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Is clinical HIT as good as vHIT in the emergency room?

1 May 2018 | | Acute vestibular syndrome, head impulse test, posterior circulation stroke, vestibular neuritis, video-oculography based head impulse test
Establishing the cause of acute vestibular syndrome (AVS) is critical in the first few hours of presentation in the emergency department. The first question to ask is, “is it due to a peripheral vestibular pathology or a stroke?” This is...

Voice after posterior cordotomy: we think voice is bad, patients think it’s better!

1 January 2017 |
Bilateral vocal fold immobility (BVFI) is a condition that can affect voice with an impact on quality of life (QOL). Surgical trauma from damage to bilateral recurrent laryngeal nerves, such as from previous thyroid, parathyroid, or mediastinal surgery are common...

Will it ever happen?

1 November 2014 |
Audiology is a rapidly evolving field, with many exciting developments on the horizon. David Baguley identified some topics of interest, and asked some international experts ‘will it ever happen?’ Gene therapy for deafness After years of development, gene therapy for...

Barriers to cochlear implantation in low resource settings

9 September 2020 | | ENTA-Audiology - Diagnostic, ENTA-Audiology - Adult, ENTA-Audiology - Paediatric, ENTA-Auditory Implants
The benefits of early detection and rehabilitation of hearing loss in children, especially through cochlear implantation, are unequivocal. However, access to these valuable resources is far from equal and universal. Identifying the barriers is the first major step in addressing...

A psychophysical perspective on single-sided deafness and its treatment by cochlear implants

1 September 2015 | | ENTA-Audiology - Adult, ENTA-Auditory Implants
Bob Carlyon gives us a psychophysical perspective on the hearing benefits that can and cannot be achieved for patients with single-sided deafness with a cochlear implant, and discusses some of the challenges in maximising the effectiveness of the treatment. He...

Hidden hearing loss in humans

1 March 2018 | | ENTA-Audiology - Diagnostic, ENTA-Audiology - Adult
Awareness of cochlear synaptopathy (‘hidden hearing loss’) is growing. Chris Plack gives us an introduction to the condition, defining it and reviewing recent research in humans and animals with respect to noise exposure. The main cause of hearing loss is...

Machine learning to support audiology

5 January 2022 | | ENTA-Audiology - Adult, ENTA-Audiology - Diagnostic
Jessica Monaghan and David Allen discuss how machine learning, using a wealth of data provided by hearing devices, can be used to streamline their functionality and fitting. They report on how it has been used to support clinicians to maximise...

The ‘umbrella furling’ deflation technique for cuffed tracheostomy tube - a useful tip for an easier tracheostomy insertion

27 June 2022 | | ENTA-ENT, ENTA-Head & Neck, ENTA-Laryngology / Swallowing / Voice
In this article, the authors describe a quick and effective technique to assist with the maximal deflation of a tracheostomy tube cuff prior to insertion, thus making the process easier with less chance of damage to the cuff and a...

The ear-brain connection in cochlear implant users: learning to listen again

26 June 2017 | | ENTA-Audiology - Adult, ENTA-Auditory Implants, ENTA-ENT, ENTA-Neurotology
While the cochlear implant (CI) has been a tremendous success in restoring hearing to deaf individuals, the implantation outcome still varies across CI users [1]. Some demographic factors, such as duration of deafness, and peripheral factors, such as electrode placement,...

Auditory brainstem implant results in adults and children

5 June 2017 | | ENTA-Audiology - Paediatric, ENTA-Audiology - Adult, ENTA-Auditory Implants, ENTA-ENT, ENTA-Otology, ENTA-Paediatrics
Background The auditory brainstem implant (ABI) has been developed from cochlear implant (CI) technology and is indicated for people who have anatomical abnormalities of the cochlea or dysfunction of the auditory nerve. The majority of people who have received an...

Multi-channel cochlear implants: past, present and future

1 September 2017 | | ENTA-Audiology - Adult, ENTA-Audiology - Paediatric, ENTA-Auditory Implants, ENTA-ENT, ENTA-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...

Long-term outcomes of children and young people with cochlear implants

5 June 2017 | | ENTA-Audiology - Paediatric, ENTA-Auditory Implants, ENTA-Otology, ENTA-Paediatrics
Introduction Profound childhood hearing loss has a huge impact on early communication skills, the acquisition of spoken language, and hence on educational attainments and employment prospects. Over the centuries, educators of the deaf attempted to overcome the challenge by using...