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The barber-surgeon of Avebury

On a stroll through Neolithic Britain, Seville oranges on a quay in Dundee, marmalade and 14th century coins, Chris Potter unravels the story of a man (a surgeon?) seemingly crushed by a falling 13-tonne stone. But things are not quite...

KTP laser in the office

KTP laser surgery offers a new way of selectively targeting microvasculature within laryngeal lesions and leaving normal surrounding tissues like epithelium and lamina propria intact – and thus preserving physiological phonation. This kind of selective photoangiolysis can be performed in...

A return to digital delay and lip reading

Hearing aid + accessory + smartphone app = a ‘synching’ feeling? Marshall Chasin explains why patients might be losing the rhythm. The historical literature (at least going back to some of the classic texts in the 1960s) is full of...

Operating abroad

I have always taken the view that one is better operating in a familiar environment, with scrub-nurses and anaesthetists that one knows, to say nothing of the equipment required and, most importantly ensuring the most appropriate pre- and postoperative care...

The future of rhinology: What will come first, a radical change in rhinological management or the decimation of the world?

In this article, Simon Gane looks forward to what the future holds, on the presumption he survives. Setting aside the questions of the UK even existing, the NHS still working, or the fact we’ll be commuting to our jobs in...

When patient choice stands in the way of patient-centredness

In the field of hearing care, there is increasing focus on ensuring patient autonomy and choice. Greater participation in decision making is supposed to result in better patient satisfaction. A study conducted in ENT and audiology clinics paradoxically suggests that...

Healthy ageing is linked to addressing hearing loss

EUROCIU with the cochlear implant international community of action (CIICA) launched a new briefing, why hearing well matters for healthy ageing, on how addressing hearing loss could help support healthy ageing by mitigating against the effects of cognitive decline and...

Sustainable Practice

Guest Section Editor Brian D Westerberg, MD, FRCSC, MHSc, Clinical Professor, University of British Columbia, Canada; Head, Division of Otolaryngology – Head and Neck Surgery, Providence Health Care, Vancouver, Canada. Climate change is the greatest threat to human health today....

Medicine and Seamus Heaney

Seamus Heaney grew up in the 1940s. Infectious diseases – diphtheria, poliomyelitis, mumps, measles and rubella – were rife. Stepping Stones recalled talk among older neighbours of ‘a-waiting on’ when they were close to death. Aunts and uncles succumbed to...

CI music: seeking perfection, accepting reality

Having just read about the challenges cochlear implant technology and music appreciation present, the musician Richard Reed beautifully illustrates the realities of this patient journey. An old friend of mine is an ardent music fan, and completely tone deaf. Long...

Treatment regret in head and neck cancer – trading function for survival

Treatment for H&N cancer can be extremely tough for patients. How do we explain the likely impact as they try to make decisions? And what happens when they regret their choice? Treatment regret is a form of decision regret, involving...

High intensity, high impact: tackling waiting lists one HIT at a time

A monthly high intensity theatre list in Sheffield shows how smart planning, teamwork and focus can dramatically reduce long ENT waiting lists. Finally, after many years of training, I’ve started my first consultant post – only to become part of...