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The Laryngeal Pacemaker – developing an innovative solution for bilateral vocal fold paralysis

Bilateral vocal fold paralysis is a difficult condition to manage, with surgical interventions previously limited to tracheostomy or arytenoidectomy. Re-innervation surgery has been developed and, in recent years, a Laryngeal Pacemaker is now in clinical trials. We speak to two...

In conversation with Peter Prinsley: Norwich ENT surgeon elected as the Labour MP

A new Labour Government won a landslide election victory on 4 July this year. Much to his surprise, Norwich ENT surgeon Peter Prinsley was elected as the Labour MP (Member of Parliament) for Bury St Edmunds and Stowmarket in Suffolk....

Jarrod Homer and Stuart Winter: Development of the sixth edition of the UK multidisciplinary head and neck cancer guidelines

Head and neck cancer care is a complex and constantly evolving field. What’s new and how are national guidelines on the subject produced? We spoke to Professors Homer and Winter, the lead authors of the most recent edition of the...

Andreas Wagner: ESPO 2025 keynote speaker

The keynote speaker for ESPO 2025 in Stuttgart is renowned evolutionary biologist and author Professor Andreas Wagner, from Zurich. Prof Wagner will focus on the congress theme of ‘Innovation’, giving us his unique perspective on how evolution drives human creativity....

Guillotines from Joseph‑Ignace Guillotin to Greenfield Sluder

Joseph‑Ignace Guillotin. The politician and physician Joseph-Ignace Guillotin (1738-1814) was so disgusted by brutal head and shoulder injuries sustained in ‘failed attempts’ by drunken axe-wielding executioners during the French Revolution that he and surgeon Antoine Louis (1723-1792) advocated not only...

A soprano’s demise: a cautionary tale for the thyroid surgeon

Prior to the mid-19th century, thyroid surgery was considered excessively dangerous. The emergence of anaesthetic, antisepsis and improved instrumentation, however, increased its feasibility and frequency in Europe. The unhurried, judiciously antiseptic and haemostatic approach, advocated by Kocher, was popularised and...

A legendary ‘parotid adenoma’: teaching aid or trophy? & The stapes: a classical heresy

A legendary ‘parotid adenoma’: teaching aid or trophy? A wander through the glass cases of the newly refurbished Hunterian Museum at the Royal College of Surgeons in London presents a particularly impressive sight to any ENT surgeon. The salivary adenoma...

Down with the nose, down with it flat

In Shakespeare’s Timon of Athens, Timon urges prostitutes to spread syphilis throughout Athens. He implores the whores, Phrynia and Timandra, to: Consumptions* sow In hollow bones of man; strike their sharp shins,And mar men’s spurring*. Crack the lawyer’s voice**, That...

From battlefield to homefront: how the First World War shifted perceptions of deafness

The First World War marked a pivotal moment in the understanding and treatment of hearing loss and deafness. Prior to the war, deafness had been largely attributed to congenital causes. This view was influenced by a negative eugenic Darwinist ideology...

Opening ceremonies – a necessary evil?

This series of stories is dedicated to those of you with whom some of these moments were shared (or endured) and, above all, to my amazing and long-suffering husband, David Howard. Most of you know him as an exceptional head...

Chairmen, chairwomen and other persons

It is the lot of all academic clinicians to be called upon to chair or moderate the various sessions that take place at the multitudinous conferences we attend. Sometimes one is simply there to maintain order or to impose good...

A woman in a man’s world

Being one of the few women professors of surgery in the world for most of my career inevitably led to some amusing situations. When I was first invited to the Middle East in the 1990s, I accepted primarily to see...