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Between sirens and silence: the burden on otorhinolaryngologists in wartime Ukraine

Ukrainian ENT teams continue life-saving and routine care under air raid alerts, with staff shortages, strained resources and the long psychological toll of war. War reshapes medicine long before it destroys hospitals. It alters the rhythm of clinical work, the...

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,...

Is my post-intubation sore throat something to worry about?

Laryngeal injury (LI) is a rare but serious adverse outcome of endotracheal intubation, thought to arise from compression-related trauma to the laryngeal nerves and resulting neuropraxia. Patients typically present with transient postoperative dysphonia which usually resolves within a matter of...

The Royal College of Surgeons of Edinburgh: Basic Microsurgical Skills Course

The Royal College of Surgeons of Edinburgh Basic Microsurgical Skills Course

Cochlear implantation in children with congenital long QT syndrome

Jervell and Lange-Neilsen syndrome is a condition where sensorineural deafness coincides with inherited abnormalities of the heart, resulting in prolonged ventricular repolarisation, frequently shown on an ECG with a prolonged QT interval. These children can present at implant centres for...

Videofluoroscopy: A Multidisciplinary Team Approach

This book places videofluoroscopy in the context of a broader, more holistic approach to the management of patients with dysphagia. It recognises that this is perhaps currently the best available tool to aid our understanding of the physiology of normal...

How do you solve a problem like Dysphagia?

When a patient is referred to a speech and language therapist for the management of swallowing difficulties, multiple options are available to address these issues. The choice is based on a detailed assessment of the patient’s swallowing physiology and function....

Reliability of modified Dix-Hallpike test

Modifications of the Dix-Hallpike (DH) are sometimes necessary when the traditional DH is not feasible. The absence of any formal studies on modified DH was the idea behind this multicentre (three academic centres), prospective, randomised, single blinded and controlled clinical...

Performing ethnic aesthetic rhinoplasty

This article reviews principles of performing rhinoplasty in non-Caucasian patients, exploring patient expectations based on differences in race, ethnicity and culture. One of the main challenges is a lack of well-established ideal facial measurements for different non-Caucasian groups. The authors...

How can we actually be culturally responsive?

Now, more than ever, we need to take action to meet the needs of the students and patients we work with. Black Lives Matter only emphasised how little progress has been made in this area to date. The authors of...

Improving music perception in cochlear implant users

Can you imagine a world without music? In the words of Hans Christian Anderson, a prolific 19th-century Danish author, “Where words fail, music speaks.” This quote highlights music’s importance as a language of emotions that transcends linguistic barriers. This case...

BPPV and pregnancy

This narrative review explores the limited evidence surrounding benign paroxysmal positional vertigo (BPPV) during pregnancy. Although BPPV is the most common vestibular disorder and is known to affect women more frequently than men, the literature specifically examining its occurrence in...