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Which graft is better for type 1 tympanoplasty in elderly patients?

Type 1 tympanoplasty is a procedure performed to repair tympanic membrane perforations, primarily to reduce otorrhoea. This may subsequently lead to improvement of hearing. The common graft materials used are temporalis fascia and cartilage from tragus or concha. The authors...

Jarrod Homer and Stuart Winter: Development of the sixth edition of the UK multidisciplinary head and neck cancer guidelines

Head and neck cancer care is a complex and constantly evolving field. What’s new and how are national guidelines on the subject produced? We spoke to Professors Homer and Winter, the lead authors of the most recent edition of the...

Jarrod Homer and Stuart Winter: Development of the sixth edition of the UK multidisciplinary head and neck cancer guidelines

Head and neck cancer care is a complex and constantly evolving field. What’s new and how are national guidelines on the subject produced? We spoke to Professors Homer and Winter, the lead authors of the most recent edition of the...

Funding your otolaryngology / audiology idea by partnering with 
the US Department of Defense

The United States Department of Defense (DoD) has been an effective partner in many of our current medical technology advancements, from the surgical robot, to improved clotting wound dressings, to better blood products. For the otolaryngology and audiology entrepreneur looking...

Charitable hearing care in Pakistan: establishing the IMRA Cochlear Implant Programme and Middle Ear Project

IMRA, the International Medical Relief Agency, is a registered charity providing volunteer-delivered cochlear implant and major ear surgery to children and adults in Pakistan. Established in 2001 by UK-based ENT surgeons led by Mr Haroon Khan, its primary aim is...

Is benign intracranial hypertension underdiagnosed in patients with spontaneous CSF leaks?

In ENT practice we come across spontaneous CSF leaks. Patients present either as unilateral watery rhinorrhoea or otorrhoea, or sometimes as hearing loss with a watery middle ear effusion. Clinicians, after confirming the diagnosis of CSF leak with beta 2...

10 steps to improving transition to adult services

Children and parents like the reassurance that staying under the care of the team who looked after them from birth gives, but as the child approaches adulthood he / she must come under the care of a new team. This...

Audiology in this issue...Multidisciplinary Teams

Marsha Jenkins, BSc Hons, MSc, Principal Clinical Scientist (Audiology), St Thomas’ Paediatric Hearing Implant Centre, Guy’s & St Thomas’ NHS Foundation Trust E: marsha.jenkins@gstt.nhs.uk Twitter: @GSTTnhs www.guysandstthomas.nhs.uk/our-services/hearing-implant-centre I am delighted to guest edit this collaboration of various clinical MDTs from...

Lessons learned from running a national thyroid surgery registry

The UK Registry of Endocrine and Thyroid Surgery is now yielding the rewards of meticulous data collection and years of hard work. David Scott-Coombes discusses the advantages and the unintended consequences of their success. The British Association of Endocrine and...

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...

A path to leadership

In this article we learn more about the Ruth Thomsen’s journey in audiology and healthcare science, exploring the opportunities on the road less travelled. “Two roads diverged in a wood, and I—I took the one less traveled by,And that has...

Anaesthesia for free-flap surgery

Adel Hutchinson is one of those calm and controlled anaesthetists for whom nothing seems too difficult. In this article, she describes the key perioperative factors for one of the highest complexity operations in ENT; free-flap surgery. It makes good reading...