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Circular economy approach to reducing your carbon footprint in your ENT operating room
Although our operating rooms consume significant resources, some simple changes can have considerable impact in reducing greenhouse gas emissions. Here are 10 such simple things we can do. Waste is one of the largest contributors to a hospital’s carbon footprint,...
Multisystem pathology in refractory otitis media with effusion
Recurrent middle ear effusion is a common problem and so is rhinosinusitis with polyposis. It is not often thought that the problem could be linked to multisystem pathology, such as eosinophilic granulomatous with polyposis. Therefore, repeated grommet insertions and surgical...
Preoperative imaging for thyroid cancer according to 2015 ATA guidelines
The 2015 American Thyroid Association (ATA) management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer suggest that thyroid sonography with survey of the cervical lymph nodes should be performed in all patients with known or suspected thyroid...
Acute ENT activity in a teaching hospital
This Belgian prospective audit attempted to provide justification for the provision of a 24-hour emergency service at a large 1038-bed teaching hospital (with 31 ENT consultants). The authors looked at a one-month period during which 190 patients were admitted. They...
Basic Audiometry Learning Manual - Second Edition
The challenge of teaching students pure tone audiometry is that whilst core principles can be delivered in the classroom, a deeper understanding of audiological testing only arises from practice. Yet, if left unguided in this practice, trainee audiologists can fail...
Rapid Audiogram Interpretation: A Clinician’s Manual
This book is a manual and a workbook to systematically understand and interpret an audiogram for those who are new to audiometry such as residents, trainees and students. It is a worthy reference guide even to well-established practising clinicians. The...
Inflammation associated with presbyacusis
Inflammaging and presbyacusis is a topic that few audiologists consider in their daily clinical routine due to lack of training in this area. Inflammaging is a chronic state of inflammation present throughout the body. The classic 1965 work by Rosen...
How can we manage children with poor speech discrimination but with normal audiogram
We often come across children and young adults brought in for consultation for suspected hearing loss and having hearing difficulty in noisy backgrounds but who often have normal audiograms. Such patients are suspected to have auditory neuropathy. The term auditory...Sustainable Practice
Guest Section Editor Brian D Westerberg, MD, FRCSC, MHSc, Clinical Professor, University of British Columbia, Canada; Head, Division of Otolaryngology – Head and Neck Surgery, Providence Health Care, Vancouver, Canada. Climate change is the greatest threat to human health today....Global health missions – not just for consultants. A guide for trainees.
Lulu Ritchie is a courageous and driven trainee in London, inspired by humanitarian missions but conscious of the usual requests for consultant level doctors. Lulu didn’t let that hold her back. She found a way and has kindly summarised her...
