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The curse of Sports Illustrated

“Not a supernatural curse, but a basic statistical concept of blinding simplicity.” What is ‘regression to the mean’? I am reliably informed that our former North American colonies publish a periodical known as Sports Illustrated (note, incidentally, the characteristically incorrect...

A day with Peter Prinsley MP

Our former editor, Ray Clarke, spent a day at Westminster with Peter Prinsley, an ENT surgeon turned Member of Parliament. Peter Prinsley had recently retired from more than 40 years as an NHS Consultant ENT surgeon in Norfolk when he...

Reflux – diagnostic tools and special considerations in singers

Depending on your point of view, laryngopharyngeal reflux (LPR) is either ubiquitous or is over-diagnosed. Are singers more prone to LPR? What are the best tests? Mark Watson and Jane Shaw tell us more. Laryngopharyngeal reflux (LPR: the backflow of...

The process of medical innovation

You’ve got an amazing idea for a new device. It is going to change how your speciality of surgery is practised. It will lead to better operative results and lower risks to patients – that’s amazing, can I see it?...

The cochlear implant clinic multidisciplinary team meeting

The world’s first cochlear implant clinic was in Melbourne, where multichannel devices were designed by Graeme Clark at the beginning of the cochlear implant era. We are fortunate to hear from Claire Iseli and Rob Briggs, surgeon members of this...

The role of the multidisciplinary team in laryngology and airway – the Charing Cross experience

As the National Centre for Airway Reconstruction, the Charing Cross laryngology MDT provides expert care to patients with airway problems as well as voice and swallowing disorders. In this article, the team explain their raison d’etre and why the MDT...

Anaesthesia for free-flap surgery

Adel Hutchinson is one of those calm and controlled anaesthetists for whom nothing seems too difficult. In this article, she describes the key perioperative factors for one of the highest complexity operations in ENT; free-flap surgery. It makes good reading...

The tip in rhinoplasty

Getting the tip right (both its position and its shape) is vital in rhinoplasty. George Marcells eloquently gives us his perspective on how to get it right. “Many surgeons overly concentrate on the profile at the expense of the frontal...

The future of rhinology: What will come first, a radical change in rhinological management or the decimation of the world?

In this article, Simon Gane looks forward to what the future holds, on the presumption he survives. Setting aside the questions of the UK even existing, the NHS still working, or the fact we’ll be commuting to our jobs in...

The CEORL-HNS and its role in international collaboration

‘Together we are strong’ just about sums up the nature of the CEORL-HNS, with international and interdisciplinary collaboration at the forefront of its mission. We hear more from two of the leading lights of the organisation. The Confederation of European...

Worldwide picture of candidacy for cochlear implantation

Who should get a cochlear implant? Candidacy is one of the most important and widely discussed topics in the field of cochlear implantation. Here, Chris Raine and Debi Vickers outline cochlear implant candidacy in the UK, and compare this with...

The drive for success: from the hockey pitch to the surgical field

A hockey ball is rock hard and can travel at 100 mph. Stopping it with your most vulnerable body parts seems an excellent metaphor for higher surgical training... Four years on from the 2012 Olympics presents an ideal time to...