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The big ask – maintaining the entrepreneurial spirit in academic facial plastic surgery in the USA

en·tre·pre·neur, noun a person who organises and operates a business and who has qualities of leadership, initiative and innovation. In the United States, facial plastic surgery (FPS) services are divided among private and academic practices. The vast majority of academic...

Machine learning and the future of otolaryngology

If you are over 30 years of age, you have witnessed a technology revolution that has grossly affected how we live: computers have come from being an oddity to an everyday feature in our households and places of work; the...

Diagnosing and managing somatic tinnitus

Interactions between auditory and somatosensory pathways can lead to interesting tinnitus experiences which can be very bothersome. Dr Sarah Michiels describes her pioneering work in this area, and the possibilities of physiotherapy based therapy. Background Somatic (also called somatosensory) tinnitus...

Information to support decision-making: does it make sense online?

The internet has become a major source for health information, with many people preferring to use the internet to search for advice than speaking to health professionals. Yet much of the information available is very difficult to read for the...

In this issue...Rising to the challenge of COVID-19

Like much of our lives during this period, our planned focus for this issue was suddenly shifted and redefined by the global pandemic. COVID-19 has realigned our personal and professional focus; this issue reflects some of the journey we have...

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...

Are vascular loops at the CPA of any clinical significance?

Neurotologists have grappled with this question for many years. The aim of the study was to determine the clinical relationship of vertigo symptoms with vascular loop compression syndrome using 3D T2WI turbo spin echo high-resolution MRI. The study included 417...

Cinch suture: Does it work?

Flaring of the nostrils is a common side-effect of a maxillary osteotomy. At times flaring is minimal or of no significance. In some instances, it can be a significant postoperative concern to the patient, even to the extent of declining...

Swallowing outcomes following partial laryngectomy: objective assessment and pre-operative predictive factors

Partial laryngectomy constitutes one of the treatments for early stage glottic carcinoma (i.e. T1N0 and T2N0) in specialised centres. Over the years, several partial laryngectomy and reconstruction techniques have been described in the literature. The choice of technique depends on...

British Skull Base Society Clinical Consensus Document on Management of Head and Neck Paragangliomas (HNPGLs)

All forms of HNPGLs should be managed by a multidisciplinary team (MDT) of core members from skull base otolaryngology, head and neck surgery, clinical genetics, oncology, endocrinology, vascular surgery, radiology and pathology. Extended members include neurosurgery, endocrine surgery, nuclear medicine,...

A patient-centred approach from the patient’s point of view

Seeking help for hearing loss is often a big step for patients. Shari Eberts, a hearing health advocate living with hearing loss, explains why, and gives us her five top tips to improve patient-centred care in such cases. Sensorineural hearing...

IFOS Vancouver postponed until 2022

The unprecedented events over the past nine months have challenged all of us, including the committee organising IFOS 2021 Vancouver. The local organising committee, IFOS Board and the Canadian Society of Otolaryngology-Head and Neck Surgery have been assessing the...