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In search of courage; transition 
into Army

In search of courage. Well, that is how it all started. I was fairly advanced in surgical training not to mention age, when I decided to join the Territorial Army (TA). My peers, on hearing this couldn’t decide whether I...

Detecting cancer margins during robotic head and neck cancer surgery using ambient mass spectrometry

We have known about altered metabolism in cancer cells since Otto Warburg described it 97 years ago. But can we take advantage of this knowledge in curing cancer? Jim Higginson explains the value of smoke generated during cancer surgery. The...

Scott-Brown’s Otorhinolaryngology Head and Neck Surgery, 8th edition

If there’s one thing I love about a book review, it’s the unique opportunity to handle, peruse and imbibe a piece of work before it reaches the masses. There are few things more enjoyable than engaging with printer-fresh pages and...

Did you ever meet Draffin on your travels?

Draffin’s rods or bipods are a well-known ENT instrument. Before their invention in 1951, the attendant anaesthetist or nurse was obliged to support the mouthgag during tonsillectomy. Their originator, David Alexander Draffin (born in 1917 in Ballybey, Co Monaghan), was...

Vascular vertigo and dizziness: diagnostic criteria

This diagnostic criteria is one of the latest produced by The Bárány Society. It is a useful addition to previous ones for vestibular disorders. Vascular vertigo/dizziness by definition is caused by stroke, transient ischaemic attack (TIA), isolated labyrinthine infarction/haemorrhage and...

Hearing in middle-age: hearing impairment, tinnitus and hearing aid use in UK adults

Hearing loss has a well-documented adverse impact on emotional, social and physical well-being. In this article, Dr Piers Dawes from the University of Manchester gives an insight into his team’s recent work analysing the very large UK Biobank data set,...

Managing high flow head and neck arteriovenous malformations (AVM)

Vascular malformations are lesions where the traditional network of capillaries linking arteries and veins are lacking. Patients usually present with bleeding, pain, disfigurement and tissue expansion and destruction. High flow lesions can be challenging to manage in the head and...

Drug side-effects on audiological and vestibular testing

Are they a malingerer? Or perhaps they are inattentive? It may be their drugs! Robert DiSogra considers the side-effects of medication on the test subject. The audiogram serves many purposes in clinical practice. For the audiologist, it helps to differentiate...

Adolescence, drug use and body image

Teenagers are notoriously conscious of how they are perceived by others. Dr Saraiva and colleagues explain how this can lead to problems with substance abuse for both boys and girls, and discuss the different substances they may encounter. Adolescence is...

Textbook of Laryngology

There have been dramatic advances in laryngology in recent years, reflected in a steady increase in published research and those regarding themselves as laryngologists. Published out of India, this book has brought together experts from the USA, Europe and the...

Microsurgical and Endoscopic Approaches to the Skull Base

This is a comprehensive book which covers both microsurgical and endoscopic techniques. The introductory section focuses on setup for microsurgical and endoscopic techniques, with images to support this. A detailed description of instruments is also provided, which would be extremely...

Head, Neck and Thyroid Surgery: An introduction and practical guide

This is an outstanding practical guide to head, neck, thyroid and parathyroid surgery for the trainee starting in the head and neck rotations but also preparing for board college exams such as the MRCS, FRCS or the EBEORL. The authors...