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Acute ENT activity in a teaching hospital
This Belgian prospective audit attempted to provide justification for the provision of a 24-hour emergency service at a large 1038-bed teaching hospital (with 31 ENT consultants). The authors looked at a one-month period during which 190 patients were admitted. They...
Microbiome changes after endoscopic sinus surgery: all is not what it seems
As we keep fighting a losing battle with bacteria and antibiotics, it becomes clear that it is not about killing bacteria, not even diminishing the bacterial load, but rather about shifting the different types of bacteria that colonise and live...Thyroid nodules – time for a rational imaging approach
“The more you know, the harder it is to take decisive action. Once you become informed, you start seeing complexities and shades of gray. You realize that nothing is as clear as it first appears. Ultimately, knowledge is paralyzing.” Calvin,...
Hearing Loss – Fifth Edition
The updated fifth edition of Hearing Loss extensively covers the anatomy, physiology, diagnosis and treatment of hearing loss, providing clinicians with valuable insights based on the latest evidence and literature. The book notably includes expanded chapters on tinnitus, dizziness and...
Videofluoroscopic swallowing studies: balancing risks and benefits
Videofluoroscopic swallow studies (VFSS) are an important part of the diagnostic toolkit and arguably the current gold-standard for assessing swallow biomechanics and diagnosing dysphagia. However, the procedure does involve exposure to radiation, and any clinician requesting this should be able...
Are we now safe at work?
Fifty years is a long time, yet the years pass in a blink of an eye. Where are we in comparison to where we were then, in terms of the occupational protection from noise exposure and ototoxicity, other than being...A shifting landscape of otitis media
In light of pneumococcal vaccination programmes, is otitis media evolving to have a different natural history? Acute otitis media (AOM) is a major public health problem in children worldwide, as it is the leading bacterial infection and first cause of...Singing after laryngectomy: Shout at Cancer
Thomas Moors is an ENT junior doctor with a background in music and singing. Combining these interests, he has set up a charity to help patients who have had a laryngectomy. He has achieved considerable public attention, and he tells...Feeling like a fraud — imposter syndrome: what it is and what to do about it
Have you ever been plagued by feelings of incompetence despite evidence to the contrary, then this article is for you. Dr Dunay Schmulian provides insight into imposter syndrome and what to do about it. Excerpt 1 Senior Audiologist: That was...Nature or nurture in surgical training
It’s Thursday in the UK, so that means time for another root and branch reform of medical training. If you’re not keen on the Greenaway Report (Shape of Training review) [1], don’t fret there’ll be another one along well before...
What we need to know about the new frontier of inner ear therapies
This is an interesting and topical review of the emerging biotechnology and pharmaceutical solutions for hearing loss and related conditions such as tinnitus. This paper suggests we are on the cusp of a very large step-change in the way we...
