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Sellar surgery – when to prepare for repair
Endoscopic sellar surgery, especially for adenomas, is a relatively safe, straightforward surgery with (mostly) reproducible results and few complications. One of the commonest complications is the creation of a CSF leak with the subsequent need for repair (there is usually...
New MRI technique assesses treatment response in skull base osteomyelitis
This paper describes another useful imaging technique to monitor Necrotising Otitis Externa (NOE). Echoplanar diffusion weighted magnetic resonance (DW MR) shows high signal on the ‘ADC map’ with active disease and this reduces in signal intensity as symptoms improve. This...
Is endoscopic approach more precise in addressing failed ventilation system in chronic mucosal ear disease?
Chronic mucosal disease, as opposed to cholesteatoma, is more directly related to failure of the ventilation system involving three channels. Isthmus anticus and isthmus posticus are channels in front and behind the long process of the incus and there is...
Outcomes and progress of a well-designed one-stop head and neck lump clinic
With increasing caseload of head and neck cancer and the fact, as reported by UK Government in October 2024, that over half of these cases are diagnosed at an advanced stage, the need for early diagnosis and prompt management is...Observations and ruminations - a week of collaboration and learning in Ghana
A week of surgical exchange in Ghana reveals the power of collaboration, resilience and mutual learning in advancing global ENT care. Isabelle JM Williams. Isabelle’s perspective It was a Saturday lunchtime at Heathrow airport, terminal 3. Professor David Howard, Miss...Human factors, theatre ethnographics and Girls Aloud
The issue of ambient music in the operating theatre is frequently controversial and has been known to cause ‘Bluetooth wars’, as different team members vie for control of the speakers. Our own Chris Potter gives his personal slant on this...ENT in Ethiopia: Aksum-Barts Partnership
In keeping with many other countries in sub-Saharan Africa, Ethiopia has a chronic lack of hospitals and doctors. Nadia Ashraf and Tim Crocker-Buqué tell us about a project which aims to improve training in ENT, in a hospital that has...Beyond ‘sticky floors’ and glass ceilings’: eight women department and society leaders share their stories
In the United States and Canada, there have been a total of 12 women otolaryngologists who have achieved high positions of leadership. Eight of these women were interviewed for this piece. Each woman’s responses were thoughtful and truthful. Common themes...
