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Management of traumatic facial palsy

Most traumatic facial palsies resolve with conservative management. Early facial nerve decompression is indicated in acute complete traumatic facial palsies. House–Brackmann (HB) classification is used universally to classify the severity of the facial nerve injury, but few centres have availability...

OBITUARY: Prof Shanmugam Kameswaran (1923-2021)

Professor Shanmugam Kameswaran was born in 1923 and did his MBBS and MS at Madras Medical College, India, under PV Cherian who later became the Governor of Maharashtra, India. He worked as his assistant and left for the UK in...

History of innovation in ENT

Innovation seems to have been in the strapline of every meeting, conference and course for the last few years. You would be forgiven for thinking it is a new a concept, but as Neil Weir beautifully details, innovation has been...

The Medical Art Society

Historian, sculptor and general polymath Neil Weir neatly demonstrates the strong links between our speciality and the creative arts, along with his colleague from the Medical Art Society, Jeanette Cayley. At a summer meeting of the British Medical Association in...

Shooting for Gold: ENT surgery and the Commonwealth Games

What are the secrets to success in your career, sports and life in general? Sharp-shooter Parag Patel hits the bullseye again. I write this article following a wave of summer sporting brilliance, from the record Great Britain 67 medal haul...

Identity: does it affect the training experience?

Our identity can be influenced by many factors, both internal and external to ourselves. One may say that if one has not had to consider one’s own identity at any time, perhaps that in itself is a privilege? Equally, one...

Dementia assessments for people with deafness, deafblindness or visual impairment in Scotland

How is the medical community doing with assessing cognitive decline in those with a sensory impairment? The ALLIANCE Scottish Sensory Hub was tasked with finding out. Background There is growing evidence of a connection between dementia and sensory loss. However,...

Functional Endoscopic Sinus Surgery (FESS) - Part 1

In the first of a two-part series, Martyn Barnes and colleagues discuss indications for functional endoscopic sinus surgery (FESS), the surgical objectives and techniques, patient expectations and the risks of surgery. In part two, the authors will discuss how to...

INTEGRATE: Uniting collaborative research in ENT

Exposure to clinical research as a trainee is often sporadic and unstructured, despite it featuring in both the GMC’s Good Medical Practice and the ISCP’s syllabus for all surgical specialities, including otolaryngology [1,2]. The majority of trainees undertake small-scale research...

National selection: is the research section of the portfolio fit for purpose?

Applications for ENT training roles in every country require certain criteria to be met. In the UK, ST3 recruitment applications have scores allocated to research experience. In this opinion piece, the authors share their assessment of the potential issues around...

MDT assessment of children and adults with implantable acoustic devices (IADs)

Abi Asher, Clinical Lead for the IAD programme in Cambridge describes how hearing care professionals work together to make the best recommendation for the patient, in turn helping navigate through the various devices now on offer. Multidisciplinary teams (MDTs) are...

How to deliver bad news better

Delivering bad news well takes experience and time. The Ida team recommend the SPIKES protocol; providing structure for relaying bad news, giving confidence to those delivering it, and leaving recipients feeling cared for and informed. It’s among the most distressing...