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Burnout: is this just a pandemic phenomenon?

The phrase ‘burnout’ is often heard, but what is it, and what are the early warning signs? Importantly, how can it be prevented or managed? Over the last few years, health professional wellbeing, mental health, and burnout have come to...

Noise monitoring on a smartphone

“The smartphone has more computing power than was used to put the first man on the moon.” Robert Eikelboom discusses the potential of the smartphone as an effective noise monitoring device. Noise exposure and public health Excessive exposure to noise...

Olfactory and gustatory recovery in coronavirus patients after six months

It remains unclear for how long olfactory and gustatory losses persevere in patients with COVID-19. This is a prospective study of 300 patients who lost taste and smell within seven days of contracting COVID-19. The patients were objectively assessed with...

25 years of forearm free flaps – 1 vein or 2?

This is a prospective 25-year study from 1998 to 2023 of 368 forearm free flaps, 314 of which were radial and 54 ulnar in 364 patients. Of these, 68 had 1 venous anastomosis whilst 238 had 2. These were assessed...

Monstrous craws and horrid butchery: a concise history of thyroid surgery

Prior to the foundation of our speciality, thyroid surgery had a dubious reputation and universally dismal outcomes. Jenny Walton casts a critical eye over this dark chapter. Diseases of the thyroid gland have been referenced in historic texts for well...

The death of Attila the Hun, a 70s film and Japanese cartoons

The 6th century Gothic monk, Jordanes, tells us that Attila the Hun, the notorious and allegedly merciless barbarian (who was a prime mover in the fall of the Roman Empire), died of a nosebleed on his wedding night in 453...

How do you actually get therapists to do the therapy you need them to?

Aphasia is an acquired communication disorder that affects approximately a third of people who have a stroke and for which speech and language therapy is the main treatment. However, there are known gaps between evidence-based recommendations and the delivery of...

Welcome to BACO Liverpool: a city with deep roots in ENT

Liverpool is a city steeped in ENT history, so it is fitting that BACO is being held there once more. Ray Clarke, former editor of ENT and Audiology News, casts his eye over the historical legacy of that fine city....

Family-centred early intervention: supporting a call to action

Family-centred care for young children is a commonly used but frequently under-appreciated approach in audiology. Prof Moodie discusses how we can take positive action to improve our approach to families in ways that make a meaningful difference in their lives....

Does endoscopic tympanoplasty give better results than a conventional approach?

This is a retrospective review looking at two groups of patients who had undergone middle ear surgery for chronic otitis media (perforation, retraction pocket/cholesteatoma) either open or endoscopic. Four hundred and five patients underwent open ear surgery and 501 endoscopic,...

Scoring system to predict hearing impairment following hemifacial spasm surgical treatment

The authors analysed brain stem auditory evoked potentials prospectively in 100 patients undergoing endoscopic microvascular decompression for management of hemifacial spasm over a period of two years. They then developed a scoring system based on electrophysiological events to predict the...

Double layer graft in endoscopic tympanoplasty

This Turkish retrospective study looked at the success rates following endoscopic tympanoplasty using the double layer graft technique. This involves using a tragal cartilage and perichondrium composite graft and a separate perichondrial graft for closure of the perforation. The crescent...