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Nature or nurture in surgical training

1 November 2014 | | ENTA - ENT
It’s Thursday in the UK, so that means time for another root and branch reform of medical training. If you’re not keen on the Greenaway Report (Shape of Training review) [1], don’t fret there’ll be another one along well before...

'If music be the food of love, play on'

1 September 2016 | | ENTA - General
Christopher Aldren Consultant Otolaryngologist, Wexham Park Hospital, UK. Chris playing at Cambridge garden party 2003. Chris with wife and sons Tom and Alex in family quartet. Chris leading the Doctors Orchestra at the Cadogan Hall in London. Christopher Aldren, Consultant...

Changing behaviour with a human factors approach

1 January 2014 | | ENTA - General
The Francis Report (2013) identified multiple problems relating to the safety culture of Stafford Hospital in the period 2005 – 2009, as well as serious failings in the supervisory and regulatory systems of the NHS. Particular criticism was directed at...

Why is a Raven like a writing desk? Some reflections on countertenors and castrati

1 September 2016 | | ENTA - Laryngology / Swallowing / Voice
The countertenor voice has seen a resurgence in popularity in the last 50 years. Nicholas Clapton is one of the foremost performers and teachers of his generation, and he tells us here about the link between countertenors and the (fortunately...

Nasal and aural foreign body removal: another technique for a common problem

1 March 2019 | | ENTA - Otology, ENTA - Paediatrics
Trying to remove foreign bodies from the ears and noses of children is something we have all struggled with at various times. Many people have their own top tips, and here Oliver McLaren and Alexander Walkden describe an ingenious way...

Pioneering in simulation surgery

7 May 2026 | | ENTA - Otology
Plastic temporal bones transformed ear surgery training, letting trainees practise complex procedures safely before operating on patients. I attended the Stell and Maran’s surgical course in the early 70s. It was superb but, with the confidence of naivety, I thought...

Transnasal oesophagoscopy (TNO) and balloon dilatation under a local anaesthesia

1 March 2017 | | ENTA - Head & Neck, ENTA - Laryngology / Swallowing / Voice
Many of us are becoming more and more familiar with the use of transnasal oesophagoscopy. It has a number of well-described uses in the outpatient setting and is well tolerated by our patients. Yakubu Karagama describes taking this technique a...

Screening for hearing aid fittings – an approach for primary care

14 June 2017 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic
Introduction The communication difficulties related to hearing loss can lead to ‘depression, social withdrawal and problems with employment and access to information sources’ [1]. Furthermore, unmanaged hearing loss is associated with dementia, a poorer quality of life, depression, anxiety and...

Beyond ‘sticky floors’ and glass ceilings’: eight women department and society leaders share their stories

1 September 2019 | | ENTA - General
In the United States and Canada, there have been a total of 12 women otolaryngologists who have achieved high positions of leadership. Eight of these women were interviewed for this piece. Each woman’s responses were thoughtful and truthful. Common themes...

Observations and ruminations - a week of collaboration and learning in Ghana

2 May 2025 | | ENTA - Head & Neck, ENTA - Laryngology / Swallowing / Voice
A week of surgical exchange in Ghana reveals the power of collaboration, resilience and mutual learning in advancing global ENT care. Isabelle JM Williams. Isabelle’s perspective It was a Saturday lunchtime at Heathrow airport, terminal 3. Professor David Howard, Miss...

Remote hearing aid fittings and maintenance – exploring applications in Africa

1 November 2014 | | ENTA - Audiology - Adult, ENTA - Audiology - Paediatric
Introduction Technology and connectivity are allowing audiological services to be provided in novel ways. The field of telehealth, although firmly established over the past two decades, is buoyed by the continued and rapid advances in information and communication technologies. Remote...

Selecting and optimising hearing aids for tinnitus benefit: a rough guide

24 May 2017 | | ENTA - Audiology - Diagnostic, ENTA - Tinnitus
Hearing aids have a relatively long history as tinnitus treatment tools. Saltzman and Ersner reported success in suppressing tinnitus with simple hearing aids in a number of cases as early as 1947 [1]. In an early comprehensive approach to tinnitus...