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Elevated intracranial pressure versus migraines versus sinusitis?

This narrative review discusses the challenges faced by an otolaryngologist to differentiate elevated intracranial pressure (eICP), migraines and chronic rhinosinusitis (CRS). Facial pain, pressure, aural fullness, muffled hearing and tinnitus are often common symptoms described by patients with all three...

Laryngocele: a rare but complex disease associated with laryngeal cancer

The incidence of laryngocele is very low – 2.5 per million but its occurrence can be associated with cancer of the larynx. In this retrospective study of 14 cases over 10 years, the authors have elaborated on aetio-pathology, which is...

Cochlear implant, Ménière’s no more

Implanting Ménière’s disease (MD) patients with cochlear implant (CI) may improve their speech recognition, tinnitus and quality of life with comparable hearing benefits to those seen in controls without MD, even if labyrinthectomy has also been performed. Authors investigated the...

Sinusitis

This beautiful little book is produced by IAPO (Inter-American Association of Pediatric Otorhinolaryngology) and comes at a time when there is growing recognition of the role of nasal and sinus pathology in airway disease. Both adult and paediatic conditions are...

How to feel happier: kindness, gratitude and self-care

The number of students experiencing mental health difficulties has risen dramatically, sometimes attributed to the widespread intrusion of social media in our lives, increasing social pressures on performance, and recent other societal factors. This article describes a study undertaken with...

How do you know what you don’t know?

Auditory processing disorder (APD) has been a subject for discussion for the last 20 years. Though the body of research is growing, it still lacks cohesive diagnostic and management criteria. Similar surveys on APD have taken place in other countries....

What the people want and need: emerging service for communication needs in Ghana

There is a significant shortfall in rehabilitation service for people with communication difficulties across Majority World countries. It is known that many people in these countries are likely to seek help from a variety of sectors including western healthcare, religious...

Supporting music listening through cochlear implant services – experience from a UK adult clinic on supporting musical engagement

The perception and enjoyment of music is central to many people’s lives. Harriet Crook (herself a cochlear implant recipient) tells us about important work in this area for people using hearing aids and CIs. There is now a wealth of...

Migration and training: a British-Nigerian surgeon’s perspective

Less than 4% of doctors on the UK’s medical register describe their ethnicity as African or part African, yet there are myriad driving forces behind the migration of medical trainees from Africa to the UK and other developed countries. Ekpemi...

Patron saints of the ear

We all know that ear symptoms include hearing loss, vertigo, tinnitus and otalgia, but did you know there are patron saints for all these symptoms? John Riddington Young shares an overview of the patron saints of the ear, inspired by...

To make a difference

Education and training have a key part to play in the development of leaders of the future; Dorte Hammershøi discusses the educational approaches taken in Denmark and the pros and cons of the methods used. Dorte also explains the BEAR...

Nasal septal perforation repair

Nasal septal perforation repair has traditionally been a great challenge. Many surgical techniques are described, however the success rate of closure has often been poor. Experience from the use of pedicled vascularised mucosal flaps in skull base surgery has been...