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Timing of surgery in chronic rhinosinusitis: does it matter?

While many patients with chronic rhinosinusitis respond to medical treatment, some do not. The next step for these patients is surgery, but how soon should this be offered? Sooner rather than later seems to be the answer, as Claire Hopkins...

The newest robot from da Vinci – what can it offer for hypopharyngeal cancer surgery?

The standard existing da Vinci surgical robot (the Si model) has been much maligned for not being optimally designed for transoral access and endoscopic manoeuvrability in head and neck surgery. This preclinical work from Holsinger and his team looks at...

Immunotherapy – could it be cheaper?

Immunotherapy is the only treatment for allergy to alter the disease course. Limited data exist on direct and indirect costs of subcutaneous (SCIT) and sublingual (SLIT) immunotherapy in America. This article assesses the cost effectiveness worldwide of the two immunotherapies....

Use of Elasticated Hooks in Open Rhinoplasty

Introduction Good exposure is an essential requisite in open rhinoplasty and often requires appropriate assistance to aid surgery. Frequently, surgeons lack adequate assistance in theatre and often have to depend on the scrub nurse for retraction. A self-retaining retractor is...

Foreign object removal from the ear or nose

The range of nasal and aural foreign bodies that present to accident and emergency (A&E) departments, emergency rooms and minor injury units is limited only by the imagination. Aetiology and epidemiology statistics point to patients being predominantly children in the...

Decreased sound tolerance in autism: understanding and distinguishing between hyperacusis, misophonia, and phonophobia

Decreased sound tolerance (DST) affects a significant proportion of autistic people throughout their lifetime and, as Zachary J Williams explains, it is important that clinicians are aware of the three distinct subtypes of DST when making a diagnosis. Autism spectrum...

2020 Unmasked - By Paul Howard Surridge

Throughout human existence, metaphorical masks have been worn to conceal emotional and physical imperfections, whether imagined or real. We mask the way we look; we mask the way we feel. We’re vulnerable creatures, psychologically wired to present socially acceptable characteristics...

The role of training programmes in protecting patients

ENT trainees are fully registered doctors who have responsibilities to comply with the requirements of Good Medical Practice. This includes ensuring that they put the interests of their patients at the heart of their practice. This duty is complementary to...

The Surgical Skills Centre in BACO 2018: pride of place

Simulation in medical training is gaining prominence with every passing year, and BACO will have a large space showcasing this area. We hear from the organisers. In recognition of the developing importance of simulation in surgical training, BACO 2018 has...

The process of medical innovation

You’ve got an amazing idea for a new device. It is going to change how your speciality of surgery is practised. It will lead to better operative results and lower risks to patients – that’s amazing, can I see it?...

In conversation with Dr Eugene Myers: Education, training, and leadership in the modern era

It is an honour to hear from Dr Eugene Myers, who shares his experience with us, and his opinions and advice on the current circumstances for training and trainees. His energy, vitality and work ethic in his late 80s are...

Otorhinolaryngology training in Haiti: a call for accompaniment

Haiti is a small Caribbean country in which a group of freedom fighters successfully defied Napoleon and the French military. It has faced embargoes, economic isolation, political crises and devastating natural disasters since its independence. Its GDP is 0.01% of...