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Communication in the age of universal masking: speech-to-text apps to the rescue

The ongoing COVID-19 pandemic has touched nearly every aspect of our lives, including how we interact with patients. At this point, it is almost hard to remember a time when we didn’t have to wear masks during clinical encounters. Though...

Erasmus Darwin and the larynx – but why is it where it is and when?

Charles Darwin’s grandfather was not only on to where we all came from by the end of the 18th century, but dared to declare it in verse whilst resident in Lichfield Cathedral Close. This needed exceptional temerity, since not only...

The first compact auriscope: the 1865 speculum auris of Dr Brunton

Bringing light into darkness can also be a task for the physician. With the advent of endoscopy (initially by reflecting light into body cavities), new methods of diagnosis and treatment became available to the otologist. In 1865, the Scotsman John...

SCOTLAND preoperative tympanomastoid CT temporal bone mnemonic system

Learning how to interpret a CT scan of the temporal bones can be a daunting task, especially for a head and neck surgeon like me! However, to make life easier, the authors have devised a useful system to help cover...

The mounting burden of hearing loss worldwide: gearing up global collaboration

As audiology and ENT professionals we all have an inkling about the prevalence and impact of hearing loss, but the true gravity of the situation is even greater than previously thought… It may seem hard to believe, but in the...

Reconstruction of the Head and Neck: A Defect-Oriented Approach

This is the second Thieme book on head and neck cancer by this author that follows on from Head and Neck Cancer: an Evidence-Based Team Approach four years ago. It is a well-structured, up-to-date book in a readable layout with...

Outpatient closure of CSF leaks: a good idea or a step too far?

After day-case septoplasty, day case thyroidectomy, now day case CSF leak repair – has the pendulum moved too far? The authors put forward a convincing case for what, only 10 years ago, would have sounded like a provocation. They quote...

The future role of technology in rhinology

Technology is moving our speciality forward very rapidly in all domains, but none more so than in rhinology. David Whitehead looks at current and future trends. How will a surgeon justify their position in a team where artificial intelligence (AI)...

From surgeon to scholar: the remarkable life of Philip Stell

Professor Philip Stell was an extraordinary man: following an astonishingly illustrious career in ENT, he excelled as a medieval historian. With the Philip Stell Prize due to be awarded in May, his friend Pat Bradley looks back at his remarkable...

Evidence-based hospital management of epistaxis

Epistaxis is the most common presentation to acute ENT services in the UK. However, there are currently no nationally accepted guidelines for its management. The British Rhinological Society, ENT UK and INTEGRATE (The National ENT Trainee Research Network) are working...

Should human beings sleep in the prone position?

Are we poised for a ‘sleep prone’ campaign to reduce nocturnal apnoeas? Prof Armin Moniri presents a fascinating account of how sleeping position can affect obstructive sleep apnoea. Inspired by sleeping position of other mammals, a new mattress and pillow...

When things go wrong

The new-age, Paediatric Surgeon, Ray Clarke, (fear uasal, íseal), eloquently demands throwing off the shackles of the past and welcomes the dawning of an era of openness, transparency and candour, preferably suffused with compassion for both the patient and the...