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Elasticated retraction in head and neck surgery – a trainee’s perspective

The effectiveness of surgical technique and satisfactory outcome is greatly dependent on good surgical exposure. Retraction requires adequate traction and counter-traction of tissues in order to expose the tissue or organ under scrutiny for the surgeon. This is a universal...

Basic Audiometry Learning Manual - Second Edition

The challenge of teaching students pure tone audiometry is that whilst core principles can be delivered in the classroom, a deeper understanding of audiological testing only arises from practice. Yet, if left unguided in this practice, trainee audiologists can fail...

XI IAPO Manual of Pediatric Otorhinolaryngology

The XI IAPO Manual of Pediatric Otorhinolaryngology is a very useful resource for all practitioners working in an ENT-related field that wish to be kept informed of the latest research and development in paediatric ENT. This is published by the...

Cartilage myringoplasty to treat patulous eustachian tube dysfunction

Patulous eustachian tube (PET) dysfunction, where the eustachian tube is abnormally opened at rest, is a notoriously difficult condition to treat. Symptoms can mimic symptoms of superior semicircular canal dehiscence: autophony, aural fullness, hyperacusis and breathing synchronous tinnitus. Treatment has...

How well are we managing epistaxis cases?

Epistaxis constitutes 34.5% of all emergency admissions to otolaryngology departments nation-wide. Presently there are no detailed consensus guidelines for this commonest emergency, and there is tremendous variation of practice. Quite often, non-ENT trained doctors manage this emergency. This paper reviews...

Postoperative bleeding rates after inferior turbinate reduction using three different techniques

The most serious complication of inferior turbinate reduction surgery is postoperative bleeding, soon after the operation or later on. In this study comprising 751 patients, the authors have compared three common methods. Partial turbinectomy involved resection of the inferior turbinate,...

Untangling the emotional and physiological aspects of hyperacusis

In hyperacusis, the physiological and the emotional aspects can become deeply entwined. Dr Sarah Theodoroff draws us into her perspectives on this important aspect of the condition. Background Sounds and Emotions The basic act of hearing sounds triggers an emotional...

On-call ENT apps

ENT apps for trainees are few and far between. Here are a couple of them which could be useful for the on-call. ENTSHO.com Born out of the website with the same name, this app is a must-have if you work...

MDT assessment of children and adults with implantable acoustic devices (IADs)

Abi Asher, Clinical Lead for the IAD programme in Cambridge describes how hearing care professionals work together to make the best recommendation for the patient, in turn helping navigate through the various devices now on offer. Multidisciplinary teams (MDTs) are...

Hearing aid outcomes in older adults: what and when to measure

What matters to older adults when purchasing a hearing aid? Larry Humes explores the domains that should be measured for this key group. This article identifies key domains of hearing aid outcome in older adults. Increasingly, third-party payers and private-pay...

Wellbeing – a Scandinavian perspective

The Swedish concept of ‘fika’ is a state of mind and can help to promote wellbeing in teams. But what is it, and how can it help? It is an interesting thought that being well is not the same as...

Random-pattern skin flaps: part 1 – advancement flaps

In the first of a short series covering random pattern skin flaps and their use in clinical practice (see Part 2 here, Part 3 here and Part 4 here), Christopher Thompson and Miles Bannister describe in some detail their techniques...