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How loud is too loud? Smart ways to monitor noise exposure through your headphones

As an audiologist, an increasingly common concern patients have is noise exposure from their headphones and how it will impact their hearing over time. It’s a legitimate worry considering the average adult is streaming audio content on their mobile devices...

Emerging robotic systems for head and neck surgery

As of December 2020, seven robotic surgical systems have received approval for use in different jurisdictions, and many more task-specific robots are in the pipeline. Jack Faulkner takes us through what’s on the horizon for head and neck cancer surgery....

History of innovation in ENT

Innovation seems to have been in the strapline of every meeting, conference and course for the last few years. You would be forgiven for thinking it is a new a concept, but as Neil Weir beautifully details, innovation has been...

Ultrasound-guided core biopsy of neck lumps as first-line investigative modality supersedes fine needle aspiration cytology in the diagnosis of neck lumps

Ultrasound-guided fine needle aspiration cytology (USFNAC) when applied as initial investigation often proves non-diagnostic, the incidence being as high as 50% in a recent audit. In this study, the authors applied ultrasound-guided core biopsy (USCB) to neck lumps over 1cm...

Literature review of experience with the BAHA Attract implant

The authors undertook a literature review for reports on patients who underwent BAHA Attract implantation. Of the 497 PubMed articles, 10 studies met their inclusion criteria. All the studies published were observational studies. There were no randomised control trials. The...

The history of bone-conduction devices

The evolution of bone-conduction hearing devices from the 1400s’ rudimentary designs to today’s advanced models has greatly improved hearing for individuals with conductive or mixed hearing loss. This article delves into the history and technical advancements over the years, as...

Transnasal oesophagoscopy: prospective cohort review

This paper looked at 257 patients undergoing the procedure in a tertiary otolaryngology department. In light of the morbidity of upper GI endoscopy associated with the sedation required, the safety profile of transnasal oesophagoscopy is a clear advantage. This cohort...

Perception of verticality during attacks of Ménière’s

Ménière’s disease (MD) affects the cochlea and all peripheral vestibular receptors. The perception of verticality, a function of the utricle, is evaluated by the subjective visual vertical (SVV) test. The authors studied SVV in two groups of MD patients: a)...

Cadaveric variation of nasolacrimal duct lateral nasal wall landmarks

Twenty mid-sagittal head sections of 10 fresh frozen cadavers were studied after removal of the nasal septum. This study showed that the most anterior projection of the middle turbinate head was noted to be anterior to the nasolacrimal duct in...

From Hippocrates to COVID-19: sniffing out the disease

The ancient Greek physician, Hippocrates, used the ‘art of smell’ to diagnose diseases around 400BC. He also formulated miasmatic theory, which posited that disease is caused by bad smells. Bad air was strongly believed by many physicians to be the...

Themistocles Gluck – the true father of laryngectomy

Most head and neck surgeons and ENT-specialists may know that the first laryngectomy for cancer was performed by Billroth on 31 December 1873. Billroth´s assistant, Vincenz Czerny, had outlined the operation in experimental surgery on dogs in 1870. Three years...

Transferable skills in audiology: one audiologist’s journey

Ever wonder about transferable skills in audiological practice? In this issue, we hear about one audiologist’s journey from clinical practice to applying transferable skills gained in audiology to other healthcare sectors. In 1997, as a 16-year-old starting my career in...