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Experience on the front line

21st January 2021 Back to basics Yesterday I went right back to where my medical career began. I grew up in Germany, bilingual. A prerequisite to studying medicine in Germany is that applicants have to spend two months working as...

Andrew Foster and deaf education

This article examines the career of deaf African American, Andrew Foster, and his contribution to deaf education in Sub-Saharan Africa. The history of medicine has often been guilty of attributing great revolutions to a single person (usually a white man)...

Less Than Full time Training in Otolaryngology

A recent Statement from the Association of Surgeons in Training (ASIT) stated that in 2011 there were 17 otolaryngology trainees in Less Than Full Time training (LTFT) [1]. Otolaryngologists in LTFT posts (17/151) is the largest group after general surgery...

Why screen for hearing loss in adults?

Introduction Hearing loss affects over 10 million people in the UK – one in six of the population. Of over 50-year-olds 41.7% are estimated to have some form of hearing loss. This rises to 71.1% of over 70-year-olds, over half...

Screening for hearing aid fittings – an approach for primary care

Introduction The communication difficulties related to hearing loss can lead to ‘depression, social withdrawal and problems with employment and access to information sources’ [1]. Furthermore, unmanaged hearing loss is associated with dementia, a poorer quality of life, depression, anxiety and...

The role of significant others in hearing aid adoption

Presbycusis, or age-related hearing loss, is one of the most common conditions affecting older adults and its prevalence is found to increase with age. Over the years, amplification technology has advanced significantly from analogue to digital signal processing. Despite this,...

Developing outcome measures for research

There are challenges in developing outcomes measures; Professor Hall presents five top pointers for making rapid progress in developing outcome measures for research purposes. Anyone who has worked clinically with hearing loss will appreciate that every patient’s experience is personal....

Health related quality of life measures as outcome parameters in middle ear diseases

Surely the only outcome needed for post-surgical ears is a better PTA? Marcus Neudert argues there should be more to it than that. To draw a comprehensive picture of the disease-associated restrictions in patients with chronic otitis media, audiometric outcome...

Looking at musculoskeletal disorders in audiology

Musculoskeletal disorders are one of the leading cause of sickness absence from work, work disability and loss of productivity across all European Union member states. Isla Beausire is a working audiologist with a personal and professional interest in this subject...

Enhancing and extending hearing care using Ida Telecare

Tele-audiology has been on our radar for a long while, and evidence shows that its application in clinical practice is beneficial to both patients and clinicians. Cherilee Rutherford discusses the benefits and gives an overview of the freely-available tools developed...

By the people, for the people: a multidisciplinary facial nerve clinic with a difference

Facial nerve palsy is regularly seen in ENT clinics. Underlying diagnoses are excluded, and the patient is often then discharged to ‘see how it goes’, with or without an ophthalmology referral. Here, Catherine Meller describes how she and her team...

Cochlear implant referral: how can we do better?

Considerable progress has been made over the last few years in improving access to cochlear implantation (CI) in the UK for children and adults with severe to profound deafness. But we are still not treating children early enough, and we...