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An update on HPV and the vaccination

In recent years, the role of HPV in the development of oropharyngeal cancers has become apparent. Hannah Fox and Vin Paleri contend that while we may not always be able to cure oropharyngeal cancers, vaccination offers our best hope for...

Misophonia

Decreased sound tolerance is a common audiologic complaint. Unlike the classic characteristics of hyperacusis whereby a patient is sensitive to the frequency or volume of a sound, misophonia is a strong emotional and psychological reaction to a sound with a...

Audiology in this issue...Amplification 2019

Gareth Smith, MSc, AuD, Consultant Clinical Scientist (Audiology), Southend University Hospital, UK. E: Gareth.Smith@southend.nhs.uk In previous areas of the Audiology Features Section, this theme would have been called ‘Hearing Aids’. With the increased interest in ‘over-the-counter’ or ‘direct-to-consumer’ devices, we...

Paediatric obstructive sleep apnoea

As tonsillectomy rates for recurrent sore throats have declined, there has been increasing recognition of the importance of OSA in children. Not always diagnosed early – or in some cases at all – and with continuing debate as to how...

BLA/UEP Inaugural Joint Meeting

Matthew Cherko, Consultant Laryngologist, Royal Berkshire Hospital, Reading. It was a historic day when the highly anticipated inaugural joint meeting between the British Laryngological Association (BLA) and the Union of the European Phoniatricians (UEP) took place in London. In a...

Medical training initiative (MTI): stepping outside the box

Medical training initiative (MTI) scheme in the UK are becoming increasingly available and are actively supported by ENT UK. Despite this, knowledge of them is limited and there can be a mismatch between supervisors and potential candidates. Our authors, Manuela...

The development of the Paediatric Arabic Auditory Speech Test for iPad

Speech in noise testing provides real-life assessments of hearing that conventional pure tones cannot deliver. Rania Alkahtani describes the development of such a test for Arabic speaking children. It also has the additional benefit of being able to be delivered...

Ultrasonic bone aspirators for internal auditory meatus ‘drilling’ in retrosigmoid vestibular schwannoma resection

In this article, the authors describe the retrosigmoid approach to a vestibular schwannoma, using an ultrasonic bone aspirator as an alternative to the standard drill. Vestibular schwannomas (VS) are benign, usually slow-growing tumours of the vestibular nerve. Management of VS...

When should revision FESS leave you reaching for the script pad?

This very interesting work from the professorial team in London seeks to define a group of patients with CRSwNP who may benefit from early biological treatment since they are at risk of failure of surgical and conventional medical management. Approximately...

The role of macrolide antibiotics in chronic rhinosinusitis

The use of long-term antibiotics in the treatment of chronic rhinosinusitis is a contentious issue, not only because of the increasing problem with antibiotic resistance but also because of the potential cardiac risks, including sudden death. In this article, Anders...

Paediatric vestibular evaluation

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...

ENT Grand Rounds

A number of virtual teaching programmes have been set up across the UK. At Guy's and St. Thomas' and the Evelina London Children's hospitals, we embarked on a similar educational initiative to encourage...