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Early DCR may be better than delayed in acute dacrocystitis?

Traditionally, acute dacrocystitis has been treated conservatively with antibiotics, analgesia and warm compresses, with surgery reserved for later when the infection has subsided. This meta-analysis looks at early vs. late endonasal dacrocystorhinostomy (DCR) in the treatment of acute dacrocystitis, looking...

Clinical management: 
a personal view

When Nigel Beasley approached me to write on my experience of clinical management, I was a little surprised. I see myself as primarily a clinician, but have had increasing involvement with clinical management within my Trust. I am now in...

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?...

In conversation with David Stockdale

David Stockdale is stepping away from the British Tinnitus Association (BTA) after 12 years, during which time the organisation has become transformed. Prof David Baguley met with David in the spring sunshine to reflect on past, present and future of...

Take-home tinnitus care – Sound Relief App

Tinnitus is a condition that affects over 300 million people worldwide. Typically it manifests as a ringing or buzzing in the ears and while there is not yet a cure there are many ways for patients to manage their tinnitus....

BAAP Annual Conference 2025

Shaista Kerai, ST3 Audiovestibular Medicine, Lancashire Teaching Hospitals NHS Foundation Trust, and Amol Anand, ST4 Audiovestibular Medicine Whittington Hospital NHS TrustThe British Association of Audiovestibular Physicians (BAAP) hosted its 2025 Annual Conference in Birmingham, drawing clinicians, researchers and trainees from...

Shoulder function in patients undergoing neck dissection: its effects on work and leisure activities

Shoulder dysfunction is common after neck dissection and includes shoulder pain, limited abduction and scapular winging. Modifications of the radical neck dissection were designed to limit morbidity, however, even with accessory nerve-sparing neck dissections, shoulder dysfunction can be seen. Shoulder...

In space no-one can hear you scream…or can they?

Plasma, eardrums the size of planets and questioning the wisdom of your school physics teacher! Martin Archer explains the fascinating world of sound and space. Is there sound in space? If you believed the marketing of the movie Alien, or...

Oral Cancer: Symptoms, Management and Risk Factors

This publication is edited by internationally renowned Professor of Otolaryngology, Head and Neck Surgery, Sheng-Po Hao, in the School of Medicine, Fu-Jen University, Taipei, Taiwan. He has organised contributors from many countries, many of whom also work in Taiwan, where...

Thyroid cancer – the last decade

Professor Ashok Shaha describes the evolution in the treatment of thyroid cancer that he has witnessed over the last decade and the invaluable progress made by himself and others, from their contributions to staging systems and guidelines. Nuances and paradigm...

Early Egyptian medicine: nasal trauma and surgery in the Edwin Smith Papyrus

In ancient Egypt, with its towering pyramids and bustling cityscapes along the Nile, there existed a deep-rooted civilisation that excelled in more than the grandeur of monumental architecture. Frequent wars and battles shaped Egyptian society, not only defining its political...

Use of Elasticated Hooks in Open Rhinoplasty

Introduction Good exposure is an essential requisite in open rhinoplasty and often requires appropriate assistance to aid surgery. Frequently, surgeons lack adequate assistance in theatre and often have to depend on the scrub nurse for retraction. A self-retaining retractor is...