{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T15:53:39Z","timestamp":1790956419544,"version":"4.1.0"},"reference-count":9,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2026,9]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Nasal specula such as Thudichum and Killian have been in use in rhinology for over 100 years. They serve to widen the nasal alar and retract nasal hairs when performing rhinoscopy.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We describe a novel nasal speculum: the repurposing of the Lieberman eye speculum for use in rhinological procedures. This speculum is adjusted to fit the individual and is self-retaining, achieving equivalent retraction to traditional specula and enabling use of a second hand for intra-nasal surgery.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The Lieberman speculum can reach a maximal diameter of 14mm and has successfully been utilised in over 50 rhinological procedures to facilitate bimanual operating. No complications or side effects have occured with use.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Our approach has been successfully trialled under local and general anaesthesia for a range of procedures at similar cost to current practice.<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/s0022215126105222","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T06:42:14Z","timestamp":1782974534000},"page":"1004-1006","source":"Crossref","is-referenced-by-count":0,"title":["Novel use of Lieberman self-retainers for nasal alar retraction"],"prefix":"10.1017","volume":"140","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9431-1082","authenticated-orcid":false,"given":"Charlotte","family":"Arnold","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01p830915","id-type":"ROR","asserted-by":"publisher"}],"name":"Morriston Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Gurney","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01p830915","id-type":"ROR","asserted-by":"publisher"}],"name":"Morriston Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5264-5076","authenticated-orcid":false,"given":"Simon","family":"Morris","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01p830915","id-type":"ROR","asserted-by":"publisher"}],"name":"Morriston Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heikki","family":"Whittet","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01p830915","id-type":"ROR","asserted-by":"publisher"}],"name":"Morriston Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"S0022215126105222_ref2","doi-asserted-by":"publisher","DOI":"10.1177\/194589240501900310"},{"key":"S0022215126105222_ref5","doi-asserted-by":"publisher","DOI":"10.1017\/S002221512400166X"},{"key":"S0022215126105222_ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-024-05993-4"},{"key":"S0022215126105222_ref1","first-page":"113","article-title":"History of rhinology: nasal specula around the turn of the 19th-20th century","volume":"28","author":"Pirsig","year":"1990","journal-title":"Rhinology"},{"key":"S0022215126105222_ref7","unstructured":"7 Science Museum Group. Frankel\u2019s nasal speculum. A647039: Science Museum Group Collection Online; 2025. Available at: https:\/\/collection.sciencemuseumgroup.org.uk\/objects\/co92340\/frankels-nasal-speculum. [22 December 2025 ]"},{"key":"S0022215126105222_ref9","unstructured":"9 MediSave. Thudicum Nasal Speculum. Available at: https:\/\/www.medisave.co.uk\/products\/instrapac-thudicum-nasal-speculum-size-3-p-7580. [22 December 2025 ]"},{"key":"S0022215126105222_ref8","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200009000-00004"},{"key":"S0022215126105222_ref6","unstructured":"6 BVI Medical. BVI Medical Single Use Instruments 2025. Available at: https:\/\/www.bvimedical.com\/products\/single-use-instruments\/#tab-additional-information. [22 December 2025 ]"},{"key":"S0022215126105222_ref4","doi-asserted-by":"publisher","DOI":"10.3390\/ijms21020480"}],"container-title":["The Journal of Laryngology & Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215126105222","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T15:00:55Z","timestamp":1790953255000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215126105222\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,2]]},"references-count":9,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["S0022215126105222"],"URL":"https:\/\/doi.org\/10.1017\/s0022215126105222","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,2]]}}}