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Lateral wall augmentation for patulous eustachian tube

The problem more commonly attributed to the eustachian tube is lack of its patency rather than it being unduly patulous. This lesser recognised condition is due to loss of peritubal fat volume resulting in concavity of the lateral wall and...

Open hearing-aid fittings or closed

There is always a balance between different types of hearing aids and their advantages and disadvantages that influence choice of device and ultimately user preference. Personal choice also plays a role when deciding on behind the ear or in ear...

Delayed facial palsy post vestibular schwannoma resection

This article presents findings of a retrospective evaluation of 489 patients who underwent vestibular schwannoma surgery and developed delayed facial palsy. The authors define delayed facial palsy as deterioration of at least two HB grades between postoperative days five and...

Cochlear implanted children are more likely to have device failure if their balance function is impaired

We know that children with permanent hearing loss are more likely to have an associated balance problem. It is also thought that children with cochlear implants (CI) that fail do so because of an increased risk of falls and head...

When ears go bad

Whilst rare, squamous cell carcinoma is the commonest primary malignancy of the temporal bone and is discussed in this review article. This tumour frequently presents with otalgia, ottorhoea and hearing loss; less commonly, with facial palsy or parotid mass. Investigations...

Predicting CSF leaks pre FESS: Gera classification - a new tool?

An interesting study from Italy looking at an anterior skull base classification that may be useful in predicting risk of intraoperative CSF leak during FESS surgery. Traditionally we have used the Keros classification system, developed in 1962 to categorise olfactory...

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...

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....

The role of YO-IFOS in enhancing collaboration between young physicians in Europe

Young ENT surgeons realise the importance of international collaboration – we hear about a group that was formed just 18 months ago. During the meeting of the International Federation of Otorhinolaryngological Societies (IFOS) in 2017 in Paris, a group for...

Barriers to cochlear implantation in low resource settings

The benefits of early detection and rehabilitation of hearing loss in children, especially through cochlear implantation, are unequivocal. However, access to these valuable resources is far from equal and universal. Identifying the barriers is the first major step in addressing...

Audiology in this issue...Women in Leadership

Priya Carling, AuD, Director and Consultant Audiologist,Kent Hearing Ltd, UK. E: priya@Kenthearing.com Alex Griffiths-Brown, BSc(Hons), MRes, Audiologist,The Shrewsbury and Telford Hospitals NHS Trust, Shrewsbury, UK. E: alex.griffiths-brown@nhs.net Twitter: @griffithsbrown1 I am going to start off this editorial by clarifying that...

The evolving role of OAEs in newborn hearing screening

An admission on emissions from James Hall! OAEs hold an established place in the screening of infants; Professor Hall introduces how OAEs established this position and the advances keeping the test relevant to today’s infant screening battery. Introduction Truthfully, when...