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Children with Hearing Loss: Developing Listening and Talking, Birth to Six - Third Edition

I was very excited to read this book as I have seen some of Carol Flexer’s presentations on the auditory brain and the concepts have fitted well into my paediatric rehabilitation clinics, especially in relating the complexities of hearing loss...

Facial pain and headaches

This paper reviews the present knowledge and the recent publications on the cause, characteristics, course and treatment of chronic and recurring facial pain and headaches. Facial pain should be defined in terms of frequency, duration and severity, and also in...

Public health planning for hearing impairment (2017)

In 2009 Professor Andrew Smith and Dr Daksha Patel identified the need for awareness of public health methods in hearing healthcare planning. In 2010 the first training course was held, and since then 760 health workers from 41 countries have...

World Health Assembly adopts a resolution on hearing loss: a defining moment for the global hearing health community

The World Health Assembly recently adopted a resolution on hearing loss. In this article Shelly Chadha and Alarcos Cieza outline how the resolution came to be and how the World Health Organization and its partners plan to implement it. The...

Collaborating with patients on research priorities in hyperacusis: the James Lind Alliance project

An innovative and inclusive approach to the identification and prioritisation of research questions is to place the views of patients at the heart of the process, and in partnership with clinicians. The application of this to hyperacusis is described by...

Talking it through: voice therapy

The authors begin this article by highlighting two issues in voice therapy: 1. the high rate of relapse and 2. poor attendance at appointments. They attribute this to there not being carryover (or generalisation) work embedded into most voice therapy...

Beware of GPA as a cause of subglottic stenosis

Up to 92% of patients with granulomatosis with polyangiitis (GPA) have concurrent ENT manifestations of the disease. Whilst we are familiar with sinonasal and middle ear presentations of GPA, subglottic stenosis (SGS) is another important and potentially life threatening manifestation....

High dose betahistine as effective as, but slower acting compared to intratympanic dexamethasone in intractable Meniere’s disease

The management of intractable Meniere’s disease poses a complex conundrum to otolaryngologists. The focus of treatment is decreasing the severity and frequency of vertigo and tinnitus whilst trying to preserve hearing. Betahistine has been used for many years in the...

Current management of facial fractures in the preadolescent

This article reviews the trends in management of preadolescent facial fractures – a challenging population due to the need to consider growth, dynamic changes in dentition, and evolving fracture patterns. In summary, conservative management is preferred in all fractures in...

Benign oesophageal strictures: overview and management strategies

Benign oesophageal strictures may have several attributable causes including caustic injuries, long-term acid reflux, eosinophilic oesophagitis, anastomotic strictures and endoscopic therapy. Endoscopic dilation via bougies or balloon dilators may treat most strictures successfully and satisfactorily. However, in some situations treatment...

Can diet alone be used to treat laryngopharyngeal reflux?

In this crossover observational study, a low-fat, low-quick-release sugar, high-protein, alkaline, and plant-based diet was investigated as a single treatment for laryngopharyngeal reflux (LPR). Authors recruited 50 participants with demonstrated LPR on hypopharyngeal-oesophageal multichannel intraluminal impedance-pH-monitoring (HEMII-pH), off acid suppressive...

Neuromodulation in drug resistant epilepsy

Treatment of epilepsy can be considered generally as medical or surgical. Anti-epileptic drugs achieve a five-year seizure freedom in 54-70% patients. It is estimated that 50-90% of patients with drug-refractory epilepsy may not be candidates for resective surgery. For example,...