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The barber-surgeon of Avebury

1 November 2019 | | ENT
On a stroll through Neolithic Britain, Seville oranges on a quay in Dundee, marmalade and 14th century coins, Chris Potter unravels the story of a man (a surgeon?) seemingly crushed by a falling 13-tonne stone. But things are not quite...

Making healthcare conferences green

3 November 2023 | | ENT
Who knew our healthcare conference industry contributed so much to global carbon emissions? This article summarises means to reduce the impact such that we can continue to meet with our peers for educational meetings and networking, but in a sustainable...

Endoscopic middle ear surgery for cholesteatoma treatment

1 May 2016 | | ENT, Otology
A critical question when any new technique is proposed is ‘does it work?’ In this article Daniele Marchioni and Davide Soloperto discuss the success rates of endoscopic ear surgery for cholesteatoma. Introduction Surgical management of cholesteatoma is still a controversial...

Recalcitrant chronic rhinosinusitis: What to do next?

1 July 2016 | | ENT, Rhinology / Sinus
Whilst the majority of patients with chronic rhinosinusitis (CRS) will significantly improve with treatment, we are sometimes left with a ‘hard-core’ of nasal cripples who fail to improve despite our best efforts. How can we deal with these patients? Valerie...

The role of objective measures and imaging to optimise cochlear implant outcomes

1 September 2017 | | Auditory Implants, ENT, Otology
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...

The evolution and advancements in radiological imaging of the sinuses

1 May 2019 | | ENT, Rhinology / Sinus, Imaging
Computed tomography (CT) imaging is crucial in the planning of any endoscopic sinus operation; we hear from one of the pioneers of CT scanning who worked with Stammberger and Messerklinger in developing many of the technologies that we now take...

Cytomegalovirus (CMV) and the vestibular system: a case study

1 November 2015 | | Audiology - Paediatric, Vestibular Disorders, Audiology - Diagnostic
This team of audiologists from Cincinnati Children’s Hospital Medical Centre discuss an eight year old with congenital CMV, a neonatal infection which is usually asymptomatic, and provide guidance on how to recognise the signs in the paediatric population, and screen...

Audiovestibular findings in children with enlarged vestibular aqueduct

1 November 2015 | | Audiology - Paediatric, Vestibular Disorders
Enlarged vestibular aqueduct is reported to affect up to 15% of the paediatric population with sensorineural hearing loss. Devin McCaslin and Bridget Smith provide an up-to-date overview of the mechanisms and clinical symptoms underlying the condition and share some of...

Sound sensitivity in children

1 January 2019 | | Audiology - Paediatric
Sound tolerance symptoms in young patients can be a challenge, Veronica Kennedy and Claire Benton share their clinical experience in navigating the issues that can arise in diagnosis and management. In any noisy environment, it’s a common sight to see...

A practical approach to tinnitus

1 January 2016 | | Audiology - Adult, Otology, Tinnitus
Tinnitus is the perception of sound without an external source. The estimated prevalence in adults is between 10-15% [1]. In patients with significant tinnitus, prompting them to seek medical attention, 50% will have improved to mild or no tinnitus by...

Botulinum toxin injection in spasmodic dysphonia

1 May 2018 | | Laryngology / Swallowing / Voice
Spasmodic dysphonia is a rare neurological voice disorder, which is often missed by the inexperienced ear. There is no laboratory test or investigation to diagnose this condition therefore, it is best diagnosed by listening to the patient’s voice. Laryngeal endoscopy...

Triple semicircular canal occlusion and Meniere’s disease: a rising alternative treatment?

7 January 2021 | | ENT, Head and Neck, Otology, Vestibular Disorders
Patients with dizziness form a large part of the workload for ENT surgeons. In the overwhelming majority of cases, management will be medical and successful. However, occasionally some patients present a challenge when they have not responded to conventional treatments....