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Lonely, so lonely

The pandemic has evidenced the negative mental and physical health outcomes that are associated with isolation and loneliness. This study was undertaken in Australia, where one quarter of the population live alone. Giving our ageing population worldwide, the number of...

Lip sensory disturbance in osteotomy patients

Neurosensory disturbance resulting from inferior alveolar nerve injury during a sagittal split osteotomy (BSSO) is a well-recognised complication. This paper from Türkiye looked at 20 patients with neurosensory disturbance >12 months after a bimaxillary osteotomy including a BSSO surgery and...

Speech and language therapists have the skills to provide all practisable supports in compliance with Mental Capacity Act guidance

Deciding where to live can be complex. However, people with communication difficulties can find this even more difficult, and they are often completed excluded from the process. In the past, people with complex communication difficulties may have been placed in...

60th ENT Congress for the South African Society of ORL-OHNS

Dr Greta Niemann, ENT surgeon, Pretoria The 60th Annual ENT Conference held in Pretoria in November was a remarkable event, skilfully organised and offering an exceptional line-up of international and local speakers. This year’s gathering provided a unique opportunity for...

A ‘rye’ tail – the fatal illness of Lord Boringdon, a Regency tragedy

The anonymous privately-printed book, Some Account of Lord Boringdon’s Accident, describes in deferential terms a case of aspiration of a foreign body and its sequelae. Today aspirated foreign bodies are serious but curable injuries; before the invention of the bronchoscope...

Global health missions – not just for consultants. A guide for trainees.

Lulu Ritchie is a courageous and driven trainee in London, inspired by humanitarian missions but conscious of the usual requests for consultant level doctors. Lulu didn’t let that hold her back. She found a way and has kindly summarised her...

A cognitive therapy programme for hearing impairment: reducing avoidance and mental distress

Cognitive behavioural therapy (CBT), a psychotherapeutic treatment method, is most commonly used to treat anxiety and depression. Newly published results from a controlled, clinical study demonstrate that an adapted CBT programme is useful for several common challenges in aural rehabilitation;...

A move away from bony free flaps in reconstruction

Techniques for facial reconstruction have come on in leaps and bounds since the world wars. The use of titanium implants is more recent and the technology for manipulating the metal and how we use it is rapidly developing. Here the...

Work and the risk and carcinoma of the larynx

This is a census on the national cancer registry in France to detect professions at a higher risk of squamous cell carcinoma of the larynx. During the period 2001-2016 there were 244 registered cases of cancer of the larynx. Amongst...

Sound of Metal: an evocative look at the deaf community and cochlear implantation in adults

Sound of Metal is an American drama movie, co-written and directed by Darius Marder, which tells the story of a drummer who suddenly loses his hearing. The film was highly praised, receiving great acclaim for performances from Paul Raci and...

Salivary duct clipping for drooling

Drooling can be a challenging problem to manage in paediatric ENT. The variety of medical and surgical treatments suggests that there is no gold standard treatment. Nicola Stobbs and Ravi Thevasagayam describe an approach to ligating the salivary ducts. Drooling...

OBITUARY: Professor Carel Dirk August Verwoerd (1936–2026): Founding father of the European Society of Paediatric Otorhinolaryngology

Professor Dr Carel Dirk August Verwoerd. Professor Dr Carel Dirk August (Carel) Verwoerd was a driving force in the development of paediatric otorhinolaryngology in Europe. As a founding member of the European Society of Paediatric Otolaryngology (ESPO) in 1994, he...