When Negus had been training as a surgeon , laryngology , rhinology and otology had been part of general surgery .
This was changing with the advent of ENT ( ear , nose and throat ) medicine as a combined and specialised discipline .
When Negus had been training as a surgeon , laryngology , rhinology and otology had been part of general surgery , but this was changing with the advent of ENT ( ear , nose and throat ) medicine as a combined and specialised discipline .