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Microgravity: an extreme environment for otolith organs

Motion sickness in a car can be upsetting for all involved. Transferring this concept into a tiny cabin bound for space could have devastating consequences. Are the processes involved in ‘space motion sickness’ the same as motion sickness? How do...

Management of single-sided deafness in adults: a bone conduction solution

Single-sided deafness (SSD) presents a limited number of methods for management, and not all of them meet the patient’s expectations. The aim of this article is to set out the available bone-conduction treatment methods for managing single‑sided deafness in adults....

A brief history of the acoustic ear trumpet and some collection favourites

If you think you know a thing or two about ear trumpets, I’d bet Michael Briggs knows more! In this fascinating article, he tells the history of the ear trumpet, as well as sharing some wonderful pictures from his Guiness...

Mindfulness meditation: how personal experience of managing severe pain contributes to understanding tinnitus management

In this interesting article the author describes the potential benefit of mindfulness in the management of tinnitus, using a case report to illustrate this.This may well be an additional direction we can suggest for our patients. Mindfulness is a word...

Subjective tinnitus – adding mutebutton™ to your tinnitus toolbox

Neurophysiologic tinnitus or subjective tinnitus is typically a sound or a number of sounds that originate from the auditory nervous system. They are unwanted sounds that do not exist in the external environment. They can be heard in one or...

In conversation with Professor Valerie J Lund CBE

Valerie Lund is Professor of Rhinology at the Ear Institute, University College London and is an Honorary Consultant ENT Surgeon at the Royal National Throat Nose and Ear Hospital (Royal Free Trust), Moorfields Eye Hospital, University College Hospital and Imperial...

Nature or nurture in surgical training

It’s Thursday in the UK, so that means time for another root and branch reform of medical training. If you’re not keen on the Greenaway Report (Shape of Training review) [1], don’t fret there’ll be another one along well before...

Armageddon and surgical outcomes

In the excitement of the festive season I am sure many of you will have omitted to commemorate the 60th anniversary of a highly significant world event. According to a small apocalyptic cult led by a Chicago housewife named Dorothy...

Bishop Berkeley and the Freireich experimental hypothesis

Our resident reporter at large tells us about two of his heroes, both of whom have quite clear merits and foibles. My patients just keep on getting better. You may well point out that under the care of a clinician...

Loss of smell after COVID-19: a view from the patient forums

Patient advocate, Chrissi Kelly, founder of AbScent, talks about how the pandemic has changed the way we think about smell loss. The high prevalence of chemosensory impairment as a result of the SARS-CoV-2 virus has shone a much-needed spotlight on...

Sushruta and Indian rhinoplasty

Vijay Pothula explains rhinoplasty’s roots in ancient Indian Ayurvedic medicine, and how it was introduced to the Western world. In 1794 The Gentleman’s Magazine published a surgical operation which was long established in India but unknown in Europe [1]. A...

From aaargh to zzzzz: the ABC of paediatric anaesthesia

Andrew McTavish is one of those special breeds who not only relishes complex anaesthesia, but also does so in paediatric patients. Dealing with this group of patients requires careful planning according to accepted practice, and here he discusses some recent...