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What’s the appetite for clinical risk?

The first Professor and Chair of Medical Professionalism at RCSI and BSHS, Dubhfeasa Slattery provides an overview of how a desire for better healthcare at all levels can be harnessed and nourished, leading to a potential life-long interest in reducing...

3D printing and sustainability in audiology and ENT

As we try to avoid disposing of equipment that is still functional, we are challenged by company policies that make equipment ‘obsolete’ and no longer supported for repairs. One innovative solution is provided by 3D printing parts that are needed...

Imaging tinnitus

Tinnitus is a common sensation with a reported prevalence of 7-32%. The British National Study of Hearing recorded that 10% of adults suffered from prolong spontaneous tinnitus, and approximately a quarter of these are subsequently referred to hospital for investigation...

Endoscopic CSF leak repair using nasoseptal flap

Many of us during training or in established practice will have encountered the complication of anterior skull base CSF leak. This can be a challenging problem to deal with and in this article the authors describe their favoured approach. Cerebrospinal...

Comparison between objective and subjective BPPV

BPPV presentation in ENT clinics is variable. The objective of this study was to examine differences in demographic and clinical features, as well as treatment outcomes, between classic objective BPPV (O-BPPV) and subjective BPPV (S-BPPV). Unlike classic BPPV (with nystagmus),...

The big ask – maintaining the entrepreneurial spirit in academic facial plastic surgery in the USA

en·tre·pre·neur, noun a person who organises and operates a business and who has qualities of leadership, initiative and innovation. In the United States, facial plastic surgery (FPS) services are divided among private and academic practices. The vast majority of academic...

A cognitive therapy programme for hearing impairment: reducing avoidance and mental distress

Cognitive behavioural therapy (CBT), a psychotherapeutic treatment method, is most commonly used to treat anxiety and depression. Newly published results from a controlled, clinical study demonstrate that an adapted CBT programme is useful for several common challenges in aural rehabilitation;...

Microgravity: an extreme environment for otolith organs

Motion sickness in a car can be upsetting for all involved. Transferring this concept into a tiny cabin bound for space could have devastating consequences. Are the processes involved in ‘space motion sickness’ the same as motion sickness? How do...

Can the audiology clinic benefit from advances in virtual reality?

François Patou discusses how the recent advances in virtual reality technologies can be used to support people living with hearing loss. He outlines some of the novel virtual reality tools that are emerging as resources to support delivery of audiology...

Audiological testing strategies for children and young people with ASD

In 2014 the Hummingbird Clinic was opened, offering a bespoke clinic for children with complex needs or autism. In this article Keiran Joseph shares the wealth of knowledge gained in this clinic over the years and offers some top tips...

Nasal septoplasty: is it more effective than medical management?

Question1. How do we know that undertaking an operation will benefit a patient? Question 2. How do policy makers / health systems know an operation is effective and ‘good value for money’? As trained professionals, we spend our careers seeking...

Reflected glory: the race to claim the laryngeal mirror

“None of today’s young doctors can start to imagine the feeling of professional helplessness and despair that prevailed before the invention of the laryngeal mirror. Thousands of people died, whom we were not able to help, or even bring relief...