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Ossicular reconstruction

27 February 2020 | | ENT, Otology
Ossicular reconstruction often yields disappointing results, even for the most experienced and skilled of otologists. John Dornhoffer and David Walker explain that the most important determinant of outcome is the patient’s middle ear environment, and offer some valuable words of...

Sit back, relax and enjoy the flight! & Arrivals

3 May 2024 | | ENT
This series of stories is dedicated to those of you with whom some of these moments were shared (or endured) and, above all, to my amazing and long-suffering husband, David Howard. Most of you know him as an exceptional head...

Time to professionalise medical leadership

1 September 2014 | | ENT
For a profession proud of its adherence to an evidence base, medicine has been remarkably slow to acknowledge and to act on the evidence which underpins the value of good leadership to patients and the healthcare system. Mr Robert Francis...

Physiological mechanisms of hyperacusis: an update

1 January 2019 | | Audiology - Adult, Audiology - Diagnostic, Tinnitus
Hyperacusis is a heterogeneous and complex clinical entity, and proposals about physiological mechanisms should reflect these issues. Ben Auerbach helps us navigate through present knowledge in this area, and proposes future directions for research. Hyperacusis is a debilitating hearing disorder...

Audiological evaluation and management of teenagers with tinnitus

1 January 2017 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric
There is a growing interest in investigating, understanding and managing tinnitus in children and adolescents, with several articles on the subject published in journals over the last year. Brian Fligor describes the approaches to consider when discussing tinnitus with teenagers....

The preventative audiologist

5 July 2022 | | Audiology - Adult
Rob Shepheard has been championing the role of ‘the preventative audiologist’ for many years. In this article, he explores how that can be achieved.

Adolescence, drug use and body image

1 January 2017 | | ENT, Head and Neck, Paediatric ENT
Teenagers are notoriously conscious of how they are perceived by others. Dr Saraiva and colleagues explain how this can lead to problems with substance abuse for both boys and girls, and discuss the different substances they may encounter. Adolescence is...

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

1 November 2015 | | Rhinology / Sinus
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...

A quick and simple approach to correcting the deviated nasal septum

1 January 2018 | | Rhinology / Sinus
Nasal septal surgery is a very common procedure that we tend to learn as junior trainees. Most of us still find that we have a lot to learn with every deviated septum that we encounter. There is a range of...

The utilisation of three-dimensional printed models in skull base surgery

1 January 2019 | | ENT, Skull Base Surgery
As technology improves, there are new ways to assist with surgeons when it comes to training and preparing for surgery. Barbara Anne Thomson and Georgios Kontorinis highlight how 3D printing can help with the understanding and surgical planning for complex...

Open septorhinoplasty approach for closure of medium sized septal perforations

1 May 2015 | | Rhinology / Sinus
Septal perforations are difficult problems to treat. There are various causes described in literature such as trauma, inflammatory, cocaine abuse but most often they are due to iatrogenic cause (such as septoplasty) or due to trauma. The symptoms due to...

Music and hearing aids - the current state of affairs

25 August 2017 | | Audiology - Adult
‘Speech sounds great, but music isn’t right’ is a common complaint from hearing aid users across the globe. In this article, Marshall Chasin, one of the most published audiologists on the subject of music and hearing, outlines why patients with...