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The pong of poverty: George Orwell on the problem of olfactory classism

Throughout his fiction and non-fiction, George Orwell incorporated references to olfaction to invoke strong reactions in his readers. For example, in Nineteen Eighty-Four the protagonist Winston describes “the pleasant smell of [Julia’s] hair”. Orwell emphasises the invasiveness and emotional force...

Cytomegalovirus (CMV) and the vestibular system: a case study

This team of audiologists from Cincinnati Children’s Hospital Medical Centre discuss an eight year old with congenital CMV, a neonatal infection which is usually asymptomatic, and provide guidance on how to recognise the signs in the paediatric population, and screen...

What’s new in auditory processing?

Auditory processing disorder (APD) has had a controversial history, stemming mainly from lack of scientific rigor and accepted clinical definition. That situation is now changing. Driven by the huge number of people with unaddressed listening difficulties, basic discoveries in neuroscience,...

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....

A practical approach to tinnitus

Tinnitus is the perception of sound without an external source. The estimated prevalence in adults is between 10-15% [1]. In patients with significant tinnitus, prompting them to seek medical attention, 50% will have improved to mild or no tinnitus by...

A career in audiovestibular medicine: trainee perspectives

Trainees and consultants share insights into audiovestibular medicine, a UK specialty treating hearing loss and balance disorders through multidisciplinary care. Audiovestibular medicine (AVM) is a hidden gem among medical specialties. To provide an insider’s perspective, we interviewed current AVM trainees...

Composing with Meniere’s disease: a personal reflection

Is a fluctuating hearing loss and composing music incompatible? Professor Andrew Hugill discusses his personal experience of Meniere’s disease and the work that has developed as a result of the condition. As I write this article, I am in the...

Apprenticeships in audiology: an option to earn while you learn

Changing careers later in life can be daunting. Beverley and Darren reflect on their experience completing an apprenticeship in audiology, and provide advice for prospective apprentices. Beverley Philip, Associate Practitioner, NHS Fife, UK. Could you share a bit about your...

Cochlear implants: recipient stories

The most powerful evidence for the remarkable achievements made with cochlear implants over 40 years comes from the life-changing, personal stories of those who have benefited from the technology. James Rylance I first noticed a problem with hearing when I...

Coblation tongue channelling

After uvulopalatoplasty, the tendency is to focus on the tongue base as the next anatomical area to address in the management of snoring and sleep-disordered breathing. In this article, Glen Burgess describes the technique of tongue channelling, to reduce the...

Soundscapes of Zimbabwe: healing a nation one ear at a time

We hear about the life, vision and legacy of Dr Clemence Chidziva — the surgeon transforming ear and hearing care into a new wonder of Zimbabwe. Dr Clemence Chidziva. Tucked in the heart of Southern Africa, landlocked and bordered by...

IAOO 2025

Jason Fleming, Reader/Hon Consultant Head & Neck Surgeon, Liverpool Head and Neck CentreThis July, Liverpool became the beating heart of global oral oncology, welcoming almost 1200 delegates for the 10th World Congress of the International Academy of Oral Oncology (IAOO)....