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The Indian method: Sushruta’s influence on modern nasal reconstruction
Ancient Indian medicine, as documented in the Sushruta Samhita, contains one of the earliest known references to nasal reconstruction, including surgical techniques still resembling modern practices. (The Sanskrit word ‘Samhita’ is used to define a collection of written work, similar...
Self-Assessment of Hearing - Second Edition
As an audiologist, I am often reminded of the estimated number of hearing aids that end up in patients’ drawers, rather than in their ears. Although the reasons for non-compliance with amplification are numerous and complicated, the patients’ reported perspective...
Playing hide and seek with parathyroid glands
This article focuses on revision surgery with respect to parathyroid glands. Clearly the stakes are higher with respect to the patients’ risks, but also with respect to the revision surgeon in finding the offending gland in scar tissue, where someone...
Bilateral transposition lip flaps of central upper lip defects
This case series brilliantly explains a novel technique to repair central upper lip deformities at a Moh’s reconstruction referral practice. Most of the current treatment operations advocate a secondary surgery in order to fully restore the philtral columns and the...The TWJ Foundation internationally
The TWJ Foundation offers annual overseas major clinical fellowships in otology, neurotology and lateral skull-base surgery.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 is a form of decision...Chester-gel technique
Umesh Nagalotimath and Robert Temple describe a simple and effective technique for enhancing vision during endosheath use for flexible nasendoscopy. Endosheaths are used to complement the cleaning of flexible scopes. The advantages are time saving for clinicians as this reduces...
An alternative view and access point
Fungal sinusitis is a common problem and it is well recognised that it can be difficult to remove all of the fungal matter from the maxillary sinus to ensure no recurrence or residual disease. This study describes a technique utilising...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...How good ideas become great products: in conversation with three medical innovators
Ever had a great idea for an innovation that would significantly improve your practice, but wondered how to go about developing it? Lucy Dalton interviewed three consultant ENT surgeons-come-successful innovators (one international, one novice and one experienced) who explain what...Targeted focal parathyroidectomy
Leanne Hamilton and Louise Clark describe their technique for helping to localise parathyoid adenomas. Surgically this can be difficult, so careful preoperative evaluation using imaging as described can help minimise difficulties intraoperatively when identifying the parathyroid adenoma. Preoperative imaging has...
