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Well drilling vs. subperiosteal pocket for cochlear implants – comparison of operative time, complications and cost-effectiveness

The choice of method for securing the receiver/stimulator (R/S) package during cochlear implant surgery is usually dependant on several factors, but primarily surgeon preference. The initial recommendation from manufacturers was to drill a bony well (WD technique) and use bony...

Electronic nicotine delivery systems (e-cigarettes): what you need to know

As an aid to stopping smoking e-cigarettes may have a role, but they are heavily promoted by industry as a leisure pursuit and desirable fashion accessory. Sneh Biyani and Craig Derkay gives a thorough account of what we know about...

Absorbing the hurt

In this article, taken from his blog, ENT surgeon John McGarva reminds us that while we can’t fix everything, we may still be able to help. It was a long time ago. I was a scarily young Houseman, barely 22,...

Olfactory disorders in COVID-19

This Turkish prospective longitudinal observational study evaluated olfactory disorders (OD) and recovery processes in patients with COVID-19 infection at three time points within the first month of diagnosis: time of diagnosis with positive PCR test; time of first negative PCR...

Ronald G Macbeth – the instigator of BACO

The structure of BACO has changed dramatically since the first conference in 1963, but the fundamental elements of academic excellence, instructional sessions and social events have been common threads. Andrew Freeland, who worked with Ronald Macbeth, the instigator of BACO,...

An update on laryngeal reinnervation

Laryngeal paralysis remains very difficult to treat, but reinnervation offers many attractions. Laryngeal paralysis presents a unique and varied problem that requires a patient centred approach and a range of treatment options depending on laryngeal and patient factors. There is...

The rise of a medical ‘mirrorworld’

Augmented reality (AR) and virtual reality (VR) are concepts we’ve heard of, but only seen in films such as Terminator, Minority Report and Mission Impossible. In this article, Tom Lovelock describes how AR/VR will impact our lives. A recent article...

Enhancing performance and well-being for surgeons: the science of life coaching

Life coaching has emerged as a powerful personal and professional development tool, particularly for individuals navigating high-stakes environments. Life coaching emphasises self-awareness, self-management and self-efficacy, including establishing desired outcomes, goal setting and developing skills and action plans to achieve them....

European power women in otolaryngology: a focus on Laura Viani, Ireland’s first female otolaryngologist

Professor Laura Viani is a Consultant Otolaryngologist at Beaumont Hospital and Temple Street University Children’s Hospital and has been a member of Council of the Royal College of Surgeons of Ireland for the last 17 years. As the first female...

Sinus airflow after FESS using models and fluid dynamics

This is a very interesting study from Australia and New Zealand looking at flow of air into the nose and sinuses after FESS surgery. There is plenty of data regarding computational fluid dynamics for preoperative cases but not much for...

Medical Journals and The Journal of Laryngology and Otology

Medical journals have a fascinating history. One early journal, The Lancet, was founded in 1823 and its first Editor, London surgeon Thomas Wakley (1795-1862), had a turbulent life. He lived in an era where quackery was rife and where the...

Immunotherapy – could it be cheaper?

Immunotherapy is the only treatment for allergy to alter the disease course. Limited data exist on direct and indirect costs of subcutaneous (SCIT) and sublingual (SLIT) immunotherapy in America. This article assesses the cost effectiveness worldwide of the two immunotherapies....