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Darn it! It’s going to take longer to get good at stapes surgery!

1 May 2016 |
Traditionally, it has been said the learning curve for a particular operation lies between 20 and 30 cases. In stapedotomy, a surgeon is deemed successful and perhaps competent if closure of the air-bone gap (ABG) is reached to within 10dB...
Otolaryngology Clinics of North America journal cover image.

How best can we manage Samter’s Triad/AERD?

3 July 2023 | | ENTA - Rhinology / Sinus | Aspirin intolerance, Aspirin-exacerbated respiratory disease, Asthma, Biological agents, Chronic rhinosinusitis with nasal polyposis, NSAID intolerance, Samter's Triad
The classic ‘Samter’s Triad’ of asthma, chronic rhinosinusitis with nasal polyposis (CRSwNP), and aspirin sensitivity is now referred to as aspirin-exacerbated respiratory disease (AERD) or non-steroidal anti-inflammatory-exacerbated respiratory disease. We often come across in our rhinology setting, patients with recalcitrant...

In conversation with Dr Helen Bevan: Approaching change in the NHS with a new mindset

1 September 2014 | | ENTA - ENT
Dr Helen Bevan has been a leader of large scale change in the English National Health Service (NHS) for more than 20 years and was recently recognised as one of the 60 most influential people in the history of the...

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

1 September 2018 | | ENTA - General
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...

When dinosaurs ruled the earth

2 September 2022 | | ENTA - ENT
Optimism is abundant in medical research, but frequently ends up being tempered with reality. In his inimitable style, Chris Potter looks back over his career – starting with his medical school memories of Bentley-driving ENT consultants, and moving forward through...

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...

Surgeons and swearing

1 July 2017 | | ENTA - Head & Neck
We will all know colleagues who have raised the act of swearing to an art form; just as Malcolm Tucker in The Thick of It could cut a workmate in half with a well-placed swear word, surgeons can be equally...

Shooting for Gold: ENT surgery and the Commonwealth Games

1 November 2016 | | ENTA - Head & Neck
What are the secrets to success in your career, sports and life in general? Sharp-shooter Parag Patel hits the bullseye again. I write this article following a wave of summer sporting brilliance, from the record Great Britain 67 medal haul...

The Malawi Hearing Project

2 July 2025 | | ENTA - Otology, ENTA - Paediatrics
Rachael Collins, ENT trainee in the UK, and Mwanaisha Jauza Phiri, audiologist in Malawi, explore the challenges and innovations in delivering ear and hearing care (EHC) across Malawi. The Malawi Hearing Project, a partnership between QECH and Cambridge Global Health...

Giacomo Puccini’s laryngeal cancer

1 September 2015 | | ENTA - Laryngology / Swallowing / Voice
Giacomo Puccini, one of the best known composers of all time, was diagnosed with laryngeal cancer and died from the disease in 1924. In this article, Rosario Marchese-Ragona and Alessandro Martini describe Puccini’s experience of the disease with quotes from...

Enhancing performance and well-being for surgeons: the science of life coaching

3 September 2024 |
Life coaching has emerged as a powerful personal and professional development tool, particularly for individuals navigating high-stakes environments. Life coaching emphasises self-awareness, self-management and self-efficacy, including establishing desired outcomes, goal setting and developing skills and action plans to achieve them....

Current practice in cochlear implantation

4 November 2025 | | ENTA - Otology
From candidacy to surgery and rehabilitation, cochlear implant practice is evolving, with new technologies shaping outcomes for patients worldwide. Image courtesy of MED-EL. Cochlear implants restore a sense of hearing in the profoundly deaf, representing the most successful neuroprostheses available,...