This was a thought-provoking article examining the reasons why the authors believe that the endoscope is enabling an improved understanding of acquired cholesteatoma and its management. They describe in depth the ventilation pathways of the middle ear, and how they...
For some, this article will not provide them with anything new with respect to EES – in particular, the advantages of the technique and how to achieve them. However, for those surgeons who are debating whether to embark on the...
Parathyroidectomy is usually a straightforward technique when the target gland has been accurately determined. Surgical excision is usually through a small midline incision. With the advent of video assisted surgery, trials have been made to use this technique in parathyroidectomy....
Rarely, patients presenting to the ENT surgeon with anosmia may have an anterior skull base neoplasm such as a meningioma. Historically, the traditional approaches have focused on several transcranial, external routes, including the pterional craniotomy, and the subfrontal craniotomy. The...
This cadaveric study by researchers in the USA and Japan examined the cerebellopontine angles with the aid of the surgical microscope and 45o endoscope via the retrosigmoid and translabyrinthine approach. Using fibre dissection technique, the ascending auditory pathways between the...
Aural fullness is a common complaint that we often come across in many of our otology patients. Management of this condition can be quite challenging. Common differentials include eustachian tube dysfunction, patulous eustachian tube dysfunction, otitic barotrauma, superior canal dehiscence...
This prospective study evaluated the validity and reliability of tubomanometry (TMM) in 25 patients with sinus disease, 75 patients with middle ear disease and 25 healthy volunteers. After thorough clinical examination, the participants were evaluated with TMM, nasal endoscope, otoendoscope,...
The otoendoscope, with its wide-angle visualisation, has made it an increasingly popular tool to perform outer, middle and even inner ear surgery. Approaches to the IAC with the endoscope have been described by several authors. In this paper, Valente et...
In this interesting new article, Markus Hess and Susanne Fleischer describe their technique for managing recurrent laryngeal papillomatosis in an outpatient setting using channelled endoscopes. The recurrent respiratory papillomatosis (RRP) of the larynx is a chronic HPV-associated viral disease. Clinical...
A critical question when any new technique is proposed is ‘does it work?’ In this article Daniele Marchioni and Davide Soloperto discuss the success rates of endoscopic ear surgery for cholesteatoma. Introduction Surgical management of cholesteatoma is still a controversial...
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)...
Guest Editor, Chris Coulson, speaks to Dr Muaaz Tarabichi, a pioneer of endoscopic ear surgery, about how he has seen the technique evolve during his career, what challenges early EES practitioners have faced and his predictions for the future of...