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Do you really like me? Is it, Is it therapy?

Therapeutic alliance describes what happens in the interactions and relationships between the client and the therapist. There is evidence from mental health literature that a therapeutic alliance can have a significant impact on outcomes. A negative alliance can lead to...

How patients reacted to postponement of cochlear implant surgery due to COVID-19

The onset of COVID-19 in 2020 required widespread cancellation of elective surgeries, one of these being cochlear implant for profoundly deafened adults and post-lingually deafened children. Through a questionnaire, to which 23 out of 38 patients responded, this qualitative study...

Tinnitus UK Conference 2025

Join the Leading Event for Tinnitus Research and Care The Tinnitus UK Conference 2025 will be the UK’s premier event dedicated to tinnitus research, clinical management and innovation. Taking place on 19 September 2025 in Birmingham and online, this one-day...

“Oh Manchester is Wonderful”...And other chants you might hear from the football stands or at BACO

Chris Potter is a lad of the North West, and we see him here letting his bleach blond hair grow out to show us his Northern roots. When I was a lad, Manchester was a troubled city in apparent terminal...

ERS 2025

Michaella Cameron, ST6 (OOPE), North Thames Deanery, United Kingdom The 30th ERS Congress welcomed 1,850 participants from around the world to a warm and collegial environment – perfect for newcomers like myself. Set in the vibrant city of Budapest, the...

Paranasal sinus osteoma management

The authors aimed to determine the best approach to paranasal osteoma excision. They conducted a retrospective study of 41 patients with paranasal sinus osteoma (PNSO) at a tertiary centre in Turkey. PNSO was present in: the frontal sinus in 26...

The medially-invasive cholesteatoma: a case series

In this small case series, Casazza et al describe their management of seven cases of complex cholesteatoma presenting during a 16-year period. Patients were included if imaging confirmed restricted diffusion and an endophytic, medially-destructive disease involving the otic capsule, petrous...

How reliable are PTH levels for the prediction of hypocalcaemia after thyroid surgery?

Hypoparathyroidism is one of the most common complications of thyroid surgery. There is significant controversy in calcium management practices post thyroid surgery. The drop in PTH levels has been used to predict the likelihood of hypocalcaemia after thyroid surgery. But...

Bones, stones and surgical moans: rethinking PTH dynamics in parathyroid surgery

Intraoperative parathyroid hormone (IOPTH) testing has revolutionised minimally invasive unilateral parathyroidectomy (MIP) as the gold standard treatment for primary hyperparathyroidism, replacing old-timey four-gland exploration. IOPTH testing ensures reliable excision of all hypersecreting glands, including those pesky hard-to-find ones, without relying...

Electronic nicotine delivery systems (e-cigarettes): what you need to know

As an aid to stopping smoking e-cigarettes may have a role, but they are heavily promoted by industry as a leisure pursuit and desirable fashion accessory. Sneh Biyani and Craig Derkay gives a thorough account of what we know about...

Oxford Handbook of Head and Neck Anatomy

Most of us are familiar with the Oxford handbooks and I certainly have fond memories of the ‘cheese and onion’ from my medical student days, so I was intrigued to see what this anatomy focused, rather than clinical, book from...

Predicting life-threatening complications in deep neck space infections

Deep neck space infections, arising usually from tonsils and lymph nodes in children and dental source and salivary glands in adults can be life threatening. It is therefore important to recognise the variables which indicate immediate intervention to prevent fatalities....