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From the editor Jul/Aug 2025

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTW / X: @Voicedoctor_uk Regular readers will know that we have been publishing supplements in different specialties every four months; these give us...

Luna tunes – the plug and play audiometer from Interacoustics

“The professional grade headset designed with screening in mind.” Interacoustics Luna – does it ‘eclipse’* the competition?* * (Although we are fans of moon-based puns, this is not to be confused with Interacoustics’ other stellar device, the Eclipse Evoked Potentials...

Tonsillitis and tonsillectomies: where do we go from Paradise?

Landmark Paper: Paradise JL, Bluestone CD, Bachman RZ, et al. Efficacy of tonsillectomy for recurrent throat infection in severely affected children – results of parallel randomized and nonrandomized clinical trials. N Engl J Med 1984;310(11):674-83. The Paradise paper on tonsillectomy...

Enhancing the pure-tone average calculation method for reporting hearing outcomes: the need for a transition to the logarithmic mean

Comparing studies requires common approaches. Ali Faramarzi takes a moment to consider how to tackle the presentation of audiometric data in publications. Uniformity in reporting hearing outcomes is paramount for accurate evaluation and comparison of hearing-related research. Standardised guidelines are...

Do I need Google maps in here?

Image guidance surgery (IGS) has grown in popularity. This review article discusses its application in endoscopic sinus surgery (ESS). IGS technology has vastly improved with smaller, more mobile platforms that are easy to set up and use. IGS allows validation...

The barber-surgeon of Avebury

On a stroll through Neolithic Britain, Seville oranges on a quay in Dundee, marmalade and 14th century coins, Chris Potter unravels the story of a man (a surgeon?) seemingly crushed by a falling 13-tonne stone. But things are not quite...

Middle ear reconstruction in children: why, when and how

Every ear in every child is different. Rob Nash discusses the rationale behind reconstructive ear surgery in children and his philosophy on timing and techniques of reconstruction. It is rare for middle ear pathologies to be life threatening. Indeed, it...

Random-pattern skin flaps: part 2 - rhomboid and bilobed flaps

In the second of our series on local skin flaps (see Part 1 here, Part 3 here and Part 4 here), the authors describe more techniques and examples of various skin flaps that trainees should find very interesting. Rhomboid flap...

Head and neck cancer deaths to cost $535 billion by 2030

More than 500,000 people across the globe will die this year from head and neck cancer, which is the sixth most common cancer in the world and comprises malignancies of the nose, mouth, throat, larynx, and neck. Assuming current trends...

Understanding new and emerging categories of hearing devices

The hearing device landscape is rapidly changing, and what should be given, to whom, and why, are questions that many hearing healthcare professionals are asking. Brent Edwards discusses these questions and how consumer characteristics may influence their choice. In 2016,...

In conversation with Ulrik Pedersen, Chairman of the EBEORL-HNS Exam Board

The European Examination Board in Otorhinolaryngology was created in 2008 in order to ‘harmonise the knowledge base among otorhinolaryngolgists throughout Europe’. Declan Costello spoke to new Chairman of the Board, Ulrik Pedersen. Ulrik Pedersen. Congratulations on your appointment as the...

The National Bone Conducting Hearing Implant Registry

Are you an otologist with an interest in implant surgery? Is your unit on the registry? If not, you’d better have a good excuse after reading this… What is the National BCHI Registry? The National Bone Conducting Hearing Implant (BCHI)...