients with chronic rhinosinusitis refractory to standard medical treatment. This can then open the door to considering aspirin desensitisation treatment which, in their hands, has proven...

Lies, damned lies and relative risk reduction

4 September 2023 | | ENT
Chris Potter has a thing or two to say about the use of statistics and, in doing so, he takes us to a Friday night steak house that is prone to airway disasters and on a short tour of his...

Targeted CMV screening and hearing management of children with congenital cytomegalovirus infection

31 October 2018 | | Audiology - Paediatric, Audiology - Diagnostic
Congenital cytomegalovirus (cCMV) infection is a common congenital infection and is the leading infectious cause of sensorineural hearing loss (SNHL) in children. Prof Karen Fowler discusses current research and the exciting future of screening for cCMV in newborns. Figure 1....

Breaking barriers in Uganda: the story of Elaine Mukaaya

1 July 2019 | | ENT, Paediatric ENT, Auditory Implants, Audiology - Adult, Audiology - Paediatric
More than 9% of sub-Saharan Africa’s one billion people live with disabling hearing loss, with children having among the highest rates of childhood hearing loss in the world [1]. Sadly, in concordance with the inverse care law – proposed by...

The UK otolaryngology trainees’ lived experience during the COVID-19 pandemic

17 February 2022 | | Laryngology / Swallowing / Voice, COVID-19
Much has been published on the concerns and real impact of the pandemic on surgical training. In this article, colleagues from the Association of Otorhinolaryngologists in Training (AOT) in the UK share the experiences of their membership. We invite our...