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In search of courage; transition 
into Army

In search of courage. Well, that is how it all started. I was fairly advanced in surgical training not to mention age, when I decided to join the Territorial Army (TA). My peers, on hearing this couldn’t decide whether I...

Benchmarking for innovation in healthcare ­– an approach from 
Down Under and a gap in the 
National Health Service?

Benchmarking is a process of comparison between the performance characteristics of separate, often competing, organisations intended to enable each participant to improve its own performance [1]. Often, in healthcare, benchmarking is carried out by central government departments or regional agencies...

Wireless bone conduction headphones – Aftershokz Wireless Trekz Titanium

Trekz Titanium wireless headphones claim to be the safest alternative to traditional sport headphones, delivering music through the cheekbones and leaving the ears free to hear all surrounding sounds. Designed with athletes in mind, Gareth Smith donned his running gear...

Vicarious (nasal) menstruation

Hippocrates himself is known to have said that when a woman’s menses are due, but instead of the usual vaginal menstrual flow, she has a haemorrhage from the nose, then this is a sure sign of pregnancy [1]. Artist’s impression...

How the earwig got its name

What are earwigs, and how are they connected with the ear? Amr Abdelhamid explains the etymology, myths and beliefs behind the pesky creature with the otological name. Earwigs are harmless insects of the order Dermaptera that are amongst the most...

Mastoid surgery for cholesteatoma

Landmark Paper: Toner JG, Smyth GDL. Surgical Treatment of Cholesteatoma: a comparison of three techniques. Am J Otol 1990;11(4):247-9. Canal wall up or canal wall down? Chris Aldren discusses the landmark paper that attempted to provide a definitive answer for...

Early Egyptian medicine: nasal trauma and surgery in the Edwin Smith Papyrus

In ancient Egypt, with its towering pyramids and bustling cityscapes along the Nile, there existed a deep-rooted civilisation that excelled in more than the grandeur of monumental architecture. Frequent wars and battles shaped Egyptian society, not only defining its political...

Pathways for becoming an audiologist in the USA: Part 2. Academic and licensure requirements today

Part 1 of this topic is available here. Professor Hall reviews current requirements for practising audiology in the USA; audiologists must have a Doctor of Audiology degree from an accredited university programme and a licence in the state where they...

The importance of hearing aid validation in infants with hearing loss

Hearing aid validation requires that speech discrimination be measured, yet there are no validated methods of measuring speech discrimination in infants and toddlers. Prof Uhler describes two related approaches that are showing promise. Speech discrimination is the gold standard for...

OTC hearing aids: where are we now?

The ‘Over-the-Counter Hearing Aid Act’ of 2017 set in motion plans for a long-debated shift in the hearing care market. In 2021, the FDA released draft guidance which will allow hearing aids in the US to be sold direct to...

Cochlear implantation in Tanzania: the journey and the outcomes

It is estimated that over 400 million people worldwide live with disabling hearing loss, 39.9 million of whom live in sub-Saharan Africa [1]. This article by Dr Aveline Kahinga and Mr Ali Jaffer demonstrates the effort that has been made...

Endoscopic DCR

In this interesting article, our experienced colleagues describe their favoured technique for performing endoscopic DCR and share with us the key steps for a successful outcome. Dacrocystorhinostomy (DCR) was historically performed by ophthalmologists for nasolacrimal obstruction using external techniques. The...