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Endoscopic CSF leak repair using nasoseptal flap

Many of us during training or in established practice will have encountered the complication of anterior skull base CSF leak. This can be a challenging problem to deal with and in this article the authors describe their favoured approach. Cerebrospinal...

Type 1 thyroplasty using a novel and inflatable implant from APrevent® VOIS

Unilateral vocal cord immobility severely impacts voice, swallowing, and airway functions. A novel approach offers adjustable medialisation for improved patient outcomes. Unilateral vocal cord immobility (UVCI) can cause significant disability to voice, swallowing, and airway functions. Patients with UVCI may...

Quo vadis FESS? Future directions in functional endoscopic sinus surgery

Endoscopic sinus surgery is now so ubiquitous that it is hard to imagine a time when it was not part of our clinical practice. Valentin Tomazic takes a look at its early development and looks ahead to endoscopic sinus surgery...

The role of the respiratory physician in sleep medicine

ENT surgeons may feel that they are the first point of referral for the majority of patients with snoring and possible obstructive sleep apnoea, but in reality a significant number of patients with sleep-disordered breathing (of any cause) are seen...

Migraine related vertigo

Migraine is one of the commonest conditions an otologist will have to manage with up to half of migraineurs displaying vestibular symptoms. David Selvadurai provides an overview and management plan for this increasingly well recognised disorder. Migraine is a common...

Ergonomics in otorhinolaryngology

Raewyn Campbell is a rhinologist and skull base surgeon in Sydney, Australia. Prior to training in medicine, she was trained as a physiotherapist, and she brings both disciplines into her research on ergonomics in surgery. Surgeons need to look after...

What has NAIROS taught us about septoplasty?

Septoplasty is a commonly performed procedure worldwide for nasal obstruction associated with a deviated nasal septum. In the UK, with long waiting lists for septoplasty, there is a large and unexplained variation in the incidence of this procedure between individual...

Modernising scientific careers and audiology in the United Kingdom

Modernising Scientific Careers (MSC) is an education and training strategy for 51 disciplines in healthcare science within the National Health Service (NHS) in the United Kingdom (UK). Some of these disciplines lacked clear training routes as well as registration opportunities...

Audiology training in South Africa

There are many different ways to become an audiologist throughout the world and it is interesting to see how different some of the training routes can be. Dr Cherilee Rutherford, a lecturer in audiology at the University of Cape Town,...

Embracing the changes prompted by lockdown

March 2020 introduced the concept of lockdown to audiology services in the NHS, prompting a rethink of how to best provide hearing care. In this issue, we hear from Hanna Jeffery, a Clinical Scientist working at the Royal Glamorgan Hospital...

Tackling equivalence in audiology

Ros Parker talks about her experience of going through the Scientist Training Programme (STP) equivalence process to register as a clinical scientist with the Health & Care Professions Council (HCPC). She also provides some tips for applying. Professional background After...

Screening for hearing loss in primary care

Hearing impairment is one physical disability that is increasing in prevalence in society in general, and in older adults in particular. Approximately 34 to 36 million Americans report suffering from some degree of hearing impairment with the number rising to...