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Saddle nose deformity repair – structured approach

We often come across saddle noses in our specialist rhinology clinics. The saddle nose deformity represents collapse of the cartilaginous and / or bony nasal support structures resulting in dorsal height loss. Acquired cases are due to trauma or surgery...

IFOS activities

International collaboration is more important than ever, and we hear from Prof Milan Profant about a collaboration that grew out of the very successful IFOS meeting in Paris in 2017. IFOS has developed a new philosophy regarding how to organise...

2nd Liverpool Nasolacrimal and Orbital Dissection Course

This course is aimed at Otorhinolaryngology (ENT) and Ophthalmology higher surgical trainees (ST5-ST8), senior fellows and consultants looking to improve their understanding and surgical skills in joint ENT/ophthalmology nasolacrimal and orbital surgeries. The aim of this course is to provide...

What has NAIROS taught us about septoplasty?

Septoplasty is a commonly performed procedure worldwide for nasal obstruction associated with a deviated nasal septum. In the UK, with long waiting lists for septoplasty, there is a large and unexplained variation in the incidence of this procedure between individual...

The delivery of ENT services in Mongolia: what are its obstacles?

Globally, the burden of ENT disease is great. Disabling hearing loss (DHL) for example, is reported to affect half a billion people worldwide. The majority of afflicted individuals live in lower and middle-income countries (LMIC) [1]. This article, a collaboration...

Scott-Brown’s Otorhinolaryngology Head and Neck Surgery, 8th edition

If there’s one thing I love about a book review, it’s the unique opportunity to handle, peruse and imbibe a piece of work before it reaches the masses. There are few things more enjoyable than engaging with printer-fresh pages and...

Globe Trotting and 62 years of ENT

Vasant Oswal was, for many years, ‘Mister ENT’ in the Northeast of England. Appointed as a consultant to the old North Riding Infirmary in 1970, he led what was a small and little-known department through a period of tumultuous change...

ENT clinics – 50 years of progress…?

Cocaine in abundance, eustachian tube catheterisation, and the ever-present threat of a fire in the clinic… How have things changed in the last few decades? Retired ENT surgeon, Douglas MacMillan, tells us of his experiences starting out in the late...

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...

ENT and evidence-based medicine: How do they benefit each other?

How do we assess evidence, and how should ENT surgeons use EBM? Evidence-based medicine (EBM) is the practice of medicine based upon high quality scientific research. There are several formal definitions of EBM, the most widely quoted being that of...

Endolymphatic sac surgery: controversial procedure for the treatment of Ménière’s disease

Landmark Paper: Thomsen J, Bretlau P, Tos M, Johnsen NJ. Ménière’s disease: endolymphatic sac decompression compared with sham (placebo) decompression. Ann N Y Acad Sci 1981;374:820-30. Of all of the chapters in the Landmark Papers book, the chapter that discussed...

What’s new in the cochlea?

Prof Furness in this article rounds up the steps and leaps being made by the scientific community to develop therapies to support, rejuvenate and / or replace the cochlear structures. David’s electron microscope images of the cochlear structures are world...