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Setting up a robotic surgical practice: view from India

Transoral robotic surgery has an established role in head and neck cancer surgery. But how easy is it to set up a service in a resource-constrained environment? Gouri Pantvaidya and Ameya Pai give us a view from the Indian subcontinent....

Trainee-led collaborative research and audit in ENT: where are we now?

In late 2015 INTEGRATE, the UK ENT Trainee Research Network, was formed. Since then, two national projects have been completed and INTEGRATE has grown into a larger, more structured organisation, with otology, head and neck and rhinology subcommittees working alongside...

British Academy of Audiology Higher Training Scheme – Head of Service and trainee perspectives

For Jan/Feb 2022, we continue with the topic of the British Academy of Audiology Higher Training Scheme. We hear from Jane Beavan, Clinical and Professional Lead for Audiology/Clinical Scientist in Audiology, and Kim-Maree Collings, Senior Audiologist, from the Countess of...

Military noise induced hearing loss and the Lost Voices report: the evolution of earshot

Brigadier Robin Garnett gives us a snapshot of the 2014 Royal British Legion report on hearing problems of Service personnel and veterans. The difficulties in assessing and managing hearing loss are reiterated in this article, with an introduction to how...

Diagnosing and managing somatic tinnitus

Interactions between auditory and somatosensory pathways can lead to interesting tinnitus experiences which can be very bothersome. Dr Sarah Michiels describes her pioneering work in this area, and the possibilities of physiotherapy based therapy. Background Somatic (also called somatosensory) tinnitus...

Labour rights violations in the manufacture of healthcare goods

Every year trillions of dollars are spent on medical supplies globally. The operating theatre is a significant proportion of this spend, typically accounting for a third of a hospital’s supply costs. When making purchasing decisions consideration is given to value...

ENT in Ethiopia: Aksum-Barts Partnership

In keeping with many other countries in sub-Saharan Africa, Ethiopia has a chronic lack of hospitals and doctors. Nadia Ashraf and Tim Crocker-Buqué tell us about a project which aims to improve training in ENT, in a hospital that has...

In conversation with Dr Helen Bevan: Approaching change in the NHS with a new mindset

Dr Helen Bevan has been a leader of large scale change in the English National Health Service (NHS) for more than 20 years and was recently recognised as one of the 60 most influential people in the history of the...

Effects of air pollution and climate change on the upper airways

Dr Alexander Simidchiev is a specialist in internal medicine, pulmonary medicine and public health. He is the Co-Founder and President of Air for Health, a non-profit organisation aimed at educating medical professionals about the impact of air pollution and climate...

Current update on vestibular and balance disorders in children

Vestibular and balance disorders in children with hearing loss often go unrecognised. This article describes the significant impact such disorders have on the various aspects of children’s development. Vestibular and balance disorders occur in the paediatric population but can go...

Leadership in healthcare

There is often a great deal of confusion over the words ‘management’ and ‘leadership’. Sometimes they are used interchangeably. Sometimes they are used to represent opposite ends of a spectrum. Sometimes both are used as collective nouns, or to describe an activity.

Otological problems in musicians

Musicians are understandably anxious about their hearing, and recent high-profile cases of noise-related hearing loss have resulted in huge changes in the music industry. Chris Aldren (otologist and violinist) explains. In the recent Oscar-winning movie, Sound of Metal, heavy metal...