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Surgical technology and operating room safety failures: lessons from vascular and general surgery

Background – surgical technology and otolaryngology An estimated 234 million major surgical procedures are performed annually worldwide. This requires the interaction of multidisciplinary teams with varying contributions of surgical technology and therefore makes surgical procedures prone to multiple sources of...

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...

Improving cochlear-implant performance in the short- and medium-term

Can bespoke cochlear implant programming strategies reduce the variability seen in patient performance with an implant? Bob Carlyon reviews the current situation and gives us a glimpse of the future. Although many cochlear implant (CI) patients understand speech well in...

The evolution and advancements in radiological imaging of the sinuses

Computed tomography (CT) imaging is crucial in the planning of any endoscopic sinus operation; we hear from one of the pioneers of CT scanning who worked with Stammberger and Messerklinger in developing many of the technologies that we now take...

In conversation with Reza Rahbar

Reza Rahbar is professor of otolaryngology at Harvard Medical School and associate otolaryngologist-in-chief at Boston Children’s Hospital. He initiated and leads IPOG, the International Pediatric Otolaryngology Group. I met up with him to ask more about it. Reza Rahbar DMD,...

Multifrequency tympanometry

There are many good reasons to start using multifrequency tympanometry as opposed to a traditional, single 226Hz probe tone. Here, Leigh Martin of Interacoustics discusses the uses and benefits. Tympanometry is a core test in the audiologist’s test battery. In...

Speech mapping and the benefits of using in clinical practice

Fitting hearing aids is not simply a case of one size fits all. Nicole da Rocha discusses the benefits of using speech mapping as a verification tool. The verification of hearing aids has become quintessential for best practice. Using either...

The business of audiology: unbundling

Many professions, such as law, accounting, engineering and some areas of healthcare charge hourly rates in a fee-for-service model. Administratively, this can be a challenge to track hours, bill clients/patients, and collect payment, but this does lend toward greater transparency...

The role of artificial intelligence and applications in ENT surgery

AI is progressing apace. If you’re wondering how it might affect our working lives in ENT, read on for insights and a pilot study that show us what may be possible. The recent launch of ChatGPT, an open access artificial...

Effects of blast and acoustic trauma: assessment of hearing status on war veterans

Introduction Acoustical conditions of the military are often dangerous and there is a real risk of blast trauma and acoustic trauma [1, 2]. Levels of military noises maybe reach up to 125 dBA [3]. Weapons produce instant shock waves (10μs)...

Congenital CMV: investigations and management in the audiology setting

Congenital cytomegalovirus (cCMV) is the only cause of congenital sensorineural hearing loss (SNHL) for which there is a medical treatment available to prevent further hearing loss. Dr Simone Walter discusses cCMV infection, cCMV-related hearing loss, and how to facilitate their...

In conversation with Professor Patrick Gullane: My life in Otolaryngology-Head & Neck Surgery

Fellowship RCSEng 2009. Patrick, as you have recently ‘stepped down’ as Chairman and Chief of ORL-HNS at Toronto General Hospital, what next? Firstly, so often I have been asked why I selected this career path, from a quote by Johnny...