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Is one glass of wine on call safe?

It’s a standard question for those about to sit a Specialist Training (ST) interview; you are on call and you call a senior colleague in to perform an operation. You smell alcohol on the breath of the surgeon, so what...

The common frontal sinusotomy (Lothrop) and chronic rhinosinusitis

As our understanding of the pathophysiology of CRS evolves, so do our treatment strategies. It is accepted that in many cases, the main role of surgery is to allow better penetration of topical therapies to the sinus cavities. What, then,...

Assessment of genetic disorders: congenital sensorineural hearing loss

Severe or profound sensorineural hearing impairment (SNHI) is a common birth defect, affecting approximately 1 in 1000 newborns [1]. SNHI may result from environmental causes or have a genetic basis. The genetic causes can be further subdivided into non-syndromic (isolated...

The delivery of ENT services in Mongolia: what are its obstacles?

Globally, the burden of ENT disease is great. Disabling hearing loss (DHL) for example, is reported to affect half a billion people worldwide. The majority of afflicted individuals live in lower and middle-income countries (LMIC) [1]. This article, a collaboration...

Spotlight on Africa: paediatric ENT focus

Sub-Saharan Africa (SSA) carries 24% of the global disease burden but employs only 3% of the world’s health workers [1]. Unique workforce considerations exist in SSA including a paucity of skilled health professionals and fluctuant political climates [1,2]. Shazia Peer...

Aboriginal and Torres Strait Islander ear health in the 2020s

The world is in the midst of a pandemic, and global health is severely threatened by this novel coronavirus which has caused over three million infections of COVID-19 and claimed more than 228,000 lives to date*. Societies and health systems...

Virtual educational outreach in the COVID-19 era

Existing surgical outreach programmes to developing countries have been severely curtailed by the COVID-19 pandemic. This has impacted on opportunities for otolaryngologists from the USA and from other developed countries to contribute to education and training of otolaryngologists in developing...

Head and neck cancer deaths to cost $535 billion by 2030

More than 500,000 people across the globe will die this year from head and neck cancer, which is the sixth most common cancer in the world and comprises malignancies of the nose, mouth, throat, larynx, and neck. Assuming current trends...

Minimally invasive craniotomy for middle fossa dura repair using the exoscope

A minimally invasive temporal craniotomy using an exoscope offers improved visualisation, ergonomics and recovery for middle fossa dural CSF leak repair. Cerebrospinal fluid (CSF) leak through a dural defect, regardless of the cause, typically requires surgical repair. Depending on the...

Call to action: dysphagia matters

Dysphagia profoundly impacts quality of life. Multidisciplinary research, like the POuCH study, aims to improve understanding, diagnosis and treatment. We take for granted the simple joys of life – meeting over a cup of coffee, breaking bread with friends or...

Papzimeos: a major advance in treating adult recurrent respiratory papillomatosis

Since the beginning of our specialty, generations of patients and surgeons have faced the challenging clinical problem of recurrent respiratory papillomatosis (RRP). Driven by a persistent and chronic infection with low-risk human papillomavirus (HPV) types 6 or 11, it is...

HPV – why equitable protection matters

Human papillomavirus (HPV) is one of the most common viruses in the world, with most people acquiring it during adolescence or early adulthood, often without ever knowing it [1]. HPV lives in the skin and the mucosal linings of the...