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The ENT operating theatre viewed down the retrospectoscope

We learn much of our future by looking at our past; Douglas MacMillan provides us with a fascinating glimpse into his years as a junior doctor. The operating theatre was a somewhat alien environment in the late 1960s: theatre sisters...

Getting It Right First Time in ENT

Andrew Marshall, a Consultant ENT Surgeon at Nottingham University Hospitals NHS Trust, visited 126 departments across England before publishing his recent ENT surgery national report for the Getting It Right First Time (GIRFT) programme. Here, he explains how identifying unwarranted...

Assessment of genetic disorders: congenital sensorineural hearing loss

Severe or profound sensorineural hearing impairment (SNHI) is a common birth defect, affecting approximately 1 in 1000 newborns [1]. SNHI may result from environmental causes or have a genetic basis. The genetic causes can be further subdivided into non-syndromic (isolated...

Virtual educational outreach in the COVID-19 era

Existing surgical outreach programmes to developing countries have been severely curtailed by the COVID-19 pandemic. This has impacted on opportunities for otolaryngologists from the USA and from other developed countries to contribute to education and training of otolaryngologists in developing...

Hypoglossal nerve stimulation for OSA: current experience with unilateral versus bilateral systems

Hypoglossal nerve stimulation (HNS) has emerged as an established treatment option for selected patients with obstructive sleep apnoea (OSA) who are intolerant to continuous positive airway pressure (CPAP). Over the past decade, technological developments have expanded the field from unilateral...

In Memoriam: Charles I. Berlin, PhD

Dr Charles “Chuck” Berlin was an international guiding star in hearing research and clinical audiology for over 50 years. He was a renowned scientist, mentor, teacher, clinician, colleague, accomplished musician, and friend to hundreds of colleagues from around the world....

In the West of Scotland, what factors impact and what are the survival trends for laryngeal cancer?

The TV and radio presenter Jamie Theakston recently returned to his radio show to announce he is cancer free. He had been off air for a year after having surgery to treat early-stage laryngeal cancer. His diagnosis was made when...

What’s hidden in hidden hearing loss?

In order to truly understand the many key aspects of acquired sensorineural hearing loss, the role of cochlear synaptopathy or ‘hidden hearing loss’ must be considered. Dan Guo and Sharon Kujawa review and summarise what we know to date, including...

Foreign object removal from the ear or nose

The range of nasal and aural foreign bodies that present to accident and emergency (A&E) departments, emergency rooms and minor injury units is limited only by the imagination. Aetiology and epidemiology statistics point to patients being predominantly children in the...

How good ideas become great products: in conversation with three medical innovators

Ever had a great idea for an innovation that would significantly improve your practice, but wondered how to go about developing it? Lucy Dalton interviewed three consultant ENT surgeons-come-successful innovators (one international, one novice and one experienced) who explain what...

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...

Achieving consensus on candidacy for cochlear implantation

The British Cochlear Implant Group’s candidacy working group recently ran a national exercise, working towards a consensus on candidacy for cochlear implantation in the UK. Padraig Kitterick and Debi Vickers were instrumental in this exercise, and in the article below,...