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Endoscopic CSF leak repair using nasoseptal flap

Many of us during training or in established practice will have encountered the complication of anterior skull base CSF leak. This can be a challenging problem to deal with and in this article the authors describe their favoured approach. Cerebrospinal...

Multiple surgeries for RRP – does a greater number of operations result in a worse voice outcome?

Recurrent respiratory papillomatosis (RRP) of the larynx remains a challenging condition to treat, with a number of affected patients requiring multiple operations to remove recurrent disease over the course of their lifetime. At the most severe end of the spectrum,...

HPV and ENT; should we vaccinate boys?

David Black and Charlie Hall reiterate Vin Paleri’s pleas for a common sense evidence-based approach by those who allocate healthcare resources to the now urgent issue of HPV-related disease. They discuss the merits of different vaccines and the need for...

Does hand dominance impact ENT surgeons?

Recognising handedness could help create a more inclusive surgical environment. A team from Imperial College and Cambridge explores the challenges and practical solutions. Surgical disciplines require a high level of fine motor skills. Many procedures in ENT simultaneously challenge a...

Random-pattern skin flaps: part 4 - transposition flaps

In the final part of our series on local skin flaps (see Part 1, Part 2 and Part 3) in ENT, the authors describe the usefulness of the transposition-type flap and highlight some examples. Rotational advancement flap Useful for defects...

From vision to practice: building person-centred hearing care

A five-year systematic approach to person-centred hearing care in China shows how implementation, reflection and learning deepen understanding of the person. Person-centred care (PCC) has become increasingly important in healthcare, including audiology. Although its principles are widely recognised, implementing them...

Near-miss in otolaryngology head and neck surgery

It is recommended by John Fenton that we as a specialty need to embrace the concept of, take responsibility for and learn from all near-miss events, rather than our traditional haphazard approach of an occasional educational anecdote or case report....

In Conversation with Professor Shakeel R Saeed - EAONO

The European Academy of Otology and Neuro-otology (EAONO) will hold its 2020 meeting in London. Haroon Saeed, Specialist Trainee in ENT, asked Professor Shakeel Saeed, EAONO President, about the upcoming event. Professor Shakeel Saeed In a nutshell, what is the...

In conversation with Professor Shakeel R Saeed

The European Academy of Otology and Neuro-otology (EAONO) will hold its 2020 meeting in London, UK. Haroon Saeed, Specialist Trainee in ENT, asked Professor Shakeel Saeed, EAONO President, about the upcoming event. Professor Shakeel Saeed In a nutshell, what is...

Running a post-COVID smell clinic

Over the past year, much of our effort as a speciality has been directed towards crisis management and keeping services afloat. Our practice has changed in untold ways, but unprecedented numbers of patients with smell disorders will increasingly require our...

Enhancing the pure-tone average calculation method for reporting hearing outcomes: the need for a transition to the logarithmic mean

Comparing studies requires common approaches. Ali Faramarzi takes a moment to consider how to tackle the presentation of audiometric data in publications. Uniformity in reporting hearing outcomes is paramount for accurate evaluation and comparison of hearing-related research. Standardised guidelines are...

Where ignorance is bliss, 'tis folly to be wise

Our irrepressible Features Editor, Chris Potter, explores the limits of ignorance. I’m not sure about you, but I seem to exist in a sea of incompetence and ignorance, constantly surrounded by amateurish chumps and feckless underachievers. Now, a lesser man...