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Corticosteroid prescribing in ENT - are we at risk of being sued?

Of medications leading to malpractice claims, corticosteroids comprise the third most common. They are used widely and have a significant side-effect profile: hypertension, lipodystrophy, diabetes, avascular necrosis of the femoral head, peptic ulceration and psychiatric reactions to name but a...

Advances in Rhinoplasty

AAFPRS 2019 Advances in Rhinoplasty takes Orlando by storm Report by Wendy Lewis, President, Wendy Lewis & Co Ltd Global Aesthetics Consultancy. Paul Nassif, MD from Beverly Hills, USA. Over 800 rhinoplasty surgeons traveled from all over the world to...

Tranexamic acid and blood loss in bimaxillary surgery

This is a randomised double-blind placebo-controlled trial from Thailand to clarify the most effective dose of Tranexamic acid in reducing blood loss during a bimaxillary osteotomy. They confirmed that the dose of 10mg per kg is the most efficacious and...

Basic principles of bioengineering and regeneration

The ability to create de novo tissue to replace that removed from patients during surgery is a relatively recent advance. However, this is a fast-moving field and one which surgeons must be aware of from practical, ethical and scientific viewpoints....

The Ewings and paediatric audiology

Medical historian, Laura Dawes, discusses how Irene and Alexander Ewing were instrumental in shaping paediatric audiology in the first half of the 20th century. Irene and Alexander Ewing were the power couple of audiology in the UK in the mid-20th...

From Hippocrates to COVID-19: sniffing out the disease

The ancient Greek physician, Hippocrates, used the ‘art of smell’ to diagnose diseases around 400BC. He also formulated miasmatic theory, which posited that disease is caused by bad smells. Bad air was strongly believed by many physicians to be the...

Cochlear implantation in the developing world: perspectives from the Indian subcontinent

Cochlear implants are an expensive technology, yet profound hearing loss is far from a developed-world phenomenon. On the contrary, incidences of both congenital and acquired hearing losses are high in the developing world. This article explains how an initiative in...

Image-Guided Surgery: Fundamentals and Clinical Applications in Otolaryngology

Although not inspired particularly by the concept of the book, I was reassured by the introduction that the theory behind image guided surgery (IGS) would be presented in a way that was accessible, with “all technical descriptions trimmed to the...

Laryngology: Otorhinolaryngology – head and neck surgery series

A comprehensive and up to date textbook covering both conventional and contemporary topics in laryngology, written by authors of international repute, within 345 pages. The 39 chapters are divided into eight sections working through basic knowledge, clinical assessment and diagnostics,...

Relationship-Centered Consultation Skills for Audiologists: Remote and In-Person Care

With the rise in tele-audiology services alongside changes in hearing aid technology, there is an added importance in providing our patients with the care they need within our clinical settings and remotely. This book highlights the key skills to be...

OBITUARY: Nobuhiko Isshiki (1930–2022)

Ushering in a new era, the pioneer of laryngeal framework surgery remains an inspiration to this day. Prof Nobuhiko Isshiki in 2016 (courtesy: Mr Yakubu Karagama). The laryngological world has lost a great man. Professor Nobuhiko Isshiki passed away in...

Concussion and isolated mandible fractures – are we asking the right questions?

Concussion and isolated mandible fractures – are we asking the right questions? The mandible is one of the most commonly fractured craniofacial bones. A significant force is required to bring this about. Hence the authors hypothesised that concussion after a...