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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...

Developing outcome measures for research

There are challenges in developing outcomes measures; Professor Hall presents five top pointers for making rapid progress in developing outcome measures for research purposes. Anyone who has worked clinically with hearing loss will appreciate that every patient’s experience is personal....

OBITUARY: Professor David M Baguley (1961-2022)

Leader, teacher, mentor, scientist, clinician, patient advocate and man of faith: we will not see his like again. The sudden and tragic death of David (Dave) Baguley has left a gap within the national and international audiology and hearing science...

Update on CEORL-HNS 2024

As I write this update, there are less than four months to go to the 7th Congress of European ORL Head and Neck Surgery in Dublin and the excitement is building.

Thyroid ultrasound elastography: does nodule stiffness predict malignancy?

Approximately 50% of the general population has a thyroid nodule while 5-15% of these are malignant [1]. A major challenge, therefore, is how to detect the malignant nodules for appropriate, timely treatment and avoid unnecessary, costly investigations for the remainder....

Discovery in the genetics of complex disease: Otitis media

Otitis media (OM), a common disease of childhood, is considered to be a complex trait with multiple genetic and environmental factors expected to contribute to a child’s risk of developing recurrent acute OM (rAOM; ≥3 episodes in 6 months or...

Endoscopic ear surgery in children

The benefits of endoscopes in otologic surgery, which have become increasingly widely appreciated in recent years, are very well suited to the management of paediatric middle ear disease. Although one might imagine that the smaller ear canal of a child...

Intraoperative nerve monitoring: 2017

Having written the definitive text on laryngeal nerves, Gregory Randolph and Dipti Kamani describe the benefits of intraoperative neural monitoring and, importantly, how to proceed if the nerve is pathologically involved or there is loss of signal. Over the years,...

From surgeon to scholar: the remarkable life of Philip Stell

Professor Philip Stell was an extraordinary man: following an astonishingly illustrious career in ENT, he excelled as a medieval historian. With the Philip Stell Prize due to be awarded in May, his friend Pat Bradley looks back at his remarkable...

The impact of dyslexia and neurodiversity on training and work – real-world consultant experiences

Awareness of dyslexia and its challenges in ENT training may enhance support for future trainees and trainers alike. Receiving a diagnosis of dyslexia or neurodivergence can be daunting, especially for a resident doctor with aspirations to pursue an ENT career....

Auditory brainstem implant results in adults and children

Background The auditory brainstem implant (ABI) has been developed from cochlear implant (CI) technology and is indicated for people who have anatomical abnormalities of the cochlea or dysfunction of the auditory nerve. The majority of people who have received an...

What happens to donated hearing aids?

According to the WHO, only 3% of people in developing countries who require hearing aids have one. Over the years many people, organisations and companies have donated old hearing aids to charities. Bhavisha Parmar, an audiologist who volunteered with Sound...