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Corticosteroid prescribing in ENT - are we at risk of being sued?

Of medications leading to malpractice claims, corticosteroids comprise the third most common. They are used widely and have a significant side-effect profile: hypertension, lipodystrophy, diabetes, avascular necrosis of the femoral head, peptic ulceration and psychiatric reactions to name but a...

‘The Sun does not forget a village just because it is too small’ – African proverb

Solar powered hearing aids In the middle of the morning of January 24, 2002, I had been in Otse for only three days, a village of 3500 in the south of Botswana, when I heard a knock at the door....

Perspectives on audiology training and education in Canada and New Zealand

In this Trainee Matters we look at audiology training in two different locations from around the world, Canada and New Zealand. Marshall Chasin gives us an overview of the education system in Canada, while Amy Arrowsmith explains the history of...

ENT clinics – 50 years of progress…?

Cocaine in abundance, eustachian tube catheterisation, and the ever-present threat of a fire in the clinic… How have things changed in the last few decades? Retired ENT surgeon, Douglas MacMillan, tells us of his experiences starting out in the late...

Bipolar microdebrider turbinoplasty

There are a variety of ways to reduce the bulk of hypertrophied turbinates. Kimberley Lau and Showkat Mirza describe their technique which can be used in difficult cases and with minimal morbidity. As ever, one aim should be to avoid...

‘What does Sound Look like to You?’ Art competition

Artists are being put to the test to represent sound in a visual artform, as part of a competition hosted by the charity, Helping Uganda Schools, and supported by ENT & Audiology News and the Manchester City Art Gallery. Submissions...

Anterior skull-base surgery: current opinion

This review examines the changes in the field of anterior skull-base surgery and the rapid advancement that has taken place in the last 10–15 years. Tumours of the anterior skull base that were once considered inoperable are now routinely resected...

Is endoscopic stapes surgery safe and are outcomes comparable to microscopic stapes surgery

Endoscopic techniques for visualisation of the middle ear were described in 1967 by Mer and colleagues, and the use of transcanal endoscopic ear surgery (TEES) has since expanded to a wider range of otologic applications including tympanoplasty and excision of...

What is the optimum duration of voice rest after microlaryngoscopy procedures?

Recent survey data looking at the opinions and practices of otolaryngologists in the US and the UK demonstrate that there is a wide variation in recommendations made for voice rest after vocal fold surgery. In the US, the most common...

The power of the multidisciplinary team in paediatric cochlear implant assessment

Marette, Kate and Justine from the Birmingham Paediatric Centre give a detailed insight into how their team works together to assess children and young people for potential cochlear implantation. Cochlear implants and the specialist MDT The multidisciplinary team in cochlear...

The perils of poor postop blood pressure control

This retrospective case control study reviews 621 patients undergoing thyroid surgery over a 10-year period from 2002-2012 looking at postoperative haemorrhage rates. This potentially catastrophic complication warrants close analysis in order to best discern how it can be minimised. The...

Should patients with dysphagia be allowed water freely?

Patients with dysphagia often experience dehydration as a consequence of “nil by mouth” or having to consume thickened fluids due to aspiration of thin fluids. However, not all incidents of aspiration develop into an infection. Factors that contribute to aspiration...