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The HEARO Procedure for cochlear implantation

Cochlear implants have become the state-of-the-art treatment for profound to severe sensorineural hearing loss. Since its popularisation, many aspects of this technology have constantly been optimised. Processors have become smaller, are worn behind the ear and are even water resistant....

Developing medical devices for children: opportunities and challenges

The development of medical devices for infants and children lags significantly behind the development of devices for adults. While in the United States the Food and Drug Administration (FDA) has set up incentives for developing child age-specific pharmaceuticals, there is...

Difficult consultations with HPV-positive oropharnyeal cancer patients

The aetiological role of human papillomavirus (HPV) in oropharyngeal squamous cell carcinoma (OPSCC) is well established, and its incidence has massively increased over the last decade, whilst the incidence of HPV-negative OPSCC is declining. Although we know that HPV-positive OPSCC...

Treatment algorithm for olfactory disorders

The purpose of this paper is to review the current evidence in diagnosing olfactory disorders and suggest an algorithmic approach to patients with relevant complaints. Age-associated olfactory loss is often multifactorial and requires a careful history and physical exam. A...

Recurrent seroma in cochlear implanted patients

Little is known about why some patients experience recurrent seromas over the implant package and in the absence of any cause, antibiotics are frequently prescribed as a precaution to protect the implant from infection. A tertiary referral centre selected five...

Using autologous blood to reduce postoperative infections

The removal of impacted wisdom teeth is a common surgical procedure with possible complications including postoperative bleeding and wound infection and alveolar osteitis. Preventing osteitis is dependent on retaining the blood clot in the socket with no infection. There are...

A new treatment for smell loss?

It has been well established that smell training can be effective in the recovery of smell function post Covid-19 infection, and many other treatment modalities have been assessed. There have been limited studies to date evaluating the effects of dietary...

Infection and other factors influencing post-tonsillectomy haemorrhage

In this detailed narrative review article, the authors have addressed several factors which could be related to postoperative bleeding after tonsillectomy. As regards to microbiology, the significance of micro-organisms present both on surface and within the tonsils is emphasised and...

William Hunter’s work on the anatomy of the human ear

The Hunterian Society offers an annual award for an essay and presentation on a subject of relevance to John or William Hunter, or medicine in the 18th Century. This article is based on Emma Stapleton’s 2014 winning essay, which was...

Management of benign oesophageal strictures

Benign strictures of the upper oesophagus and pharynx, while not very common, can be a challenging condition to successfully manage. The authors of this article provide us with a detailed description of their technique for using the CO2 laser, balloon...

From surgeon to scholar: the remarkable life of Philip Stell

Professor Philip Stell was an extraordinary man: following an astonishingly illustrious career in ENT, he excelled as a medieval historian. With the Philip Stell Prize due to be awarded in May, his friend Pat Bradley looks back at his remarkable...

In conversation with Emma Stapleton, winner of the Hunter Doig Medal 2022

The Hunter Doig Medal is awarded once every two years to a female Fellow or Member of the Royal College of the Surgeons of Edinburgh who has demonstrated outstanding career potential and ambition. The medal is named after two female surgeons, Alice Headwards-Hunter and Caroline Doig.