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What is the evidence for duration of antibiotic prophylaxis in head and neck free-flap cases?

1 May 2018 | | clean-contaminated, free flaps, microvascular surgery, prophylactic antibiotics, surgical site infection
The topic of this systematic review is one which is commonly heard in discussions between microbiologists and head and neck surgeons – what is the evidence for antibiotic prophylaxis in clean-contaminated free-flap cases, and crucially, how long should antibiotics be...

Staying safe during endoscopic ear surgery

1 May 2016 | | ENT, Otology
There is growing interest in using rigid endoscopes rather than traditional operative microscopes to perform transcanal middle ear surgery. Rigid endoscopy provides a high resolution, wide-angle view of the tympanic cavity through minimally invasive surgical portals. In this article, Elliott...

Early detection pathways for congenital cytomegalovirus for infants referred from the newborn hearing screen

4 March 2024 | | Audiology - Paediatric, Audiology - Diagnostic
This article discusses requirements for an early congenital cytomegalovirus (cCMV) detection pathway to ensure children do not miss out on the opportunity for timely diagnosis and treatment. The pathways described are currently in use in England and apply to well...

RSM Otology: the year ahead

4 November 2022
Professor Manohar Bance, President of the UK’s Royal Society of Medicine Otology Section, looks forward to a packed programme.

A one-stop state of the art, non-profit healthcare facility in Pune, India

1 March 2017 | | ENT
In 2001, a non-profit healthcare facility was founded in Pune India, providing low and middle income group patients with treatment, not only at a minimum cost, but of a quality which bears the stamp of approval by the Royal College...

Global Ambassadors Highlights of the Year

2 October 2019
Audiology, Indian Subcontinent, Krishna Yerraguntla Over 466-million people live with disabling hearing loss and global costs of unaddressed hearing loss is 750-billion international dollars. Thus, to alleviate the impact of hearing loss on lives of people, The World Hearing Day...

Acupuncture for tonsillectomy pain in children

1 January 2015 | | Paediatric ENT, Laryngology / Swallowing / Voice
The challenge: tonsillectomy pain Tonsillectomy is a uniform surgical insult which results in a 10-day recovery for children. Severe pain can occur which can give rise to poor oral fluid intake, dehydration and potentially the need for intravenous fluid resuscitation....

Migraine related vertigo

1 November 2015 | | ENT, Vestibular Disorders
Migraine is one of the commonest conditions an otologist will have to manage with up to half of migraineurs displaying vestibular symptoms. David Selvadurai provides an overview and management plan for this increasingly well recognised disorder. Migraine is a common...

Video otology tutorials: how EES changes the game

1 May 2016 | | ENT, Otology
High definition endoscopic ear surgery (EES) redefines traditional middle ear anatomical perspectives. The surgeon can observe in situ anatomical relationships with angled objectives in a way that the traditional microscopic view, with step-wise removal of structures is unable to achieve....

INTEGRATE: Uniting collaborative research in ENT

1 January 2016 | | ENT
Exposure to clinical research as a trainee is often sporadic and unstructured, despite it featuring in both the GMC’s Good Medical Practice and the ISCP’s syllabus for all surgical specialities, including otolaryngology [1,2]. The majority of trainees undertake small-scale research...

COVID-19 and ENT training: experiences from around the world

7 July 2020 | | ENT, COVID-19
Here, ENT trainees share their experiences of adaptations to both clinical practice and training during the COVID-19 pandemic. We welcome other colleagues from around the world to share their experiences with us via social media or the website. Australia Olivia...

Endoscopic excision of cholesteatoma

1 November 2019 | | ENT, Otology
In this article Vikranth Visvanathan describes an exciting development on the use of endoscopic technology in complex otological practice. Transcanal endoscopic ear surgery (TEES) is rapidly evolving as a recognised method of addressing middle ear and mastoid pathology. Since its...