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Anticoagulated patients and epistaxis

1 May 2017 |
This systematic review looks at the increasing complexity in this space as anti-thrombotics become more sophisticated and move away from the more well understood management of warfarinised patients. After a thorough search, 29 papers were found to be relevant and...

How effective is vestibular rehabilitation in bilateral vestibular failure?

1 May 2016 | | Vestibular rehabilitation, bilateral vestibular hypofunction, outcomes
In patients with bilateral vestibular hypofunction (BVH), the outcome of vestibular rehabilitation is mixed. The aim of the study was to identify factors associated with outcome of vestibular rehabilitation (VR) in patients with BVH. A retrospective case notes review identified...

Darn it! It’s going to take longer to get good at stapes surgery!

1 May 2016 |
Traditionally, it has been said the learning curve for a particular operation lies between 20 and 30 cases. In stapedotomy, a surgeon is deemed successful and perhaps competent if closure of the air-bone gap (ABG) is reached to within 10dB...

Global health missions – not just for consultants. A guide for trainees.

31 October 2018 | | ENT
Lulu Ritchie is a courageous and driven trainee in London, inspired by humanitarian missions but conscious of the usual requests for consultant level doctors. Lulu didn’t let that hold her back. She found a way and has kindly summarised her...

Audiological monitoring in ototoxicity - Are we doing enough?

1 November 2016 | | Audiology - Adult
In this article Ghada Al-Malky explores the dichotomy of life-saving, yet hearing loss-causing medication, and questions whether the hearing healthcare community is doing enough to prevent preventable hearing loss. Ototoxicity is the damage to hearing and / or balance functions...

Tone deafness and perfect pitch

1 September 2016 | | Audiology - Adult, Laryngology / Swallowing / Voice, Otology, ENT
If you think you are tone deaf, do not despair. Singing tuition should help but it is probably too late to hope to develop perfect pitch. Consultant otolaryngologist and keen musician, Chris Aldren, discusses the complex and fascinating subject of...

Changing perceptions in head and neck cancer management caused by quality of life issues

1 September 2010 | | Head and Neck, ENT, Laryngology / Swallowing / Voice
Sir Felix Semon was an outstanding clinician and exceptional laryngologist. The money raised by donations from his colleagues on his retirement in 1909 was used to establish the London University’s Semon Lecture. Semon’s Obituary in the BMJ, reads: “In Semon's...

Time to professionalise medical leadership

1 September 2014 | | ENT
For a profession proud of its adherence to an evidence base, medicine has been remarkably slow to acknowledge and to act on the evidence which underpins the value of good leadership to patients and the healthcare system. Mr Robert Francis...

Chocolates for laryngectomees

8 December 2020 | | Laryngology / Swallowing / Voice, ENT
When The Chocolate Line in Bruges, Belgium, was approached by the charity, Shout at Cancer, there was always going to be something very special and innovative in the pipeline! Shout at Cancer’s Thomas Moors has been chatting with Julius Persoone,...

In conversation with Chrysa Spyridakou, Robert Nash, Emma Clement, Nish Mehta and Anne GM Schilder

2 September 2022 | | ENT, Audiology - Diagnostic, Audiology - Adult, Otology
Jaclyn Tan interviews members of the London-based multidisciplinary hearing team, about their insights to auditory neuropathy spectrum disorder, and their vision for the future management of this challenging range of conditions. Auditory neuropathy spectrum disorder (ANSD) describes a wide range...

Cochlear implantation in the developing world: perspectives from the Indian subcontinent

1 September 2017 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric, Auditory Implants, ENT, Otology
Cochlear implants are an expensive technology, yet profound hearing loss is far from a developed-world phenomenon. On the contrary, incidences of both congenital and acquired hearing losses are high in the developing world. This article explains how an initiative in...

Taking life by the throat

5 July 2022 | | ENT, Laryngology / Swallowing / Voice
Patients suffering with problems with their voice, airway and/or swallowing can find their symptoms immensely distressing, and their care places a huge burden on healthcare systems. We hear from a world-leading laryngologist on current and future directions. Field of interest...