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Sustainable Practice

Guest Section Editor Brian D Westerberg, MD, FRCSC, MHSc, Clinical Professor, University of British Columbia, Canada; Head, Division of Otolaryngology – Head and Neck Surgery, Providence Health Care, Vancouver, Canada. Climate change is the greatest threat to human health today....

Training in the use of medical devices
– how should it be done?

Adequate training in novel medical devices is imperative, not only to ensure patient safety, but also to give clinicians the confidence to use the device in question. In this article, Andrea Gillies explains the philosophy of one of the equipment...

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...

ENT In this issue...Robotics in Head and Neck Surgery

Robotic surgery is here to stay. Within the specialty of otolaryngology, robotics has made headway across all of the subspecialties, although some advances may still be at the pre-clinical stage. The clinical applications are most acutely evident in the practice of head and neck cancer surgery, specifically transoral robotic surgery (TORS).

Surgical management of congenital nasal pyriform aperture stenosis

Introduction Congenital nasal pyriform aperture stenosis (CNPAS) is a rare cause of neonatal upper airway obstruction which was first described by Douglas in 1952 [1]. The first radiological description of CNPAS was described by Ey et al in 1988 [2]....

Migration and training: a British-Nigerian surgeon’s perspective

Less than 4% of doctors on the UK’s medical register describe their ethnicity as African or part African, yet there are myriad driving forces behind the migration of medical trainees from Africa to the UK and other developed countries. Ekpemi...

Sound advice for staying healthy: promoting holistic health in adults with hearing loss

Hearing loss is linked to chronic conditions like dementia and heart disease. Dr Maidment explores how integrated healthcare can improve outcomes, highlighting the need for a multidisciplinary approach. Emerging evidence suggests that hearing loss is associated with an increased risk...

The hippo and the nose

Chronic rhinosinusitis with nasal polyps (CRSwNP) leads to histological changes including thickening of the basilar membrane and epithelial proliferation. Molecular mechanisms underlying these changes are still not fully clear. A signalling pathway called the hippo with Yes‐associated protein (YAP) as...

Third-party disability in cochlear implantation

The authors of this study note significant third-party disability experienced by significant others (SO) or communication partners of persons with hearing impairment (PHI). The study explored contextual and psychosocial factors for successful auditory rehabilitation, advocating for the importance of including...

Tumours of the Nose, Sinuses and Nasopharynx

Tumours of the nose, sinuses and nasopharyx is a comprehensive, clear and beautifully illustrated text describing the wide range of benign and malignant tumours of the upper jaw and their management. In such a specialist field, the editors have unparalleled...

Reducing readmission rates after transsphenoidal pituitary surgery

This retrospective study provides an outpatient care pathway to screen and manage delayed hyponatremia which the study identified as the primary cause of readmission following transsphenoidal pituitary surgery. Of the 303 patients who were studied, 27 were readmitted within 30...

Potential benefits of turbinate sparing medial maxillectomy

Whilst endoscopic medial maxillectomy (EMM) has good results as the standard treatment option for tumours arising in the maxillary sinus, postoperative problems of crusting, epiphora and paraesthesia are not uncommon. This paper looks at modified EMM aimed at sparing the...