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Risk factors for pharyngocutaneous fistula after laryngectomy
Pharyngocutaneous or salivary fistula is a feared complication following laryngectomy, causing significant morbidity, prolonged hospital inpatient stay / cost and mortality. Previous radiotherapy / chemoradiotherapy is a well recognised risk factor and leads many surgeons to recommend onlay pectoralis major...
Assessment of temporal bone skills on 3D-printed temporal bones – a useful training curriculum?
The authors contend it is now archaic to follow Halstead’s model of surgical training, namely ‘see one, do one and teach one’. Simulated training is now widely used in many surgical specialities. With every surgical trainee having an individual learning...
Obstructive sleep apnoea: Does maxillomandibular advancement work?
This is a paper from the Netherlands reviewing 62 patients who underwent maxillomandibular advancement for moderate to severe obstructive sleep apnoea. The authors observed a 71% success rate with mean apnoea hypopnea index (AHI) reduction of 69%. There was no...Maxillofacial and neck surgery in Iraq and Afghanistan
Introduction Over the past 150 years, military personnel wounded in action had a survival rate of approximately 80% [1]. During the current conflicts in Iraq and Afghanistan, those servicemen wounded in action have a 90.4% survival rate [2]. During the...
Microsurgical Management of Middle Ear and Petrous Bone Cholesteatoma
Several years ago, after being appointed as a consultant, my esteemed senior colleague entered my office and questioned why I was reading a textbook at that stage of my career, suggesting that I should be focusing solely on journals. Whilst...The ‘bus stop’ incision for bone-anchored hearing aid placement: a step-by-step approach to soft tissue preparation
There have been many descriptions of soft tissue preparation in the era when subcutaneous tissue was routinely removed with the Nijmegen technique [1] or with the dermatome [2]. More descriptions continue to evolve with the advent of tissue preservation techniques,...In conversation with Professor Claire Hopkins
There can be few ENT surgeons who have had such a pivotal role in the COVID pandemic as Claire Hopkins. She has been instrumental in changing the diagnostic criteria, and has been a frequent presence in the media, as Sean...Stigma still stops the use of hearing devices
New data has revealed that the top 10 reasons for avoiding hearing instruments have barely shifted in the past three years, despite rising satisfaction rates and life-changing developments in technology.On the influence of sex on tinnitus burden and its phenotypes
One important aspect of the new paradigm in tinnitus research is to question basic assumptions. What associations does the sex of a person have with their experience of and reaction to tinnitus? Chris Cederroth raises the question and tells us...Timing of surgery in chronic rhinosinusitis: does it matter?
While many patients with chronic rhinosinusitis respond to medical treatment, some do not. The next step for these patients is surgery, but how soon should this be offered? Sooner rather than later seems to be the answer, as Claire Hopkins...Training reinvented: NHS staff embrace free VR education platform
A groundbreaking VR platform is transforming NHS training, offering immersive, cost-free simulation experiences to boost skills across multiple clinical fields. ENT is a specialty that demands precision, rapid decision-making and familiarity with complex anatomy, especially in emergency contexts such as...
