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Fifteen years of vestibular implant research in humans

Implants: it’s all in the balance! Prof Guyot and his team give us an update on their research in addressing bilateral vestibular deficits via an implant. Doctors are often unaware that people, even young, may lose vestibular function on both...

Sound sensitivity in children

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...

Rhinoplasty: state-of-the-art

Rhinoplasty surgery has evolved over the years, and Pietro Palma introduces a further new concept. When flicking through the topics of major rhinoplasty meetings, the astute observer will realise that, at present, there are two mainstream schools of rhinoplasty, which...

Silent sinus syndrome: which approach offers the best outcome?

Silent sinus syndrome (SSS) is a rare condition with patients presenting as spontaneous, painless enophthalmos, hypoglobus, orbital asymmetry, and maxillary sinus collapse on the ipsilateral side. The orbital resorption occurs secondary to negative pressure created in the maxillary sinus by...

Use of a diode laser for the removal of a frontal sinus osteoma

In this How I Do It, Professor Sergei Karpischenko introduces a gentle method of reduction of mobilised frontal sinus osteoma which has been successfully used in five patients in his university clinic using a diode laser in contact mode. Osteoma...

Clinical Practice Guideline on Tympanostomy Tube in Children Update (AAO-HNS)

The American Academy of Otolaryngology–Head and Neck Surgery Foundation’s ‘Clinical Practice Guideline: Tympanostomy Tubes in Children (Update)’ has been recently published - an update of the original 2013 guideline. This article forms an executive summary to accompany the full guideline....

Sex and the Nose

For regular attentive readers of our little magazine, JRY will need no introduction. The word ‘polymath’ barely does him justice: a Colonel in the Medical Corps with an MPhil in poetry and apparently one of the “50 coolest people in...

The Ewings and paediatric audiology

Medical historian, Laura Dawes, discusses how Irene and Alexander Ewing were instrumental in shaping paediatric audiology in the first half of the 20th century. Irene and Alexander Ewing were the power couple of audiology in the UK in the mid-20th...

Application of paper patching in patulous eustachian tube

The condition of patulous eustachian tube, as opposed to dysfunctional eustachian tube, is less frequently diagnosed. Symptoms related to this, such as autophony, aural fullness, ‘being under water’, ‘hearing their own breathing’, and hearing sensitivity (varying in either direction) can...

Kuduwave™ testing aboard the ISS

What does it take to make an audiometer and tympanometry ready for the space age? In a recent interview, Jillian Scotland and Dirk Koekemoer shared their first-hand experience of getting the Kuduwave ready for a voyage to the ISS. It...

SCOTLAND preoperative tympanomastoid CT temporal bone mnemonic system

Learning how to interpret a CT scan of the temporal bones can be a daunting task, especially for a head and neck surgeon like me! However, to make life easier, the authors have devised a useful system to help cover...

Anatomy for extended sinus surgery

In the world of image guidance and pushing the boundaries of what can be achieved endoscopically the assessment and understanding of preoperative imaging is critical for success. This paper highlights the anatomical variations in the pterygopalatine and sellar regions. The...