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Endoscopic CSF leak repair using nasoseptal flap

1 May 2019 | | ENT, Rhinology / Sinus
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...

Freud’s Friend, Fliess

13 November 2019 | | ENT
Wilhelm Fliess, a Berlin rhinologist, was for many years Sigmund Freud’s closest friend and confidant. He was born in Poland in 1858. In 1887, he visited Vienna for postgraduate studies, and met the famous psychoanalyst, Freud [1]. They were immediate...

The ear, nose and throat anaesthesia practice of Dr John Snow (1813-58)

3 November 2022 | | ENT
News of the first successful public demonstration of general anaesthesia in Boston, Massachusetts in October 1846 reached Britain in mid-December of that year. James Robinson, a London dentist, gave the first anaesthetic in the United Kingdom when, on 19 December,...
JAMA OTOLARYNGOLOGY HEAD AND NECK SURGERY cover image

Antibiotic prophylaxis in otolaryngologic surgery. Less is better!

7 January 2020 | | Head and Neck
Jan/Feb 2020 Editor’s Choice is a review of antibiotic prophylaxis in ENT and OMF surgery. It is not the first systematic review and meta-analysis published in the last two years. If anyone else has been offered a “potentially career-altering opportunity”...

History of ENT - Freud's Friend, Fliess

27 August 2019 |
Wilhelm Fliess, a Berlin rhinologist, was for many years Sigmund Freud’s closest friend and confidant. He was born in Poland in 1858. In 1887, he visited Vienna for postgraduate studies, and met the famous psychoanalyst, Freud [1]. They were immediate...

What’s happened since the European position paper on nose and sinus tumours?

1 May 2017 | | ENT, Rhinology / Sinus
The management of malignant sinonasal tumours has gone through radical changes in recent years. Prof Valerie Lund gives us an update based on her upcoming talk at IFOS. In 2010 when we published the European position paper on ‘endoscopic management...

Have we reached our limits in endoscopic skull base surgery?

1 November 2017 | | ENT, Head and Neck, Skull Base Surgery
As being an anterior skull base surgeon becomes the aspiration of many ENT trainees, Professor Nicolai gives his personal insights into the future for this exciting subspeciality. Having been directly involved in the evolution of transnasal endscopic surgery (TES) since...

Sugammadex

1 November 2019 | | ENT
Scott Russell is an anaesthetist with an almost unrivalled experience of complex head and neck surgery, and has seen all manner of new ideas come and go. However, in this article he describes a new pharmaceutical agent that is already...

Tonsillitis and tonsillectomies: where do we go from Paradise?

5 January 2022 | | ENT, Laryngology / Swallowing / Voice
Landmark Paper: Paradise JL, Bluestone CD, Bachman RZ, et al. Efficacy of tonsillectomy for recurrent throat infection in severely affected children – results of parallel randomized and nonrandomized clinical trials. N Engl J Med 1984;310(11):674-83. The Paradise paper on tonsillectomy...

Cambodian otology service – a fellowship with a difference

1 November 2014 | | ENT, Otology
Cambodia is a country of 15 million people, still recovering from a chequered past. In the 1970s, under the Khmer Rouge, most of the medical profession, together with the rest of the educated population, was executed – the fortunate few...

Parathyroidectomy

1 July 2017 | | ENT, Head and Neck, Thyroid / Parathyroid Surgery
Many ENT head and neck surgeons are now involved in thyroid surgery. This can also include the need to explore the parathyroids, either to preserve them or indeed to resect parathyroid adenomas. David Smith, a highly experienced endocrine surgeon from...

In conversation with Professor N Isshiki: History of laryngeal framework

1 September 2015 | | ENT, Laryngology / Swallowing / Voice
Mr Yakubu Karagama recently returned from a travelling fellowship at Isshiki Memorial Clinic Kyoto where he was delighted to interview Professor Isshiki about his groundbreaking work in laryngeal framework surgery. Professor Isshiki (left) discusses the history of thyroplasty with Mr...