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Matthew Clark: full-time otologist, spare-time sculptor

Drilling a temporal bone may seem like torture to some trainee surgeons. To others it is but a stepping stone to something altogether grander... I took Art A-level a year early so as not to interfere with the ‘important subjects’,...

Seven things ENT surgeons can learn from the hairdressers

In a nod to our origins as barber surgeons, Australian ENT surgeon and blogger Eric Levi gives us an entertaining insight into what he has learned from his hairdresser that makes him a better doctor. I’ve been to the hairdressers...

A small company’s perspective

In this article, we hear from Alan McNulty, Director from Sheffmed, an SME (Small – Medium Enterprise), who have supplied surgical instruments, consumables and video systems to ENT clinicians for over 12 years. Alan outlines some of the choices and...

Why is a Raven like a writing desk? Some reflections on countertenors and castrati

The countertenor voice has seen a resurgence in popularity in the last 50 years. Nicholas Clapton is one of the foremost performers and teachers of his generation, and he tells us here about the link between countertenors and the (fortunately...

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....

Access to and uptake of cochlear implants in the UK

Assessing demands on cochlear implant (CI) services is very important for both commissioners and clinicians in anticipating clinical need and funding requirements. Commercial CI’s were introduced in the late 1980s. Initial funding was from charitable sources. The first major advance...

Retrograde cricopharyngeal dysfunction (RCPD) - inability to burp: treatment with Botox injection

As unusual as it may sound, some people have great difficulty burping. We hear of one approach to tackling this problem. Retrograde cricopharyngeal dysfunction (RCPD) is a condition presenting with inability to burp, resulting in gaseous distension of the digestive...

Parathyroidectomy

Many ENT head and neck surgeons are now involved in thyroid surgery. This can also include the need to explore the parathyroids, either to preserve them or indeed to resect parathyroid adenomas. David Smith, a highly experienced endocrine surgeon from...

In conversation with Muaaz Tarabichi

Guest Editor, Chris Coulson, speaks to Dr Muaaz Tarabichi, a pioneer of endoscopic ear surgery, about how he has seen the technique evolve during his career, what challenges early EES practitioners have faced and his predictions for the future of...

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...

Operating abroad

I have always taken the view that one is better operating in a familiar environment, with scrub-nurses and anaesthetists that one knows, to say nothing of the equipment required and, most importantly ensuring the most appropriate pre- and postoperative care...

Apprenticeships in audiology: an option to earn while you learn

Changing careers later in life can be daunting. Beverley and Darren reflect on their experience completing an apprenticeship in audiology, and provide advice for prospective apprentices. Beverley Philip, Associate Practitioner, NHS Fife, UK. Could you share a bit about your...