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Antibiotic prophylaxis in otolaryngologic surgery. Less is better!

Jan/Feb 2020 Editor’s Choice is a review of antibiotic prophylaxis in ENT and OMF surgery. It is not the first systematic review and meta-analysis published in the last two years. If anyone else has been offered a “potentially career-altering opportunity”...

Modifying two-week wait protocol for suspected head and neck cancer patients during COVID-19

As healthcare workers, we are committed to ensuring that our patients continue to receive the optimum care that we are set up to deliver. However, the last year has shown that we need to be mindful of balancing this with...

Liver function assessment in glandular fever

This month’s Editors’ Choice is a systematic review of the role of liver assessment in patients with glandular fever. Admission of patients with sore throat constitutes a significant burden of acute work for paediatric and adult ENT services as well...

OBITUARY: James Milner Robinson (1937 - 2021)

James Milner Robinson FRCS, formerly a consultant otologist to Gloucester and Cheltenham hospitals, died peacefully on 3 November 2021 at the age of 84 after several years of ill-health. In keeping with his lifelong love of nature and care for...

The effects of polypharmacy in the elderly

Another pill to cure the ill? Alec Lapira discusses the warning signs of polypharmacy in the elderly population. Polypharmacy in the elderly Polypharmacy – defined as the use of five or more medications – occurs in 20–37% of older people...

Developing ENT services in Zambia

Lufunda Lukama and Matthew Clark. Lufunda Lukama is an ENT surgeon in Zambia. In a country of 19.6 million, he is one of five such specialists. It is not difficult to see the problem that he, and the country as...

Bringing space science to balance and tinnitus

Jameel Muzaffar is a specialist registrar in ENT surgery in the West Midlands. His research interests include applications of imaging to ENT. Chris Coulson is a consultant otologist, particularly interested in the development of technological solutions. He is part of...

Neuromod establishes US subsidiary and appoints Eric Timm as US Chief Executive Officer

Neuromod Devices Ltd, the Irish medical device company which specialises in neuromodulation technologies, has announced the establishment of Neuromod USA Inc., a subsidiary headquartered in Oak Brook, Illinois.

A funny thing happened whilst your boss was away at a conference

What is the difference between God and Professor Sir Donald Harrison? God is everywhere – Sir Donald is everywhere except at the Royal National Throat Nose and Ear Hospital! This was a common joke about Sir Donald, who was much...

In memory of Iain Swan 1952–2025

Iain Swan. Iain Swan was a Senior Lecturer in Otorhinolaryngology, University of Glasgow and Consultant Otorhinolaryngologist, Glasgow Royal Infirmary and Scottish Section MRC Institute of Hearing Research 1986-2016. Iain had a happy childhood growing up in Carbeth and attended school...

Is there a doctor in the house?

Occasionally at medical meetings, a member of the audience will be unfortunate enough to fall ill. An elderly ex-obstetrician of the Queen had a transient ischaemic attack at the podium of the Royal Society of Medicine in front of a...

Clonidine based vs Remifentanil based hypotensive anaesthesia in FESS

A study investigating the use of clonidine preoperatively in FESS surgery. A double blinded trial of 47 patients in Barcelona randomised into receiving clonidine (20 minutes preoperatively) versus Remifentanil (continuous infusion). Propofol and fentanyl were used for induction and then...