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Reflux – diagnostic tools and special considerations in singers

3 September 2021 | | ENT, Laryngology / Swallowing / Voice
Depending on your point of view, laryngopharyngeal reflux (LPR) is either ubiquitous or is over-diagnosed. Are singers more prone to LPR? What are the best tests? Mark Watson and Jane Shaw tell us more. Laryngopharyngeal reflux (LPR: the backflow of...

Trainee-led collaborative research and audit in ENT: where are we now?

1 November 2019 | | ENT
In late 2015 INTEGRATE, the UK ENT Trainee Research Network, was formed. Since then, two national projects have been completed and INTEGRATE has grown into a larger, more structured organisation, with otology, head and neck and rhinology subcommittees working alongside...

New curricula: trainees’ and trainers’ thoughts

1 July 2021 | | ENT
After the disruption to training and clinical practice from COVID, it is interesting and perhaps encouraging that plans are in place to support ENT training in both mainland Europe and the UK with new formal curricula. We hear trainees’ and...

Could OtoRecall transform ENT learning?

2 September 2022 | | ENT
Training continues to change and evolve in the face of changing working practices and, of course, the impact of unprecedented events like the pandemic. The basics remain important for safe practice as training and work continue to evolve; innovative tools...

Muscle tension dysphagia: an underdiagnosed problem

4 May 2023 | | ENT, Laryngology / Swallowing / Voice
In this article, the authors introduce the description of swallowing problems which have been recently attributed to muscle tension dysphagia (MTDg). The authors are clear that this is a diagnosis of exclusion, and it is important to rule out other...

Destination unknown

4 May 2023 | | ENT, Laryngology / Swallowing / Voice
We as doctors do not always know the answer. Associate Professor Jacqueline Allen guides us through the importance of acceptance of this uncertainty and its complex mental journey. She highlights that, as clinicians, we must embrace the unknown and be...

An overview of human factors in ENT and anaesthesia

1 November 2019 | | ENT
James Bates and Chris Frerk are both passionate about how human factors science can improve safety in healthcare and have co-authored this article describing how communication, ergonomics and other non-technical skills are making operating theatres safer. There is no doubt...

Endotypes in chronic rhinosinusitis: clinical relevance

3 May 2024 | | ENT, Rhinology / Sinus
Identifying endotypes enables personalised therapies that target specific pathophysiological processes, potentially resulting in better treatment outcomes for patients. The contemporary model of chronic rhinosinusitis (CRS) pathogenesis revolving around endotype, in combination with an expanding toolbox of diagnostics and therapeutics, enables...

A new hearing health scheme for musicians

1 September 2016 | | Audiology - Adult, Audiology - Diagnostic
Joe Hastings, Health & Welfare Manager for Help Musicians UK, discusses the results of the charity’s 2015 survey of musicians’ hearing and plans for a new scheme which will give all professional musicians in the UK affordable access to specialist...

Rehabilitation of unilateral sensorineural hearing loss: bone vs air conduction

1 September 2015 | | Audiology - Adult, Auditory Implants
The re-routing of sound from the deafened ear to the hearing ear has been the mainstay of rehabilitation for SSD for many years. Both hearing aid and bone conduction technology have undergone significant advances over the past decade. This article...

Barriers to cochlear implantation in low resource settings

9 September 2020 | | Audiology - Diagnostic, Audiology - Adult, Audiology - Paediatric, Auditory Implants
The benefits of early detection and rehabilitation of hearing loss in children, especially through cochlear implantation, are unequivocal. However, access to these valuable resources is far from equal and universal. Identifying the barriers is the first major step in addressing...

How to tell if a bone anchored hearing device is working?

1 May 2014 | | Audiology - Adult, Audiology - Paediatric, Auditory Implants, Neurotology, Otology
Bone anchored hearing aids are becoming increasingly more commonplace with more than 120,000 users worldwide. These devices are based on the principle of direct bone conduction, where sound is transmitted directly through the skull via a titanium implant to the...