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When things go wrong

The new-age, Paediatric Surgeon, Ray Clarke, (fear uasal, íseal), eloquently demands throwing off the shackles of the past and welcomes the dawning of an era of openness, transparency and candour, preferably suffused with compassion for both the patient and the...

William Hunter’s work on the anatomy of the human ear

The Hunterian Society offers an annual award for an essay and presentation on a subject of relevance to John or William Hunter, or medicine in the 18th Century. This article is based on Emma Stapleton’s 2014 winning essay, which was...

Three-dimensional endoscopy for sinonasal procedures: is it really better?

In this interesting study the authors looked at the efficacy of two-dimensional (2D) versus 3D high-definition endoscopes in novice users, not those already trained in 2D. Ninety-two medical students used 2D and 3D endoscopes to complete two validated tasks and...

What is in the Fountain of Youth?

Does the auditory system have to age? Can we become more like turtles or jellyfish and keep our internals running without degradation? This essay considers the theoretical underpinnings of biological processes in the cochlear, in particular the role of the...

Higher risk and a tailored need

Historically, in audiology there is almost an unspoken understanding that when presented with a musician, a nuanced approach is likely to be required. Previous research has already shown there is a higher risk of noise exposure and accompanying signal distortion...

Transoral endoscopic thyroidectomy / parathyroidectomy – a new approach

Historically, scarless surgery has been popular in certain cultures. But is it gaining traction around the world? A UK team tell us more. Background Alternative, remote access approaches to thyroidectomy and parathyroidectomy are increasing in popularity, the newest of these...

Harnessing head and neck cancer genomics for personalised medicine

Luc Morris updates us on the future of cancer diagnosis and treatment, which lies in “personalised oncology”, where specific molecular alterations of each tumour will be identified, and matched with actionable alterations in existing therapies, ushering in the era of...

Rehabilitation of unilateral sensorineural hearing loss: bone vs air conduction

The re-routing of sound from the deafened ear to the hearing ear has been the mainstay of rehabilitation for SSD for many years. Both hearing aid and bone conduction technology have undergone significant advances over the past decade. This article...

In this issue...Rising to the challenge of COVID-19

Like much of our lives during this period, our planned focus for this issue was suddenly shifted and redefined by the global pandemic. COVID-19 has realigned our personal and professional focus; this issue reflects some of the journey we have...

Beware of Bicycle Face!

Many of us were told as children that we would get square eyes from watching too much television. But spare a thought for those late Victorian ladies, embracing their first taste of liberty on a bicycle, who were threatened with...

The golden nose – reshaping the nose 100 years ago

Wolf Lűbbers (with the golden nose). Who with a crooked nose would not embrace the chance to go to bed in the evening wearing a surgical device and wake up the following morning with a straight one? And all this...

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...