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The barber-surgeon of Avebury

On a stroll through Neolithic Britain, Seville oranges on a quay in Dundee, marmalade and 14th century coins, Chris Potter unravels the story of a man (a surgeon?) seemingly crushed by a falling 13-tonne stone. But things are not quite...

Enhancing care for adults with auditory neuropathy spectrum disorder

It’s time to improve and personalise care for adults with ANSD. Knowing the lesion site could open up treatment opportunities like cochlear implants or new cell therapies. Auditory neuropathy spectrum disorder (ANSD) comprises a group of hearing disorders characterised by...

When things go wrong

The new-age, Paediatric Surgeon, Ray Clarke, (fear uasal, íseal), eloquently demands throwing off the shackles of the past and welcomes the dawning of an era of openness, transparency and candour, preferably suffused with compassion for both the patient and the...

Laryngeal papillomatosis

Laryngeal papillomatosis remains one of the most frustrating conditions seen by laryngologists. Sam Majumdar gives us an overview of the current science and clinical practice. Human papilloma virus is a small (> 8kb) double stranded DNA virus with approximately 200...

Can we prevent chronic rhinosinusitis?

The old adage ‘prevention is better than cure’ is considered by Professor Hopkins in respect to chronic rhinosinusitis, a condition affecting around 10% of the adult population and associated with huge impact on quality of life and economic cost. A...

Anaesthesia for sleep nasendoscopy and snoring / obstructive sleep apnoea surgery

Surgery for sleep disordered breathing inevitably requires surgeon and anaesthetist to share the airway. Here, Edward Bick gives us the anaesthetic viewpoint, reiterating that communication is the key. A specific note is made of the anaesthetic technique for sleep nasendoscopy,...

Recalcitrant chronic rhinosinusitis: What to do next?

Whilst the majority of patients with chronic rhinosinusitis (CRS) will significantly improve with treatment, we are sometimes left with a ‘hard-core’ of nasal cripples who fail to improve despite our best efforts. How can we deal with these patients? Valerie...

Robert Vincent: otologie sans frontières

Chris Aldren speaks to French ear surgeon Robert Vincent who’s particularly proud of forming a global otologist network providing free resources for education and patient care worldwide. Robert Vincent Robert, who have been your otological mentors? I did my initial...

Overcoming barriers to ear health in remote WA: partnerships and mobile care

Earbus Foundation delivers culturally safe, mobile ear healthcare to Aboriginal children across remote Western Australia, bridging access gaps. Otitis media, or middle ear disease, is highly prevalent in Aboriginal children in Australia [1]. Studies have shown that otitis media can...

Denis Collings: 38 years as a total laryngectomee

Patients’ perspectives can be very powerful in our understanding of their experience of illness and its treatment. Denis Collings. In the UK, there are more than 2000 new cases of laryngeal cancer each year [1]. In 1988, at the age...

Denis Collings: 38 years as a total laryngectomee

Patients’ perspectives can be very powerful in our understanding of their experience of illness and its treatment. Denis Collings. In the UK, there are more than 2000 new cases of laryngeal cancer each year [1]. In 1988, at the age...

A guided tour of the new thyroid nodule guidelines

The 2026 consensus updates thyroid nodule management with clearer risk assessment, tailored biopsy decisions and more consistent follow-up strategies. Setting off: why do we need new signposts? The management of thyroid nodules is familiar territory for many clinicians, but the...