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Is one glass of wine on call safe?

It’s a standard question for those about to sit a Specialist Training (ST) interview; you are on call and you call a senior colleague in to perform an operation. You smell alcohol on the breath of the surgeon, so what...

Mastoid fistula closure

This article describes a clear and useful technique for the repair of a troublesome mastoid fistula. The clear instructions make this easy to apply in daily practice. Mastoid fistula is a rare condition whereby an abnormal connection develops between a...

Tonsillectomy and the environment

The authors compared the carbon footprint of various techniques used for subtotal tonsillectomy. The techniques included radiofrequency ablation, coblation and cold steel with bipolar diathermy. All medical equipment was reported and their carbon emissions in eCO₂ calculated. Cold steel with...

Transnasal oesophagoscopy (TNO)-guided secondary tracheoesophageal puncture (TEP) under local anaesthesia

Here, the authors describe a convenient use of the transnasal oesophagoscope to create a new tracheoesophageal puncture in the outpatient clinic setting. Tracheoesophageal puncture (TEP) with voice prosthesis insertion is a reliable and effective technique for surgical voice restoration (SVR)...

Sentio™ System – an active transcutaneous bone conduction hearing system from Oticon Medical

As bone conduction technology advances, implant options continue to improve; here, the Sentio™ System is outlined, including indications, surgical technique and aftercare. Bone conduction hearing aids (BCHA) are an established management option for adults with conductive (CHL) or mixed hearing...

Staying safe during endoscopic ear surgery

There is growing interest in using rigid endoscopes rather than traditional operative microscopes to perform transcanal middle ear surgery. Rigid endoscopy provides a high resolution, wide-angle view of the tympanic cavity through minimally invasive surgical portals. In this article, Elliott...

Leadership challenges in the world 
of AQP and accreditation – learning from experience

The words ‘choice and competition’, ‘any qualified provider (AQP)’ and ‘accreditation’ have irrevocably become part of audiology jargon in the last two years in England. Commissioners who chose ‘Adult Hearing Aid Services for age-related hearing loss’ have begun the process...

Diagnosing and managing somatic tinnitus

Interactions between auditory and somatosensory pathways can lead to interesting tinnitus experiences which can be very bothersome. Dr Sarah Michiels describes her pioneering work in this area, and the possibilities of physiotherapy based therapy. Background Somatic (also called somatosensory) tinnitus...

Guidance to protect doctors and dentists during COVID-19 pandemic

ENT and facial surgeons issue guidance to protect doctors and dentists during COVID-19 pandemic. Two surgical specialty associations have come together for the first time to protect dentists and doctors examining and treating patients who may have COVID-19 (coronavirus), but...

UV Smart D60: sustainability in every disinfection cycle

The UV Smart D60 is a CE marked (MDR Class IIa) disinfection device specifically designed for channel-less ENT endoscopes and TEE probes.

Genetics and the newborn hearing screen: the future is now

Eliot Shearer shares the progress being made with newborn hearing screening 60 years on from where it started, and future directions for identifying hearing loss using physiologic, genetic and cCMV screening. Newborn screening had its birth in the early 1960s,...

Dementia assessments for people with deafness, deafblindness or visual impairment in Scotland

How is the medical community doing with assessing cognitive decline in those with a sensory impairment? The ALLIANCE Scottish Sensory Hub was tasked with finding out. Background There is growing evidence of a connection between dementia and sensory loss. However,...