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Cheek reconstruction following melanoma excision

Malignant melanoma occurs most commonly on the cheek and thus is usually diagnosed early, and rarely needs large reconstructions for advanced disease. This is a retrospective study looking at 26 patients that had undergone treatment for cheek melanomas between 1996...

How many friends will you have after a TBI?

Friendships are key to reducing stress and improving morale and social support. Loss of friendships after a traumatic brain injury (TBI) can have a significant impact on these areas of a person’s life. There is little in the research literature...

Information to support decision-making: does it make sense online?

The internet has become a major source for health information, with many people preferring to use the internet to search for advice than speaking to health professionals. Yet much of the information available is very difficult to read for the...

The right to choose: the how-to of practicable supports

Providing all practicable supports to enable a person to participate in decision-making is one of the five key principles of the English and Welsh Mental Capacity Act 2005. This article (set in the Canadian legal framework, which has many similarities...

Are individuals with vestibular vertigo accessing healthcare more frequently?

Vestibular vertigo is estimated to have an adult lifetime prevalence of 7.4%. Vestibular dysfunction has been linked to physical, cognitive, and psychiatric impairments. There is, therefore, a large economic burden and healthcare usage. Patients with vestibular vertigo are more likely...

Lonely, so lonely

The pandemic has evidenced the negative mental and physical health outcomes that are associated with isolation and loneliness. This study was undertaken in Australia, where one quarter of the population live alone. Giving our ageing population worldwide, the number of...

Lies, damned lies and relative risk reduction

Chris Potter has a thing or two to say about the use of statistics and, in doing so, he takes us to a Friday night steak house that is prone to airway disasters and on a short tour of his...

Labour rights violations in the manufacture of healthcare goods

Every year trillions of dollars are spent on medical supplies globally. The operating theatre is a significant proportion of this spend, typically accounting for a third of a hospital’s supply costs. When making purchasing decisions consideration is given to value...

60th ENT Congress for the South African Society of ORL-OHNS

Dr Greta Niemann, ENT surgeon, Pretoria The 60th Annual ENT Conference held in Pretoria in November was a remarkable event, skilfully organised and offering an exceptional line-up of international and local speakers. This year’s gathering provided a unique opportunity for...

A ‘rye’ tail – the fatal illness of Lord Boringdon, a Regency tragedy

The anonymous privately-printed book, Some Account of Lord Boringdon’s Accident, describes in deferential terms a case of aspiration of a foreign body and its sequelae. Today aspirated foreign bodies are serious but curable injuries; before the invention of the bronchoscope...

Mastoid surgery for cholesteatoma

Landmark Paper: Toner JG, Smyth GDL. Surgical Treatment of Cholesteatoma: a comparison of three techniques. Am J Otol 1990;11(4):247-9. Canal wall up or canal wall down? Chris Aldren discusses the landmark paper that attempted to provide a definitive answer for...

Promoting human rights of deaf communities in low-resource settings

Stigma and misconceptions about deafness are serious impediments for many deaf people to realise rights and potential in some of the most challenging situations globally. Around 430 million people are estimated to live with moderate or higher levels of hearing...