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Middle ear muscle disorders: presentation, diagnosis and management

1 March 2019 | | Audiology - Adult, Audiology - Diagnostic
Patients often report symptoms relating to disorders of the middle ear muscles. Prof Bance gives us an overview of the anatomy and function, as well as guides our diagnosis and management. The middle ear muscles (MEMs) are a mystery, both...

Speech mapping and the benefits of using in clinical practice

1 March 2019 | | Audiology - Adult, Audiology - Paediatric
Fitting hearing aids is not simply a case of one size fits all. Nicole da Rocha discusses the benefits of using speech mapping as a verification tool. The verification of hearing aids has become quintessential for best practice. Using either...

Tele-audiometry – a ShoeBOX solution

1 July 2014 | | Audiology - Diagnostic, Audiology - Paediatric, Auditory Implants
Access to hearing assessment is a global challenge. In relation to the global burden of hearing loss World Health Organisation’s (WHO’s) recent estimate (2013) is that 360 million people in the world have disabling hearing impairment. Two-thirds of these people...

Giacomo Puccini’s laryngeal cancer

1 September 2015 | | ENT, Laryngology / Swallowing / Voice
Giacomo Puccini, one of the best known composers of all time, was diagnosed with laryngeal cancer and died from the disease in 1924. In this article, Rosario Marchese-Ragona and Alessandro Martini describe Puccini’s experience of the disease with quotes from...

In conversation with Trevor McGill

1 January 2015 | | Paediatric ENT
After more than four decades of paediatric clinical practice, Trevor McGill shares his wealth of experience and knowledge with Pat Bradley. Trevor, as a national and internationally acknowledged Paediatric Oto-Rhino-Laryngologist, Head and Neck Surgeon, to what do you owe this...

Running a post-COVID smell clinic

1 July 2021 | | ENT, Rhinology / Sinus, COVID-19
Over the past year, much of our effort as a speciality has been directed towards crisis management and keeping services afloat. Our practice has changed in untold ways, but unprecedented numbers of patients with smell disorders will increasingly require our...

Robotic surgery for squamous cell cancer: the new frontiers

4 November 2021 | | ENT, Head and Neck
Although the da Vinci platform was FDA approved for early-stage oropharyngeal cancers, the indications have expanded. In this article, John Hardman explains how surgeons, with greater understanding of the strengths and limitations of robotic surgery, have systematically set out to...

The future of inner ear drug delivery

1 May 2017 | | Audiology - Adult, Audiology - Paediatric, Otology
The techniques for delivering drugs to the inner ear system are evolving. Jeffrey Harris considers the myths, the facts and the potential for drug delivery innovations and how they can improve tomorrow’s hearing outcomes. The inner ear’s delicate membranous structure,...

Parathyroidectomy

1 July 2017 | | ENT, Head and Neck, Thyroid / Parathyroid Surgery
Many ENT head and neck surgeons are now involved in thyroid surgery. This can also include the need to explore the parathyroids, either to preserve them or indeed to resect parathyroid adenomas. David Smith, a highly experienced endocrine surgeon from...

Innovative approaches to treating deafness

1 July 2021 | | Audiology - Adult, Audiology - Diagnostic
Shahar Taiber and Karen Avraham give us a summary of gene therapies for hearing loss, with an overview of limitations and what the future holds. Hearing loss is the most common sensory disorder. The last two decades have seen a...

Surgical challenges in advanced or recurrent thyroid malignancy

1 July 2017 | | ENT, Head and Neck, Thyroid / Parathyroid Surgery
The management of thyroid malignancy and extent of surgery is controversial, especially considering the limitations of preoperative diagnosis. Neil Tolley provides guidance and reminds us of our responsibility not to over-treat. In the UK, 16% of thyroidectomies are performed for...

What is Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE)?

1 May 2018 | | ENT, Head and Neck, Laryngology / Swallowing / Voice
THRIVE is a physiological mechanism for oxygenating and ventilating patients who are under general anaesthesia and who have diminished or absent respiratory effort [1]. Classical ventilation requires bulk flow of gases into and out of the lungs driven by chest...