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The fatal illness of Frederick the Noble

Sir Morell Mackenzie is acknowledged as the ‘Father of British Otolaryngology’. He was the leading throat specialist of his time and one of the founders of the Journal of Laryngology and Otology in 1887. He studied in Paris, Vienna and...

Hearing difficulties and memory problems

Since the Lancet Commission report in 2020, we have all been aware that untreated hearing loss is potentially one of the biggest modifiable risk factors for dementia in midlife. Hearing loss is also associated with other risk factors for dementia,...

The workplace environment and doctors’ health (ENT)

It is well established that doctors have higher levels of stress, depression and suicide than the general population [1] and most other professional groups (Figure 1 illustrates the factors that can make us ill). In addition they have high levels...

Detecting postoperative cholesteatoma with diffusion weighted magnetic resonance imaging

Middle ear cleft cholesteatoma is an inflammatory disease that erodes local bony structures and can cause otorrhea, hearing loss, vertigo and intracranial complications. It is usually treated with surgery, typically canal wall up (CWU) or canal wall down (CWD) surgery....

Gastric inlet patch – an under-diagnosed cause of globus

A gastric inlet patch (GIP) is an island of heterotopic gastric mucosa found commonly in the proximal oesophagus just below the upper oesophageal sphincter. It is often underdiagnosed due to its location. Its importance and clinical relevance can be underestimated...

Textbook of Nasal Tip Rhinoplasty: Open Surgical Techniques

Anyone interested in nasal aesthetic, reconstruction and function will find this an essential read, but also an excellent surgical manual. As the title states, it is dedicated to unravelling the complexity of tip surgery, one of the challenging aspects of...

50 Landmark Papers Every Thyroid and Parathyroid Surgeon Should Know

The motto ‘publish or perish’ has never been more fervently adopted globally than in the present age. Indeed, the preface of this book observes that between 2016 and 2019, “approximately one paper [was published] every 4 minutes”. In this ocean...

Personal music systems are causing hearing loss

Sitting next to a teenager on a train with their iPod turned up loud enough for the entire carriage to hear is annoying, most will agree. Perhaps I might educate them about the risks of ‘music’ (if you can call...

The degree of barbecue rotation matters in horizontal canal BPPV

Treatment of horizontal canal BPPV (Hc-BPPV) is not without controversy due to the several repositioning manoeuvres advocated for its treatment. Among the many, barbecue rotation (Br) is perhaps the most commonly used for canalithiasis of Hc-BPPV. Should the rotation be...

A predictor of successful treatment of posterior canal BPPV

Reversal of nystagmus on returning to the upright sitting position from the Hallpike position is a common observation. However, its relevance as a predictor of a successful canal repositioning manoeuvre (CRM) is not known, hence this study. The retrospective study...

Recording of electrode voltages (REVS) to determine extra-cochlear electrodes

Determining whether electrodes are sitting within the cochlea can be difficult as the checks run by the programming software cannot always determine this. In some cases, patients may be unable to give the audiologist detailed feedback which can complicate the...

Ergonomics in otorhinolaryngology

Raewyn Campbell is a rhinologist and skull base surgeon in Sydney, Australia. Prior to training in medicine, she was trained as a physiotherapist, and she brings both disciplines into her research on ergonomics in surgery. Surgeons need to look after...