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The degree of barbecue rotation matters in horizontal canal BPPV

Treatment of horizontal canal BPPV (Hc-BPPV) is not without controversy due to the several repositioning manoeuvres advocated for its treatment. Among the many, barbecue rotation (Br) is perhaps the most commonly used for canalithiasis of Hc-BPPV. Should the rotation be...

ENT in this issue...Anaesthetics and ENT

Nick Crombie, BMedSci BMBS FRCA FIMC RCSEd RCPathME, Associate Medical Director (Governance); Consultant Trauma Anaesthetist; Honorary Researcher, National Institute for Health Research SRMRC: Clinical Lead for Resuscitation Services, QEHB, UK. E: Nicholas.Crombie@uhb.nhs.uk Plastic surgeons think we do endless crosswords. Orthopaedic...

In conversation with Professor Gao Zhiqiang

Prof Zhiqiang, President of the Chinese Society of Otorhinolaryngology, Head and Neck surgery takes us on a journey spanning over a hundred years of ENT in China: A story of an amazing achievement in a country with a population over...

Medicine by the lake: an observership within RhinoEdu

Two trainees reflect on a RhinoEdu observership in Italy, exploring surgical training, clinical culture and how ENT practice differs across international healthcare systems. The beginning of the new year marked a transition for both of us – though in different...

Changing behaviour with a human factors approach

The Francis Report (2013) identified multiple problems relating to the safety culture of Stafford Hospital in the period 2005 – 2009, as well as serious failings in the supervisory and regulatory systems of the NHS. Particular criticism was directed at...

50 Landmark Papers Every Thyroid and Parathyroid Surgeon Should Know

The motto ‘publish or perish’ has never been more fervently adopted globally than in the present age. Indeed, the preface of this book observes that between 2016 and 2019, “approximately one paper [was published] every 4 minutes”. In this ocean...

The vitamin D deficiency and recurrent BPPV debate revisited

The role of calcium metabolism and disorders of bone mineral density in the evolution and recurrence of BPPV has been debated over the years. As a contribution to this debate, the authors undertook a prospective study into the correlation between...

Cognitive function is preserved in episodic vestibular disorders

Cognitive deficit in bilateral vestibular failure in particular, but also in unilateral vestibular failure, is well documented. The authors designed this prospective study to determine if deficits in cognition, as well as anxiety and depression, were present in episodic vestibular...

The utilisation of three-dimensional printed models in skull base surgery

As technology improves, there are new ways to assist with surgeons when it comes to training and preparing for surgery. Barbara Anne Thomson and Georgios Kontorinis highlight how 3D printing can help with the understanding and surgical planning for complex...

Paroxysmal downbeating nystagmus and proton pump inhibitors

This case report highlights the effect of long-term use of proton pump inhibitors on the vestibular system. The authors reported a case of a 70-year-old woman who was admitted with delirium, ataxia, slurred speech and slowness of thought. She had...

Cognitive development in children with cochlear implants

This systematic review investigates the comparative cognitive outcomes in children using bilateral versus unilateral cochlear implants, as well as those using cochlear implants versus hearing aids. The review synthesises findings from 30 studies involving a total of 11,986 children and...

How entrepreneurs can integrate hearables into their clinic

Brian Taylor provides an interesting perspective on market segmentation of the hearing impaired population, and how as clinicians and entrepreneurs we need to be able to recognise the different approaches that are required to address the large percentage of the...