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Functional Endoscopic Sinus Surgery (FESS) - Part 2
In the first of this two-part series, Martyn Barnes and colleagues discussed indications for functional endoscopic sinus surgery (FESS), the surgical objectives and techniques, patient expectations and the risks of surgery [1]. In this second and final part, the authors...The role of training programmes in protecting patients
ENT trainees are fully registered doctors who have responsibilities to comply with the requirements of Good Medical Practice. This includes ensuring that they put the interests of their patients at the heart of their practice. This duty is complementary to...History of Hearing Device
Alex Griffiths-Brown, BSc(Hons), MRes, Senior Audiologist, The Shrewsbury and Telford Hospitals NHS Trust, Shrewsbury, UK. E: alex.griffiths-brown@nhs.netTwitter: @griffithsbrown1 When I was asked to edit ENT&A Nov/Dec 2023 on the history of hearing devices, I knew it was going to be...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...
At-home earplug testing – a first of its kind
As an audiologist, it can be difficult to confirm the proper fit of earplugs. Although we can use sound field testing to assess the attenuation of the earplugs, this is not equipment that every audiology clinic has. Unfortunately, without proper...Middle ear reconstruction in children: why, when and how
Every ear in every child is different. Rob Nash discusses the rationale behind reconstructive ear surgery in children and his philosophy on timing and techniques of reconstruction. It is rare for middle ear pathologies to be life threatening. Indeed, it...
Modified barium swallow studies: what is the radiation risk?
A modified barium swallow study (MBSS), also called a videofluoroscopy swallowing study uses ionising radiation to assist the clinician in visualising swallowing biomechanics from the oral cavity to the oesophagus. This procedure is currently one of the best methods used...
The vitamin D deficiency and recurrent BPPV debate revisited
The role of calcium metabolism and disorders of bone mineral density in the evolution and recurrence of BPPV has been debated over the years. As a contribution to this debate, the authors undertook a prospective study into the correlation between...The Malawi Hearing Project
Rachael Collins, ENT trainee in the UK, and Mwanaisha Jauza Phiri, audiologist in Malawi, explore the challenges and innovations in delivering ear and hearing care (EHC) across Malawi. The Malawi Hearing Project, a partnership between QECH and Cambridge Global Health...The role of objective measures and imaging to optimise cochlear implant outcomes
Should we be using new or novel objective measures and imaging to assist with our cochlear implant patients? Debi Vickers and Shak Saeed describe current clinical techniques and present advances that have the potential to optimise outcomes. Introduction It is...Paediatric ENT trauma
Managing trauma in children often strikes terror in doctors who do not deal with children regularly. Kate Stephenson explains the approach to a child who has suffered ENT trauma and specific things to look for in children. ENT injuries are...
