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Patron saints of the ear
We all know that ear symptoms include hearing loss, vertigo, tinnitus and otalgia, but did you know there are patron saints for all these symptoms? John Riddington Young shares an overview of the patron saints of the ear, inspired by...The otolaryngologist as hospital director: a view from Thailand
Nadtaya Mills is a female otolaryngologist and director of an entire hospital in Thailand. In this article, she offers a fascinating insight to the work she’s done so far to improve resources and services in a challenging environment. The main...Medical racism and the surgical ‘correction’ of the nose in Brazil
Anthropologist Professor Carmen Alvaro Jarrín has conducted extensive research into plastic surgery practice in Brazil. Here, she explains why social and cultural ideas about race may shape rhinoplasty objectives for patients and surgeons in the country. Health professionals worldwide are...Developing ENT and audiology services in Southern Africa (Part 2)
In the last issue of ENT & Audiology News, we heard from retired Professor Christopher Prescott on the challenges faced and progress made made locally to address the inequity and inequality of access to ENT and allied health professional services...Rhinoplasty: state-of-the-art
Rhinoplasty surgery has evolved over the years, and Pietro Palma introduces a further new concept. When flicking through the topics of major rhinoplasty meetings, the astute observer will realise that, at present, there are two mainstream schools of rhinoplasty, which...Biologic therapies for chronic rhinosinusitis with nasal polyps: a new paradigm
Surgery for nasal polyposis has evolved significantly in the last 30 years, and now the medical management may be on the cusp of a revolution. Biologics using monoclonal antibodies to target specific immune pathways have introduced a paradigm shift in...
Mirror image orbital implants in enopthalmus
This is a review from Chile of five patients who underwent surgery utilising customised implants. Two methods to make the titanium implants were used between the five patients. All patients had diplopia in the gaze position prior to implant placement....
Sarcoidosis and the nose
This retrospective case note review from Mount Sinai in New York looked at just 14 patients with sarcoidosis. Individual ENT units in the UK are likely to see relatively few of these patients, unless there is a major tertiary referral...Chronic cough hypersensitivity syndrome
We all have patients who give us a ‘heartsink’ feeling; for many of us, the coughing patient is exactly such a situation. In this overview, Bhaskar Ram and Sangeeta Maini outline their approach to diagnosis. Declan Costello, Editor. Introduction Chronic...
A modification of the crescentic flap for nasal skin reconstruction
Non-melanoma skin cancers are the most frequent skin tumours and in over 25% of cases affect the nose. Following excision, the reconstruction may be challenging. Reconstruction aims to preserve the anatomical units, nasal functions and also an aesthetic final outcome....
Canal wall up mastoid defects - can they be usefully reconstructed with hydroxyapatite cranioplastic cement?
Standard canal wall up (CWU) mastoid surgery leaves a mastoid defect of varying size, commonly covered by soft tissue. Rarely, this bony defect can cause discomfort, cosmetic issues or other problems. To mitigate these, the defect can be filled either...
