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In this issue...Rising to the challenge of COVID-19

Like much of our lives during this period, our planned focus for this issue was suddenly shifted and redefined by the global pandemic. COVID-19 has realigned our personal and professional focus; this issue reflects some of the journey we have...

When patient choice stands in the way of patient-centredness

In the field of hearing care, there is increasing focus on ensuring patient autonomy and choice. Greater participation in decision making is supposed to result in better patient satisfaction. A study conducted in ENT and audiology clinics paradoxically suggests that...

Pharma chameleon

One morning in September ’95, about a month into my first house job on the South Coast of England, I emerged from the ridiculously early ward round on the coronary care unit feeling a bit dazed and therefore headed off...

Management of benign oesophageal strictures

Benign strictures of the upper oesophagus and pharynx, while not very common, can be a challenging condition to successfully manage. The authors of this article provide us with a detailed description of their technique for using the CO2 laser, balloon...

Screening for hearing loss in primary care

Hearing impairment is one physical disability that is increasing in prevalence in society in general, and in older adults in particular. Approximately 34 to 36 million Americans report suffering from some degree of hearing impairment with the number rising to...

Bishop Berkeley and the Freireich experimental hypothesis

Our resident reporter at large tells us about two of his heroes, both of whom have quite clear merits and foibles. My patients just keep on getting better. You may well point out that under the care of a clinician...

Audiology research: opportunities, career progression and leadership

A career in research can, at first glance, seem far removed from the clinical world of audiology but is that really the case? In this article Melanie Ferguson explains the role of translational research in bridging this gap, as well...

Understanding the NAL-NL3 Prescription System: a new era of personalised hearing aid fitting

The NAL-NL3 system marks a transformative step in hearing aid fitting, shifting from a one-size-fits-most prescription to a modular, patient-centred approach. Developed by the National Acoustic Laboratories, this new system integrates a core audiogram-based prescription with targeted modules to address...

In conversation with Professor Wolfgang Pirsig

Professor Wolfgang Pirsig is a key figure in the field of ENT history and is known for his fascinating discoveries of ENT features in art and historical objects. He kindly agreed to be interviewed for this special history focus by...

Non-surgical rhinoplasty

Some patients would like to alter the appearance of their nose without surgery or make further subtle changes after a rhinoplasty. Lydia Badia explains how this can be done, thanks to the advent of injectable fillers. This medical procedure in...

Tinnitus in middle-age: prevalence and incidence

Population-based studies of tinnitus provide crucial underpinning evidence which highlights the need for further research on the effective diagnosis and clinical management of this heterogenous condition. Furthermore, such studies provide evidence of the burden of this condition both on the...

Down with the nose, down with it flat

In Shakespeare’s Timon of Athens, Timon urges prostitutes to spread syphilis throughout Athens. He implores the whores, Phrynia and Timandra, to: Consumptions* sow In hollow bones of man; strike their sharp shins,And mar men’s spurring*. Crack the lawyer’s voice**, That...