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Redefining alar retraction: can hyaluronic acid replace the scalpel?

Alar retraction is a common challenging nasal deformity and requires precise structural correction to achieve both functional and aesthetic harmony. Traditionally correction of alar retraction has relied on open rhinoplasty with various techniques including cartilage grafting, suturing techniques and advancement...

Lost and sound: exploring hyperbaric oxygen therapy for refractory SSNHL

Can hyperbaric oxygen therapy (HBOT) offer a breakthrough for patients with refractory sudden sensorineural hearing loss (SSNHL)? SSNHL is defined as acute hearing loss of ≥30 decibels in three consecutive frequencies within three days. Typically, it’s treated with two weeks...

Which patients are more likely to have postoperative pulmonary complications after major head and neck?

Postoperative pulmonary complications (PPC) following major head and neck surgery are frequently encountered. Indeed, surgery in the head and neck area itself has been identified as a risk factor for these complications. Microvascular reconstruction is a widely accepted and proven...

Treating keloid scarring with pressure clips following excision: does it work?

Keloid scars can pose a difficult management problem. Whilst not harmful in themselves they can be cosmetically unappealing and lead to social embarrassment and resulting isolation, and following surgical excision they often reoccur. Mechanical pressure is an adjuvant to surgical...

X-ray vs. intraoperative testing for determining cochlear implant placement

Most cochlear implant centres confirm electrode position after surgery using X-rays to ensure optimal electrode placement. As well as transorbital view X-rays, this team check placement using impedance measures and neural response telemetry (NRT) performed intraoperatively. The former indicates whether...

Quicker than reading the BNF

It has long struck me that it might be helpful to search medication-induced side effects by symptom, rather than having to look up each individual drug. For many years, there have also been regularly cited categories of medications to be...

The Tarabichi – Stammberger Ear & Sinus Institute Course Scholarship

The Tarabichi – Stammberger Ear & Sinus Institute announces the 19th Annual Endoscopic Ear & Sinus and 1st Lateral Skull Base Hands-on Cadaveric Dissection Course, 29 March – 3 April 2020 at American Hospital & Mohammed Bin Rashid Academic Medical...

Take part in the FAMOUS study

Could your clinic be one of 40 NHS sites across the UK to participate in the FAMOUS study? Organisers need your help to improve the assessment and management of adult hearing loss.

Platelet-rich plasma-cartilage tympanoplasty

This systematic review and meta-analysis of five studies (n=234 patients) reports the effectiveness of type I tympanoplasty with cartilage and platelet-rich plasma (PRP) compared with type I cartilage tympanoplasty alone for closure of dry tympanic membrane perforations. This is an...

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

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....

The multidisciplinary voice clinic

In his inimitable way, Nick Gibbins tells us why the voice clinic is the highlight of his week – and his very own field of dreams. The voice clinic has come a long way in the last 40 years. The...

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...