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Medical racism and the surgical ‘correction’ of the nose in Brazil
Anthropologist Professor Carmen Alvaro Jarrín has conducted extensive research into plastic surgery practice in Brazil. Here, she explains why social and cultural ideas about race may shape rhinoplasty objectives for patients and surgeons in the country. Health professionals worldwide are...
The effect of adenotonsillectomy on the immune system
Parents often ask about the effect of adenotonsillectomy on the immune system, with concerns that the child may be prone to more infections postoperatively due to the absence of immune tissue. This Belgian literature review looked at the local and...Experience on the front line
21st January 2021 Back to basics Yesterday I went right back to where my medical career began. I grew up in Germany, bilingual. A prerequisite to studying medicine in Germany is that applicants have to spend two months working as...Development of a new negative-pressure ventilatory support device: Exovent
The pandemic has driven innovation in ways that we have not seen for many decades. Intensive care medicine and ENT have been at the forefront of these advances, and our good friends David Howard (never one to put his feet...Perspectives on audiology training and education in Canada and New Zealand
In this Trainee Matters we look at audiology training in two different locations from around the world, Canada and New Zealand. Marshall Chasin gives us an overview of the education system in Canada, while Amy Arrowsmith explains the history of...
Allergic rhinitis, the usual suspects
Allergic rhinitis (AR) is characterised by allergen binding to IgE on mast cells and basophils and subsequent histamine, prostaglandine D2 (PGD2) and cysteinyl leukotrienes (cysLTs) release causing early-phase response. This is followed by late-phase response mediated by eosinophils. Other cells,...New Visual Reinforcement Audiometry solution from Interacoustics
Interacoustics is happy to release VRA Pure, a software version of the digital Interacoustics VRA Screen solution.‘Want an upgrade?’ Moral distress in audiology
Ethical practice in audiology has become a hot topic in recent years, particularly in the independent sector where sales can be linked to commissions. Andrea Simpson has explored this issue in her research and shares her insight into the drivers...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,...The artificial eardrum: how an eggshell membrane fed a German ENT family
In the pre-antibiotic era, purulent otitis media often resulted in a permanent eardrum perforation with hearing loss. In addition to pig or fish bladders, eggshell membranes and cigarette paper were used as eardrum prostheses. I have vivid personal boyhood memories...Drawing pictures and telling stories: treating tinnitus in childhood
There is increasing awareness that tinnitus is not restricted to adults. Indeed, the available evidence suggests that some experience of tinnitus in children is fairly common [1]. For many, tinnitus has little effect and requires limited or no intervention. For...
