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Building sound: from Stonehenge to a Symphony Hall

Modern architecture can use scientific techniques to shape room acoustics and create great sounding places. Professor Trevor Cox discusses our ancestors’ understanding of the importance of building techniques to enhance acoustics from Stonehenge to a Symphony Hall. Going to an...

Advances in ear and hearing telehealth

Telehealth in ear (or tele-otology/tele-audiology) and hearing care has steadily increased as an area of both research and clinical interest over the past 15 years [1]. Driven by rapid advances in connected technologies and wide-ranging potential use cases, telehealth had...

A day with Peter Prinsley MP

Our former editor, Ray Clarke, spent a day at Westminster with Peter Prinsley, an ENT surgeon turned Member of Parliament. Peter Prinsley had recently retired from more than 40 years as an NHS Consultant ENT surgeon in Norfolk when he...

Sugammadex

Scott Russell is an anaesthetist with an almost unrivalled experience of complex head and neck surgery, and has seen all manner of new ideas come and go. However, in this article he describes a new pharmaceutical agent that is already...

The tip in rhinoplasty

Getting the tip right (both its position and its shape) is vital in rhinoplasty. George Marcells eloquently gives us his perspective on how to get it right. “Many surgeons overly concentrate on the profile at the expense of the frontal...

The CEORL-HNS and its role in international collaboration

‘Together we are strong’ just about sums up the nature of the CEORL-HNS, with international and interdisciplinary collaboration at the forefront of its mission. We hear more from two of the leading lights of the organisation. The Confederation of European...

Pre-hospital care

For those of us that work within the acute hospital system, the sound of the trauma pager going off warning of an incoming casualty with as yet unknown injuries is often the sound of uncertainty and anxiety. When it becomes...

Ultramarathons, frostbite and running with wolves

“I could just keep going when most sane people would stop”- the secret to success in head and neck surgery? In August 2015 I crossed the finish line of La Ultra - The High. A small camp of tents and...

Vocal cord dysfunction and dysfunctional breathing: an evolving clinical paradigm

Patients frequently present to the ENT department with breathing difficulties. The entity of ‘vocal cord dysfunction’ (also known as paradoxical vocal cord movement, inducible laryngeal obstruction, and many other names) is increasingly well recognised. Ravi Thevasagayam gives us an overview....

Cognitive spare capacity: what is it and why does it matter?

Cognition refers to thinking and memory. So why would cognition be a useful concept for ENTs and audiologists? Audition provides our main channel of communication and when we speak to each other, we want to exchange thoughts and remember what...

Hyposalivation: a review of current and future treatments

Hyposalivation remains a stubbornly difficult condition to treat, but novel therapies may not be far away. Saliva has many essential functions, including aiding digestion and swallowing, lubrication, maintaining tooth integrity and antibacterial activity. When patients experience reduced saliva production (hyposalivation),...

Training in Facial Plastic Surgery in the UK

Following the Keogh report earlier this year into the quality of cosmetic surgery in the UK, surgical training in cosmetic surgery is high on the agenda. A Cosmetic Surgery Interspecialty Committee at the Royal College of Surgeons is currently discussing...