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Does hand dominance impact ENT surgeons?

Recognising handedness could help create a more inclusive surgical environment. A team from Imperial College and Cambridge explores the challenges and practical solutions. Surgical disciplines require a high level of fine motor skills. Many procedures in ENT simultaneously challenge a...

Anatomy and Physiology of Speech and Hearing

This American book is written for students “in the field of communication sciences and disorders”, however, this is a very useful text for anyone wanting to understand the underpinning science behind speech, swallowing and hearing and balance. The book is...

Pulsatile tinnitus, one more piece in the jigsaw

Pulsatile tinnitus (PT) is a common ENT symptom. It can generally be divided into venous and arterial. Arterial PT might be investigated with a CT scan while a venous one with an MRI or an MRV (MRI Venogram). Anecdotally, arachnoid...

Tumours of the Nose, Sinuses and Nasopharynx

Tumours of the nose, sinuses and nasopharyx is a comprehensive, clear and beautifully illustrated text describing the wide range of benign and malignant tumours of the upper jaw and their management. In such a specialist field, the editors have unparalleled...

Auditory Electrophysiology

It is a delight to read a new publication in this area. The editors have focused on the most commonly currently used auditory electrophysiological tests and included discussion and information on their various uses. The price is typical of what...

Tactile Sensing and Displays: Haptic Feedback for Minimally Invasive Surgery and Robotics

This book has a catchy title and due to my interest in developing simulation systems for training in surgery I was delighted to be asked to review. However, I found it very hard going and the first few chapters are...

Cinch suture: Does it work?

Flaring of the nostrils is a common side-effect of a maxillary osteotomy. At times flaring is minimal or of no significance. In some instances, it can be a significant postoperative concern to the patient, even to the extent of declining...

Should all patients with BPPV have an MRI?

This paper describes an interesting series of 500 patients over a 10-year period with posterior canal BPPV, who had been investigated with MRI. The female to male ratio was 1.6:1 with a mean age of 56. There was a right...

Hearing aids in children for language development

This article summarises the current evidence and a recent study examining the factors influencing language development in children fitted with hearing aids in order to aid clinical decision making. The aims were to examine amplification factors that could be targeted...

Time to endoscopic sinus surgery and outcomes

A well written prospective study, which demonstrates that patients who require endoscopic sinus surgery, should be operated on without long delay since this achieves better and more sustained outcomes. There were 1493 patients undergoing primary nasal surgery who had completed...

aVOR – An Educational Tool

As anyone who has tried to learn the anatomy and physiology of the vestibular system can attest, understanding and visualising the structures and their functions can be quite challenging. Thankfully, there is now a free app called aVOR (iOS, iTunes...

In conversation with Miss Romola Dunsmore “ENT training in my day”

Emma Stapleton is an ST8 in Otolaryngology at Doncaster Royal Infirmary, UK. For her first Trainee Matters article, Emma and her colleague, Ruth Capper (Department of Otolaryngology Head and Neck Surgery, Doncaster Royal Infirmary), spoke to 92-year-old ENT surgeon Romola...