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How will our grandchildren view COVID-19?

Alan Johnson, known to our readers as the former President of ENT UK, gives us his thoughts on the COVID pandemic, looking at it through the lens of other health crises. As I write, COVID-19 is displacing almost all other...

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...

ENT and the Titanic

One otolaryngologist who perished on the ill-fated voyage of the RMS Titanic on 15 April 1912 was Dr Ernest Moraweck, a prominent physician with an interest in ENT (and ophthalmology), living in Frankfort, Kentucky, USA [1]. Moraweck was an inventive...

The death of Attila the Hun, a 70s film and Japanese cartoons

The 6th century Gothic monk, Jordanes, tells us that Attila the Hun, the notorious and allegedly merciless barbarian (who was a prime mover in the fall of the Roman Empire), died of a nosebleed on his wedding night in 453...

Revolutionising medical writing: the power of language models in the clinic

Artificial Intelligence (AI) is taking the world by storm at the moment. We hear how AI might influence the letters we write in clinic. As a clinician, the process of writing a clinical letter can be time-consuming and challenging. It...

15th International ENT Masterclass®

Report by: Dr Natasha Quraishi, Foundation Year Two Doctor, North West Thames Foundation School, London, UK. As sure as day follows night, the last weekend in January can only mean one thing: the latest Annual International ENT Masterclass. This year...

Down with the nose, down with it flat

In Shakespeare’s Timon of Athens, Timon urges prostitutes to spread syphilis throughout Athens. He implores the whores, Phrynia and Timandra, to: Consumptions* sow In hollow bones of man; strike their sharp shins,And mar men’s spurring*. Crack the lawyer’s voice**, That...

Canal wall down with obliteration of cavity for paediatric cholesteatoma

The authors present evidence that canal wall down (CWD) surgery with primary obliteration is an effective way to treat paediatric cholesteatoma. Fifty-eight ears were operated on and follow-up was for five years on average. Residual cholesteatoma rate was 9.9% with...

A predictor of successful treatment of posterior canal BPPV

Reversal of nystagmus on returning to the upright sitting position from the Hallpike position is a common observation. However, its relevance as a predictor of a successful canal repositioning manoeuvre (CRM) is not known, hence this study. The retrospective study...

Recovery of vestibular function after vestibular neuritis

It is well known that recovery from vestibular neuritis (VN) is not solely mediated through central vestibular compensation, but also at the peripheral level. The authors conducted a prospective study to track the dynamic changes in recovery from vestibular neuritis...

BPPV duration as a predictor for therapy

Benign paroxysmal positional vertigo (BPPV) is one of the most common vestibuar disorders encountered in the neurotology clinic. The majority of cases of BPPV are due to vestibuar lithiasis in the posterior semicircular canal, but there are reports of cases...

Sham controlled trial: BPPV

I was drawn to this study and it proved an enlightening read; it also is a good example of where recommendations of a Cochrane review for long-term evidence of benefit have been acted upon! The study looked at the efficiency...