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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...

The snotty child?

This article is interesting for those of us who see children regularly in secondary care but rarely see them with chronic rhinosinusitis. The authors remind the reader of the EPOS guidelines for diagnosis of CRS in children: two or more...

Rhinotillexomania - how bad can nose picking get?

This is a fascinating first case report of rhinotillexomania associated with empty nose syndrome (ENS). Rhinotillexomania encompasses compulsive, pathological nose picking and is a variant of self-harm. Tranchito and Chhabra describe an elderly patient presenting with longstanding symptoms of nasal...

Hyperacusis-related distress and comorbid psychiatric illness

Research suggests that over 50% of patients presenting with hyperacusis also present with some form of psychiatric disorder. With this in mind, Dr Aazh outlines what tools clinicians can use to screen for psychological disorders and what path to take...

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....

Assessment of genetic disorders: congenital sensorineural hearing loss

Severe or profound sensorineural hearing impairment (SNHI) is a common birth defect, affecting approximately 1 in 1000 newborns [1]. SNHI may result from environmental causes or have a genetic basis. The genetic causes can be further subdivided into non-syndromic (isolated...

The drive for success: from the hockey pitch to the surgical field

A hockey ball is rock hard and can travel at 100 mph. Stopping it with your most vulnerable body parts seems an excellent metaphor for higher surgical training... Four years on from the 2012 Olympics presents an ideal time to...

Functional Endoscopic Sinus Surgery (FESS) - Part 2

In the first of this two-part series, Martyn Barnes and colleagues discussed indications for functional endoscopic sinus surgery (FESS), the surgical objectives and techniques, patient expectations and the risks of surgery [1]. In this second and final part, the authors...

Migraine related vertigo

Migraine is one of the commonest conditions an otologist will have to manage with up to half of migraineurs displaying vestibular symptoms. David Selvadurai provides an overview and management plan for this increasingly well recognised disorder. Migraine is a common...

The development of endoscopic sinus surgery – a meeting of three great minds

The story of the development of endoscopic sinus surgery is inextricably linked with the names of Stammberger, Messerklinger and Storz. Karl Storz’s daughter, Sybill Storz, tells us more. We would like to take this opportunity to express our appreciation of...

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...

A sound change: transitioning hearing healthcare to net-zero

Grassroot initiatives are often the most effective. When individuals come together and work with industry, changes are possible in reducing carbon emissions. This article summarises such an initiative working with companies to address Environmental, Social, and Governance (ESG) and Corporate...