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Incidental thyroid nodules: should we observe or operate?
Thyroid nodules are extraordinarily prevalent, detected by physical examination in 7% and by imaging studies in 67% of the population. Although most of these nodules are benign, up to 20% are found to be malignant on excision. It’s a very...
Aboriginal, Torres Strait Islanders and Pacific Islander Ear Care Manual
I was delighted to review this manual, having had the previous privilege of joining its lead author, Professor Harvey Coates, in one of his indigenous ear health clinics just outside Perth, Western Australia. Prof Coates has worked with a broad...
Help seeking for tinnitus – experiences of the diagnostic and treatment process
Population-based and self-selecting adult participants of this Australian cohort study (n=281) completed survey questions exploring varied outcome measures related to tinnitus. Primary outcomes assessed communication of initial tinnitus diagnoses and subsequent treatment offering, with participants rating their satisfaction at the...The role of objective measures and imaging to optimise cochlear implant outcomes
Should we be using new or novel objective measures and imaging to assist with our cochlear implant patients? Debi Vickers and Shak Saeed describe current clinical techniques and present advances that have the potential to optimise outcomes. Introduction It is...Ear, nose and throat surgery in children – where will it be in 15 and 50 years?
Michael Kuo, David Albert and Mike Saunders have put their collective heads together to predict the future of ENT surgery in children; will there be a rise in workload due to increasing survival of children with complex medical problems? Or...Alternative listening devices: reaching the places hearing aids don’t
The stigma surrounding hearing aids means that many people who would benefit from wearing them are put off from doing so. Alternative listening devices could provide the solution to this. David Maidment discusses these devices, their effectiveness and the impact...Clinical utility and practical interpretation of the video head impulse test
The head impulse test (HIT) is an essential bedside test to detect peripheral vestibular deficits. The video head impulse test (vHIT) is a new tool quantifying the HIT. In this article Maria Heuberger and colleagues point out the clinical utility...Building sound: from Stonehenge to a Symphony Hall
Modern architecture can use scientific techniques to shape room acoustics and create great sounding places. Professor Trevor Cox discusses our ancestors’ understanding of the importance of building techniques to enhance acoustics from Stonehenge to a Symphony Hall. Going to an...
Multisystem pathology in refractory otitis media with effusion
Recurrent middle ear effusion is a common problem and so is rhinosinusitis with polyposis. It is not often thought that the problem could be linked to multisystem pathology, such as eosinophilic granulomatous with polyposis. Therefore, repeated grommet insertions and surgical...
