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Is there a doctor in the house?
Occasionally at medical meetings, a member of the audience will be unfortunate enough to fall ill. An elderly ex-obstetrician of the Queen had a transient ischaemic attack at the podium of the Royal Society of Medicine in front of a...RSM ‘Otology Dragon’s Den’ - Interview with Professor Gerard O’Donoghue
Paula Bradley interviews Professor Gerard O’Donoghue, President Elect, Otology Section Council; Royal Society of Medicine on the upcoming ‘Otology Dragons’ Den’ event. Tell me a bit about the proposed event? When is it? Where? This event, the ‘Otology Dragons’ Den’,...Patient initiated follow-up in head and neck cancer
Is it time for a change in the way we follow up head and neck cancer patients after treatment? Paul Nankivell and Hisham Mehanna explain the rationale for the PETNECK2 trial. After completion of curative intent treatment, clinical follow-up currently...Prudent audiology
Introduction In January 2014, Professor Mark Drakeford, Minister for Health and Social Services, defined Prudent Healthcare as, “Healthcare that fits the needs and circumstances of patients and actively avoids wasteful care that is not to the patient’s benefit.” ‘Prudent’ healthcare...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...
Mastering Medical Photography of the Head and Neck
Medical photography has always been an integral part of the medical profession with benefits that span diagnosis, follow up, assessment of results and teaching. The popularisation of digital photography has made it more accessible to most doctors and other health...Cochlear implants: recipient stories
The most powerful evidence for the remarkable achievements made with cochlear implants over 40 years comes from the life-changing, personal stories of those who have benefited from the technology. James Rylance I first noticed a problem with hearing when I...
Assessing surgical tracheostomy skills
Surgical tracheostomy is an essential operation that trainees must be competent in. There is a lot of research currently looking into assessing trainees’ surgical abilities, particularly into assessments that can be used to demonstrate progress, so this article is very...
To monitor the nerves or not?
Whilst intraoperative nerve monitoring has become the standard of care for mastoid and parotid surgery, its benefit in thyroid surgery remains unclear. In the UK NICE was agnostic on the subject in 2008, stating that it was potentially helpful and...
What are the non-inflammatory causes of a conductive loss?
This retrospective study looked at patients with an intact tympanic membrane with non-inflammatory causes – i.e. otitis media and cholesteotoma. They document their findings based on exploratory tympanotomy. They operated depending on the findings with either a stapedectomy or a...
Robot controlled mastoid surgery!
This is a fascinating piece of work by a Korean team developing a human-robot collaborative control. Their model uses image guidance surgery to locate the drill tip’s position. Important structures can be highlighted – in this case the facial nerve....
