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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...

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?...

From aaargh to zzzzz: the ABC of paediatric anaesthesia

Andrew McTavish is one of those special breeds who not only relishes complex anaesthesia, but also does so in paediatric patients. Dealing with this group of patients requires careful planning according to accepted practice, and here he discusses some recent...

Non-surgical rhinoplasty

Some patients would like to alter the appearance of their nose without surgery or make further subtle changes after a rhinoplasty. Lydia Badia explains how this can be done, thanks to the advent of injectable fillers. This medical procedure in...

The evolution of the Confederation of CEORL-HNS Congress: a conversation among presidents

The Congress of the Confederation has come a long way since its first meeting in 2011. Three presidents – past and present – discuss how it has evolved. Prof Bernal-Sprekelsen, you organised the 1st Congress of the Confederation of EORL-HNS...

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...

The astronomer’s nose: Tycho Brahe’s controversial prosthesis

Tycho Brahe (1546-1601) is a familiar and colourful figure in the history of science. The immense quantity of data he collected during his lifetime would enable the work of Johannes Kepler and has gained him admission to the astronomical pantheon....

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...

Changing behaviour with a human factors approach

The Francis Report (2013) identified multiple problems relating to the safety culture of Stafford Hospital in the period 2005 – 2009, as well as serious failings in the supervisory and regulatory systems of the NHS. Particular criticism was directed at...

Why and how I enjoy the history of Otorhinolaryngology, Head and Neck Surgery (OHNS)

In the first article of this History of ENT edition, Albert Mudry explains why history is so intrinsically relevant to the practice of medicine and tells us how to use history as a foundation for the discovery of new ideas,...