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Intracranial complications of otitis media – the difference between kids and adults

Despite a decrease in intracranial complications from otogenic infections since the introduction of antibiotics, there is still morbidity and mortality associated with this. This group from the Netherlands conducted a retrospective review of all the patients treated for intracranial complications...

Self-Assessment of Hearing - Second Edition

As an audiologist, I am often reminded of the estimated number of hearing aids that end up in patients’ drawers, rather than in their ears. Although the reasons for non-compliance with amplification are numerous and complicated, the patients’ reported perspective...

Pre-hospital care

For those of us that work within the acute hospital system, the sound of the trauma pager going off warning of an incoming casualty with as yet unknown injuries is often the sound of uncertainty and anxiety. When it becomes...

Advances in laryngeal surgery

We are seeing many advances in laryngology: from the lab, from equipment manufacturers and from developments in surgical techniques. The field of laryngology has been under constant change in recent years, with the introduction of new technologies and research. The...

The pong of poverty: George Orwell on the problem of olfactory classism

Throughout his fiction and non-fiction, George Orwell incorporated references to olfaction to invoke strong reactions in his readers. For example, in Nineteen Eighty-Four the protagonist Winston describes “the pleasant smell of [Julia’s] hair”. Orwell emphasises the invasiveness and emotional force...

Reduction thyroplasty

Introduction Male to female transgendered patients are referred to ENT for reduction thyroplasty – a procedure to reduce the external appearance of the thyroid cartilage of the larynx, and feminisation of the voice. Reduction thyroplasty, often erroneously called ‘tracheal shave’,...

In conversation with Professor David Kemp

Ted Killan, Vice-Chair of the British Society of Audiology (BSA), caught up with Professor Kemp to discuss his scientific journey over the past 40 years, and what we can expect from OAEs in the future. Prof David T Kemp. In...

When patient choice stands in the way of patient-centredness

In the field of hearing care, there is increasing focus on ensuring patient autonomy and choice. Greater participation in decision making is supposed to result in better patient satisfaction. A study conducted in ENT and audiology clinics paradoxically suggests that...

Detecting postoperative cholesteatoma with diffusion weighted magnetic resonance imaging

Middle ear cleft cholesteatoma is an inflammatory disease that erodes local bony structures and can cause otorrhea, hearing loss, vertigo and intracranial complications. It is usually treated with surgery, typically canal wall up (CWU) or canal wall down (CWD) surgery....

Does endoscopic stapling for pharyngeal pouch supersede open repair?

Endoscopic stapling for pharyngeal pouch is generally considered to be less invasive, safe and with fewer complications, resulting in quicker recovery and a shorter hospital stay. Whether these factors hold in the long-term follow-up is the subject of this interesting...

An audiologist abroad

Ever thought of working abroad? In this issue we hear from Caroline Hudson, International Audiologist with special interest in paediatrics and research, who took the leap to work in Canada after qualifying and working in the UK. She will provide...

Surgery for snoring

The prevalence of sleep-disordered breathing is rapidly increasing. There is variable evidence for surgical treatments for snoring currently. This Belgian study was a retrospective review of 84 patients who underwent surgery for snoring between May 2011 and December 2015. A...