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Endolymphatic sac surgery for Ménière’s disease

This is a very useful meta-analysis for those that perform surgery for Ménière’s disease. It specifically looked at differences in various forms of endolymphatic sac surgery (ESS). A total of 36 papers were included. The results: ESS controls vertigo in...

Long-term curative effects of microvascular decompression for hemifacial spasm

This article describes results of a multicentre prospective trial performed to evaluate long- and short-term outcomes and complications of patients who underwent microvascular decompression (MVD) for hemifacial spasm (HFS). The surgeries were performed by surgeons with more than 15 years...

Virtual reality simulation training for cochlear implant surgery

Temporal bone virtual reality (VR) simulation training has been shown to be a useful tool for learning mastoidectomy. The authors aimed to evaluate the role of VR in cochlear implant (CI) surgery. The study was performed as part of a...

INTEGRATE: Uniting collaborative research in ENT

Exposure to clinical research as a trainee is often sporadic and unstructured, despite it featuring in both the GMC’s Good Medical Practice and the ISCP’s syllabus for all surgical specialities, including otolaryngology [1,2]. The majority of trainees undertake small-scale research...

Detecting cancer margins during robotic head and neck cancer surgery using ambient mass spectrometry

We have known about altered metabolism in cancer cells since Otto Warburg described it 97 years ago. But can we take advantage of this knowledge in curing cancer? Jim Higginson explains the value of smoke generated during cancer surgery. The...

Feeling like a fraud — imposter syndrome: what it is and what to do about it

Have you ever been plagued by feelings of incompetence despite evidence to the contrary, then this article is for you. Dr Dunay Schmulian provides insight into imposter syndrome and what to do about it. Excerpt 1 Senior Audiologist: That was...

Vascularised tissue in salvage total laryngectomy

Chemoradiation (CRT) has become the mainstay for locally advanced laryngeal cancer since the RTOG 91-11 trial. Unfortunately there is still a substantial demand for salvage laryngectomies, which have a higher complication rate, the most notable being pharyngocutaneous fistula (PCF). Several...

In conversation with Prof Peter Friedland – Reflections on an extraordinary career and life

Our illustrious friend, Harvey Coates, hears about Professor Friedland’s amazing personal journey, ranging from horrifying exposure to violence through to his clinical care for (and friendship with) Nelson Mandela and his prevailing passion for teaching. Professor Peter Friedland. Professor Peter...

In conversation with Professor Jos Eggermont

Having known Jos for many years, I jumped at the opportunity to catch up with him for our Nov/Dec 2020 series of tinnitus items. My questions reached him during lockdown, and he was enjoying the chance to get on top...

VES2 is ready to bring ear surgery into your living room

The VES2 virtual reality bone drilling simulator is ready and it is freeware! After a long development period we are now able to invite everybody to try the simulator and use it for training, for a inner ear anatomy, and...

Robot controlled mastoid surgery!

This is a fascinating piece of work by a Korean team developing a human-robot collaborative control. Their model uses image guidance surgery to locate the drill tip’s position. Important structures can be highlighted – in this case the facial nerve....

Nasal septoplasty: is it more effective than medical management?

Question1. How do we know that undertaking an operation will benefit a patient? Question 2. How do policy makers / health systems know an operation is effective and ‘good value for money’? As trained professionals, we spend our careers seeking...