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ENT In this issue...Landmark Papers that Defined ENT and Audiology

In 2018, I compiled a book with the title Landmark Papers in Otolaryngology. The book was inspired by the ENT department journal club that regularly took place in a local Norwich pub, and it discusses 99 of the most cited papers in the ENT and audiology literature.

Persistent postural-perceptual dizziness (PPPD), psychosomatic or not? The debate continues

PPPD continues to provoke debate since the diagnostic criteria emerged in 2017. This review covers two commentaries because they are best considered together: the first one, by HK and BS-U, concluded that PPPD is a psychosomatic disorder (in fact, ‘a...

BRS Juniors Day 2025

OCH AYE, THE BRS JUNIORS! A special update from the BRS Juniors Committee Joshua Michaels, ENT ST6, BRS Juniors Committee Member 2024/25 With a successful year of research, development and education delivered by the BRS Juniors' Committee, we had the...

Reactive lesions of the contralateral vocal cord – excise or leave?

It is well recognised that benign lesions of one vocal cord can give rise to reactive lesions of the contralateral vocal cord directly opposite to the primary lesion. These contralateral reactive lesions (CRLs) are thought to arise due to impact...

Surgical voice restoration after laryngopharyngectomy

Voice restoration is one of the key rehabilitative steps after laryngectomy or total laryngopharyngectomy (TLP). Patients who undergo TLP require reconstruction – increasingly commonly with microvascular free flaps. Despite their advantages in terms of fistula rates and swallowing outcomes, these...

The laryngeal microdebrider – a useful adjunct in the surgical treatment of Reinke’s oedema?

The surgical treatment of Reinke’s oedema traditionally involves a cold steel incision placed in the lateral aspect of the vocal fold with aspiration of the characteristic gelatinous contents. In this paper, the authors compare voice outcomes in patients treated with...

What are the airway, voice and swallowing outcomes of a mucosal-sparing surgical approach to improving the glottic airway in bilateral vocal fold immobility?

Bilateral vocal fold immobility (BVFI) causes significant breathing problems as well as voice and swallowing difficulties. Surgical interventions aim to enlarge the glottic outlet by altering or removing glottic structures which improve breathing but often lead to worsening dysphonia and...

Minimally invasive techniques for benign salivary gland obstruction

Salivary gland obstruction is a common condition – it is recognised by a complaint of intermittent meal-time swelling of the affected salivary gland and can be accompanied by recurrent infections. Imaging can identify the nature and location of an obstruction...

BCIG Annual Meeting 2024

Jameel Muzaffar, Consultant ENT Surgeon, University Hospitals Birmingham, Birmingham, UK. The British Cochlear Implant Group (BCIG) Meeting 2024, hosted by the North East Cochlear Implant Programme (NECIP), was entitled ‘Learning journeys – bringing people together’. The gathering was a showcase...

From aaargh to zzzzz: the ABC of paediatric anaesthesia

Andrew McTavish is one of those special breeds who not only relishes complex anaesthesia, but also does so in paediatric patients. Dealing with this group of patients requires careful planning according to accepted practice, and here he discusses some recent...

Seven things ENT surgeons can learn from the hairdressers

In a nod to our origins as barber surgeons, Australian ENT surgeon and blogger Eric Levi gives us an entertaining insight into what he has learned from his hairdresser that makes him a better doctor. I’ve been to the hairdressers...

Rehabilitation of single-sided deafness with cochlear implants

The relatively recent emergence of cochlear implantation as a potential means of restoring hearing to a deafened ear, in the presence of normal hearing in the other ear, has proved an exciting and yet surprising development. James Tysome explores the...