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Surgery for hypopharyngeal obstruction causing OSA

1 March 2016 | | Hyoid suspension, Hyoid surgery, Hyoidthyroidpexia, Drug-induced sedated endoscopy
Surgical treatments for OSA are evolving with improved diagnostic accuracy of the level(s) involved. Where the collapsing segment lies below the soft palate, a variety of surgical techniques to correct the affected segment(s) are emerging. This article concentrates on one...

Medical trends in sleep disordered breathing

1 January 2016 |
This duo provide an eloquent outline of sleep disordered breathing in general, with particular emphasis on the medical impact and associations of the condition. The increasing prevalence of the condition is described, with increasing worldwide obesity, increased association of cardiac...

Pyriform turbinoplasty

1 January 2016 |
This article describes a new operative technique to improve nasal airflow, the pyriform turbinoplasty. This specifically addresses the lateral part of the nasal valve where there may be impingement into the airway in select patients. This corresponds to the area...

Righting the paralysed lip

1 November 2015 | | Facial nerve, Lower lip paralysis, Marginal branch, Surgical repair
Many surgical procedures that otolaryngologists perform put the facial nerve at risk of injury, a complication that the surgeon and patient fear alike. Unfortunately, injuries to the nerve can and do happen despite adequate precautions, and facial paralysis may be...

Aerosols and polypi

1 November 2015 | | Aerosol therapy, Ethmoidectomy, Nasal polyposis, Tobramycin
Infection in the operative cavities after endoscopic sinus surgery for sinonasal polyposis leads to recurrence of symptoms and mucopurulent discharge. The usual therapies include systemic antibiotics sometimes with steroids. The authors hypothesised that the use of a topical antimicrobial (tobramycin...

Mindfulness based approaches to tinnitus management: meditations on a new approach

24 May 2017 | | Audiology - Adult, Tinnitus
Psychological approaches to tinnitus There is now widespread agreement that an individual’s interpretation of tinnitus can determine how distressing they find it. If tinnitus is regarded as non-threatening then habituation normally follows. If, however, tinnitus is interpreted as threatening, habituation...

New challenges ahead for the hearing aid industry

1 November 2014
Technological advancements empower the world to hear In an increasing age of connectivity, the hearing aid industry is headed into new territory. Previously, to wear hearing aids was simply a mark of ageing. Now hearing aids are smarter and, as...

The accidental audiologist

3 July 2023 | | Audiology - Adult
In this article we hear from Muhammed Ayas, an “accidental” audiologist applying his transferable skills as a clinician, academic, and researcher through trying and testing innovative approaches in audiology to better serve the community. My audiology journey began 22 years...

Preservation rhinoplasty

1 July 2019 | | ENT, Rhinology / Sinus, Rhinoplasty, Maxillofacial Surgery
Hump reduction and osteotomies to close the open roof, or lowering the whole nasal dorsum? Charles East explains how preservation techniques can improve outcomes by maintaining the integral structures of the nose. What is preservation rhinoplasty? The origins of reduction...

Treating voice disorders in singers

3 September 2021 | | ENT, Laryngology / Swallowing / Voice
There are few ENT surgeons who have as much insight into singers’ problems as Nick Gibbins. A good knowledge of working patterns, repertoire and the physiology of ‘vocal athletes’ is essential. He shares a few thoughts with us. When deciding...

The ear-brain connection: the role of cognition in neural speech processing

26 June 2017 | | Audiology - Adult, Neurotology
Audiologists and other hearing healthcare professionals have become increasingly interested in the importance of cognitive function in the assessment and management of hearing loss, especially in light of evidence suggesting a link between hearing loss and cognitive decline in older...

A binaural detection task that reveals deficits in listeners having ‘slight’ or ‘hidden’ hearing loss

1 March 2018 | | Audiology - Adult, Audiology - Diagnostic
The association of degraded binaural processing in adults with clinically defined ‘slight’ or ‘hidden’ high frequency hearing loss is of great interest to clinicians if it can be measured. Leslie R Bernstein and Constantine Trahiotis share their findings in measurements...