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Monitored safe medical practice: minimising patient harm will reduce medical negligence bill for the NHS

Patrick Bradley ruminates on a celebrated career in ENT head and neck surgery and suggests that increasing the possibility of positive outcomes to contemporary patient safety initiatives by the NHS must involve efforts to develop an enthusiastic contented workforce willing...

Self-Assessment of Hearing - Second Edition

As an audiologist, I am often reminded of the estimated number of hearing aids that end up in patients’ drawers, rather than in their ears. Although the reasons for non-compliance with amplification are numerous and complicated, the patients’ reported perspective...

Adjuvant intratympanic steroid therapy in sudden sensorineural hearing loss

Sudden sensorineural hearing loss (SNHL) means abrupt hearing loss by 30dB affecting three consecutive frequencies within 72 hours. This is treated by high tapering doses of systemic steroids, the role of which is controversial and fraught with possible complications in...

Hearing preservation after Gamma knife in vestibular schwannomas

This retrospective study reports the outcomes of hearing preservation up to three years after Gamma knife radiosurgery for Gardner-Robertson Class I (SDS>70% and PTA <30dB) patients with vestibular schwannomas. The authors report that patients with no subjective or objective hearing...

Bone bridge conduction device for patients with bilateral microtia-atresia

Management of microtia-atresia requires a multidisciplinary approach. Children normally require bone conduction hearing aid devices very early in life to improve and facilitate speech and language development. At a later stage, when the cranial bones have strengthened and become thicker,...

Hearing rehabilitation for patients with chronic otitis media

Chronic otitis media (COM) commonly causes associated hearing loss. The authors performed a review of the literature, discussed challenges of restoring hearing in patients with COM and potential future work in reporting results both in terms of hearing outcomes and...

Preoperative unaided maximum monosyllabic word recognition score as a predictor of CI outcomes

This retrospective study supports early intervention and hearing rehabilitation with hearing amplification for adults. The authors included 103 patients (128 ears), who had undergone cochlear implantation over a seven-year period, in this study. All patients had been assessed for their...

Audiology in this issue...Connected Health in Audiology: The Future of Hearing Healthcare

Melanie Ferguson, PhD, Head of Audiological Science, National Acoustic Laboratories, Sydney, Australia. E: melanie.ferguson@nal.gov.au Twitter: @Mel_Ferguson1 Danielle Glista, PhD, Assistant Professor, The School of Communication Sciences and Disorders, Faculty of Health Sciences, Western University; National Centre for Audiology, Western University,...

Small vestibular schwannomas (VS) – is waiting the right thing to do?

VS management can be surgical, by radiosurgery or watchful waiting. Middle fossa approach (MCF) can be implemented in small and some medium-size tumours, and has the potential to preserve hearing. The authors measured quality of life of VS patients who...

The debate: endoscopic vs microscopic ear surgery – meta-analysis of outcomes

Although the endoscopic approach to ear surgery has become more common in clinical practice, the debate about its role versus the traditional microscopic approach continues in many ENT units. This meta-analysis from the Mount Sinai ENT department in New York...

Current practice in cochlear implantation

From candidacy to surgery and rehabilitation, cochlear implant practice is evolving, with new technologies shaping outcomes for patients worldwide. Image courtesy of MED-EL. Cochlear implants restore a sense of hearing in the profoundly deaf, representing the most successful neuroprostheses available,...

What’s new in genetic testing for hearing impairment?

Often the first question following the diagnosis of a hearing loss is ‘why?’ In this article Ali Danesh explores the advances made in uncovering ‘why’ from a genetics perspective. Ali describes the panel of genetic tests now commercially available to...