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Isshiki Thyroplasty Type 2

Indication Adductor spasmodic dysphonia is a neurological condition of unknown aetiology. The symptoms are believed to be caused by involuntary contraction of the adductor muscles of the vocal cord as a result of an abnormality of neurotransmitters in the basal...

Facial pain: the differential diagnosis in an ENT clinic

The patient presenting with facial pain can be a heartsink. Fear not – Bhaskar Ram and Sangeeta Maini are here with a succinct overview of the common non-sinogenic causes of facial pain and headache, and how to manage them. Facial...

In conversation with Sam Lear, BAA President: leading audiology forward

Dr Samantha Lear is the current British Academy of Audiology President, and Senior Audiology Policy Advisor at the National Deaf Children’s Society. With reviews ongoing in paediatric audiology in England and Scotland, Sam is ideally placed to lead the profession....

In conversation with Bill Gibson, Richard Ramsden and Shakeel Saeed

The surgical aspect of cochlear implantation is both a joy and a challenge – which is why we love it! In this article, Simon Freeman draws on the wisdom of his three previous mentors, sharing pearls from some of the...

AUDIOLOGY - In conversation with Yury Konstantinovich Yanov

Focussing on trauma and the military, it is fitting to include this interview with ENT Professor and Russian Army General Yury Konstantinovich Yanov. Professor Gerard O’Donoghue had the honour of putting some questions to this eminent figure in Russian ENT,...

Dirty Work

Gabriel Weston’s new novel chronicles four traumatic weeks in the life of its narrator, Dr Nancy Mullion. Nancy is a young trainee in obstetrics and gynaecology, the subject of a General Medical Council (GMC) investigation into her clinical performance following...

Phineas Fletcher and The Purple Island

The Reverend Phineas Fletcher was a 17th century poet whose epic poem, The Purple Island describes the anatomy of the human body. Not only poets, but contemporary anatomists believed in two important concepts, correspondences and signatures. They thought that when...

Platinum-based chemotherapy, tinnitus and hearing loss

Fortunately, the five-year survival rate of adult cancers is increasing. However, we are seeing for the first time the lasting effects of cancer treatments on people. As more people live with the long-term effects of treatment, such as chemotherapy, it is imperative to understand the impact it has on quality of life.

Ossicular reconstruction

Ossicular reconstruction often yields disappointing results, even for the most experienced and skilled of otologists. John Dornhoffer and David Walker explain that the most important determinant of outcome is the patient’s middle ear environment, and offer some valuable words of...

Anxiety and acronyms – musings of an otolaryngologist

Personal protective equipment (PPE) has been a focus of attention and concern for healthcare workers around the globe during the COVID-19 pandemic. Neil Tolley discusses some of the issues. I write this article in mid-May when, were it not for...

A Guidebook for the Auditory Perception Test for the Hearing Impaired

The Auditory Perception Test for Hearing Impaired (APTHI) assesses functional auditory skills that are the building blocks for language and academic development. The test is aimed at children with at least a moderate-to-severe hearing loss, aged three and over, but...

Hyperbaric oxygen therapy a treatment for sudden sensorineural hearing loss

Cochlear ischaemia has been postulated as one of the potential aetiologies for sudden sensorineural hearing loss. Hence, increasing oxygen delivery to the cochlea by hyperbaric oxygen therapy has been explored as a potential treatment to reverse hearing loss. The authors...