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In conversation with Sam Lear, BAA President: leading audiology forward

Dr Samantha Lear is the current British Academy of Audiology President, and Senior Audiology Policy Advisor at the National Deaf Children’s Society. With reviews ongoing in paediatric audiology in England and Scotland, Sam is ideally placed to lead the profession....

IIb nodes in a node-negative neck

This is an 11-year retrospective study of 389 patients who underwent 527 supraomohyoid neck dissections in a clinically node-negative (cN0) neck between November 2012 and November 2023. Oropharyngeal, maxillary, gingival and maxillary sinus tumours, along with those with a location...

Use of Elasticated Hooks in Open Rhinoplasty

Introduction Good exposure is an essential requisite in open rhinoplasty and often requires appropriate assistance to aid surgery. Frequently, surgeons lack adequate assistance in theatre and often have to depend on the scrub nurse for retraction. A self-retaining retractor is...

10 steps to improving transition to adult services

Children and parents like the reassurance that staying under the care of the team who looked after them from birth gives, but as the child approaches adulthood he / she must come under the care of a new team. This...

Acoustic shock: definitions and clinical aspects

Acoustic shock, a previously little-known and poorly understood clinical entity, came to the public’s attention in 2019 due to a high-profile legal case of a musician at the Royal Opera House. In this fascinating article, Andrew Parker and William Parker...

Paediatric obstructive sleep apnoea

As tonsillectomy rates for recurrent sore throats have declined, there has been increasing recognition of the importance of OSA in children. Not always diagnosed early – or in some cases at all – and with continuing debate as to how...

McIsaac scores in tonsillitis

Acute tonsillitis is usually caused by a viral infection, however often antibiotics are prescribed without a confirmed diagnosis of a bacterial infection. The Modified Centor (McIsaac) criteria, which include fever (>38°c), tonsillar exudate, no cough, anterior cervical lymphadenitis and age,...

Mindfulness meditation versus relaxation therapy for tinnitus

Tinnitus, defined by McFadden as “a conscious experience of sound that originates in the head of its owner, without an external acoustic source”, has a high prevalence and variable psychological impact. It results from maladaptation of the brain to a...

N-acetylcysteine may have a role in the protection of cochlear hair cells

Gentamycin is an aminoglycoside antibiotic which is widely used throughout the world, despite its ototoxic potential. It therefore seems wise to continue the search for accessible otoprotective agents. The aim of this study was to clarify the potential protective role...

Algorithm for malignant otitis externa

Timely detection and effective management of this potentially fatal condition cannot be overemphasised. This study presents 16 cases over 12 months in a tertiary referral centre. Most patients had diabetes and others were immunocompromised due to radiotherapy, immunosuppressive medication or...

Celebrating female surgeons

A newly-commissioned painting of female surgeons has been added to the portrait collection at the Royal College of Surgeons of Edinburgh (RCSEd). ‘Eleven Surgeons’ by Scottish artist Kirstin Mackinnon features recipients of the Hunter Doig medal, awarded for excellence within the surgical profession.

VITASPARK - a career counselling service with a difference!

Focusing on the needs of today’s surgical trainees, Vitaspark has been created and curated by Aishan Patil, a Scottish surgical SpR, ably assisted by his colleague, Soorya Siva (orthopaedic SpR).