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Opening ceremonies – a necessary evil?

This series of stories is dedicated to those of you with whom some of these moments were shared (or endured) and, above all, to my amazing and long-suffering husband, David Howard. Most of you know him as an exceptional head...

Jacobsen’s organ

The vomeronasal organ (VNO) was not, in fact, first described by Jacobsen in 1809, but by Frederik Ruysch (1638–1731), the noted Dutch anatomist. He had an absolute passion for embalming, and his ‘Cabinet of Curiosities’ in Amsterdam was acknowledged as...

Challenges in paediatric airway management

Paediatric airway emergencies are high-stakes, but training, simulation and updated guidelines help ENT teams manage risks and build confidence. Congratulations to the ENT Masterclass® on its forthcoming 20th birthday. Over the past two decades, Shahed Quraishi has grown it to...

What can be done to encourage training doctors to pursue a career in paediatric ENT?

Paediatric ENT is often considered the ‘Cinderella’ subspeciality within otolaryngology. There are efforts in the UK and overseas to redress the balance. Paediatric ENT is a specialised field that addresses the unique needs of children with otolaryngological disorders. Despite its...

GP Field and the holes in his book: a British bestseller in otology

The fact that the cradle of modern otology lies in Britain and Ireland was long unrecognised in continental Europe. Yet it was the Teutonic forefathers of the ‘Vienna School’ who drew their knowledge from such British luminaries as Toynbee and...

The (Ancient Egyptian) ear that hears badly: otology in Ancient Egypt 1500 BC

The Ebers Papyrus was written around 1500 years before the birth of Christ, and is arguably the most complete and most beautiful of the medical texts to have survived from ancient Egypt. It was purchased from a Coptic antiquarian in...

Misophonia: an audiologist’s perspective on recent research and assessment

From validated assessment tools to new insights into neural processing, recent research is redefining the audiologist’s role in understanding misophonia. Misophonia – literally “hatred of sound” – is a condition marked by disproportionate emotional and physiological reactions to specific trigger...

Diplomacy and the art of consensus meetings

Over the years I have been involved in a large number of international consensus meetings, usually attended by people from a wide range of specialities and nationalities. They require considerable diplomacy and leave one with an enormously increased admiration for...

How AI is expanding accessibility for people with hearing loss in speech-to-text apps

In hospitals and clinical environments where masks are required, deaf and hard-of-hearing individuals continue to experience additional barriers due to the absence of visual cues. Similarly, large in-person meetings, virtual sessions, classrooms and lectures can be difficult to navigate when...

Scribe 2.0: streamlining clinical workflow with AI

A standard NHS clinic appointment lasts 15 minutes. In that time, you are expected to call the patient in, greet them, take a full history, perform an examination, formulate a differential diagnosis, explain that diagnosis, discuss investigations, request those investigations,...

Michelle – Chevalier Jackson’s choking doll: Simulation in paediatric airway management 100 years ago

Simulation has become an indispensable tool in modern paediatric airway management as it offers clinicians the opportunity to practise complex procedures in a safe, controlled environment [1], although challenges will always remain in replicating the true anatomical proportions and tactile...

The pioneer of precision: Wolfgang Steiner and the evolution of transoral laser surgery

It is rare that a single clinician entirely changes the course of the management of a particular condition. Steiner was one such clinician. Wolfgang Steiner was to transoral laser microsurgery what Grandmaster Flash was to hip-hop or James Brown was...