The Journal of laryngology and otology
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Review Biography Historical Article
The making of a career: Joseph Toynbee's first steps in otology.
Joseph Toynbee (1815-1866) is considered one of the fathers of modern otology. He spent his whole life in London, studying and describing the anatomy and pathology of the main diseases of the ear. ⋯ Frustrated by the weakened state of aural surgery in Britain, and by the popularity of several 'quacks aurists' (including John Harrison Curtis, William Wright and Alexander Turnbull), Toynbee insisted that the study of the ear needed to distance itself from quackery and rebuild itself upon a scientific foundation. This paper evaluates several exchanges between Toynbee and Curtis, Wright and Turnbull.
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To characterise balance disorders occurring after head trauma, using videonystagmography, and to test the efficiency of videonystagmography as a diagnostic and monitoring tool. ⋯ Videonystagmography enables precise, simple, cost-effective monitoring of balance disorders after head trauma, and improves care and outcomes.
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Contemporary surgical training faces many challenges. However, modern technology, including internet-based resources, provides the trainee with a wealth of materials to complement their traditional teaching. YouTube is an online repository of video clips, and contains many instructional resources of value to the otolaryngology trainee.
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Although malignant (necrotising) otitis externa is not a common diagnosis, there have been a number of recently reported cases with pathogens other than Pseudomonas aeruginosa as the causative organism. In addition, there are many published reports of resistance to antibiotics in cases of malignant otitis externa caused by Pseudomonas aeruginosa. This review aims to assess the cases reported and to clarify the current opinion on the diagnostic criteria and management of such cases.
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To present our experience of running a consultant-based otolaryngology emergency care service for more than five years. ⋯ Given that health service changes have reduced junior trainee working hours and numbers, and that patients increasingly expect to be treated by trained doctors, our new consultant-based emergency service has merit. Although implementation in other units may differ, we recommend this new service, for the above reasons.