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Developing ENT services in Zambia

Lufunda Lukama and Matthew Clark. Lufunda Lukama is an ENT surgeon in Zambia. In a country of 19.6 million, he is one of five such specialists. It is not difficult to see the problem that he, and the country as...

Monitored safe medical practice: minimising patient harm will reduce medical negligence bill for the NHS

Patrick Bradley ruminates on a celebrated career in ENT head and neck surgery and suggests that increasing the possibility of positive outcomes to contemporary patient safety initiatives by the NHS must involve efforts to develop an enthusiastic contented workforce willing...

Cochlear Implants, Third Edition

Cochlear Implants is now in its third edition with the last addition being published in 2006. With the third edition being published in 2014 there have been eight years of development and research to take in to account and as...

Cochlear Implants - Basic Textbook

The book has been written by the sole author Dr Sandro Burdo MD. He is based at the Circolo Hospital in Varese where he has established his practice and wealth of experience. As the title indicates, this is an encompassing...

Machine learning to support audiology

Jessica Monaghan and David Allen discuss how machine learning, using a wealth of data provided by hearing devices, can be used to streamline their functionality and fitting. They report on how it has been used to support clinicians to maximise...

Circular economy approach to reducing your carbon footprint in your ENT operating room

Although our operating rooms consume significant resources, some simple changes can have considerable impact in reducing greenhouse gas emissions. Here are 10 such simple things we can do. Waste is one of the largest contributors to a hospital’s carbon footprint,...

Guillotines from Joseph‑Ignace Guillotin to Greenfield Sluder

Joseph‑Ignace Guillotin. The politician and physician Joseph-Ignace Guillotin (1738-1814) was so disgusted by brutal head and shoulder injuries sustained in ‘failed attempts’ by drunken axe-wielding executioners during the French Revolution that he and surgeon Antoine Louis (1723-1792) advocated not only...

Knowledge is power: the power of mobile technologies to enhance hearing-related knowledge

In recent years, the widespread use of smartphones has made it increasingly possible to improve knowledge, understanding and delivery of hearing healthcare. Melanie Ferguson tells us about the advances in mobile-health applications. Think back to five years ago - what...

Hypoglossal nerve stimulation for OSA

Hypoglossal nerve stimulation has been lauded as the great new surgical treatment panacea for obstructive sleep apnoea (OSA). This meta-analysis includes 12 studies with a total of 350 patients, including the five-year follow-up data from the STAR trial which was...

Present and future in myringoplasty

Tympanic membrane perforations are a common finding in ENT practice. Whilst watchful waiting or formal tympanoplasty are standard options – wouldn’t it be amazing if there was a low cost, safe, in-clinic option to immediately help patients (I hear you...

Lateral wall augmentation for patulous eustachian tube

The problem more commonly attributed to the eustachian tube is lack of its patency rather than it being unduly patulous. This lesser recognised condition is due to loss of peritubal fat volume resulting in concavity of the lateral wall and...

Classification and assessment of midfacial fractures; no more Le Fort facial fractures

There is some evidence that severe or complex midfacial or orbital fractures have declined over the last decade. Interestingly there is also evidence of an increase in road traffic accidents but a decrease in facial injuries. This is possibly attributed...