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Tonsillitis and tonsillectomies: where do we go from Paradise?

Landmark Paper: Paradise JL, Bluestone CD, Bachman RZ, et al. Efficacy of tonsillectomy for recurrent throat infection in severely affected children – results of parallel randomized and nonrandomized clinical trials. N Engl J Med 1984;310(11):674-83. The Paradise paper on tonsillectomy...

First UK Genio Nyxoah bilateral hypoglossal nerve stimulator implant for obstructive sleep apnoea

Obstructive sleep apnoea remains a very challenging condition to treat, but more options are becoming available. An estimated eight million adults in the UK suffer from obstructive sleep apnoea (OSA) and experience symptoms of troublesome snoring, daytime sleepiness and witnessed...

British Academy of Audiology Higher Training Scheme

After 15 years of running the Higher Training Scheme (HTS), the British Academy of Audiology (BAA) relaunched its postgraduate training scheme this year. We hear about the updated scheme and how it combines theoretical study and clinical training to provide...

In conversation with Muaaz Tarabichi

Guest Editor, Chris Coulson, speaks to Dr Muaaz Tarabichi, a pioneer of endoscopic ear surgery, about how he has seen the technique evolve during his career, what challenges early EES practitioners have faced and his predictions for the future of...

Bishop Berkeley and the Freireich experimental hypothesis

Our resident reporter at large tells us about two of his heroes, both of whom have quite clear merits and foibles. My patients just keep on getting better. You may well point out that under the care of a clinician...

Maxillofacial and neck surgery in Iraq and Afghanistan

Introduction Over the past 150 years, military personnel wounded in action had a survival rate of approximately 80% [1]. During the current conflicts in Iraq and Afghanistan, those servicemen wounded in action have a 90.4% survival rate [2]. During the...

Elasticated retraction in head and neck surgery – a trainee’s perspective

The effectiveness of surgical technique and satisfactory outcome is greatly dependent on good surgical exposure. Retraction requires adequate traction and counter-traction of tissues in order to expose the tissue or organ under scrutiny for the surgeon. This is a universal...

Functional Endoscopic Sinus Surgery (FESS) - Part 2

In the first of this two-part series, Martyn Barnes and colleagues discussed indications for functional endoscopic sinus surgery (FESS), the surgical objectives and techniques, patient expectations and the risks of surgery [1]. In this second and final part, the authors...

Anaesthesia for sleep nasendoscopy and snoring / obstructive sleep apnoea surgery

Surgery for sleep disordered breathing inevitably requires surgeon and anaesthetist to share the airway. Here, Edward Bick gives us the anaesthetic viewpoint, reiterating that communication is the key. A specific note is made of the anaesthetic technique for sleep nasendoscopy,...

Cytomegalovirus (CMV) and the vestibular system: a case study

This team of audiologists from Cincinnati Children’s Hospital Medical Centre discuss an eight year old with congenital CMV, a neonatal infection which is usually asymptomatic, and provide guidance on how to recognise the signs in the paediatric population, and screen...

Reflections on educational gatherings in the COVID era

The COVID pandemic has brought disruption and uncertainty for the organisers of medical conferences. ENT and audiology have always thrived on a healthy exchange of views and the sharing of knowledge across subspecialties and across national boundaries. Ray Clarke asked...

Covid-19 Tips and insights

The following blog articles have been kindly provided by Eric Levi. For more from Eric Levi, visit https://ericlevi.com/blog/ COVID19 affects everyone Posted on 01/04/2020 by Eric Levi Here’s a report from the Center for Disease Control and Prevention looking at...