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American Thyroid Association Thyroid Cancer Management Guidelines: utilising risk stratification to optimise patient care

The steep rise in thyroid surgery around the globe, has led to the development of risk stratification to define the indications for surgery and the extent of surgery as well as adjuvant therapies for papillary carcinoma, to avoid over treatment....

Establishing a hearing service and ear hospital in Nepal: the Ear Aid Nepal experience

Following the earthquake that devastated Nepal in April 2015, the year ended on a positive note with the opening of an ENT hospital in Pokhara. Mike Smith, a UK-born ENT surgeon has been the driving force behind the conception and...

Monstrous craws and horrid butchery: a concise history of thyroid surgery

Prior to the foundation of our speciality, thyroid surgery had a dubious reputation and universally dismal outcomes. Jenny Walton casts a critical eye over this dark chapter. Diseases of the thyroid gland have been referenced in historic texts for well...

Transnasal oesophagoscopy (TNO)-guided secondary tracheoesophageal puncture (TEP) under local anaesthesia

Here, the authors describe a convenient use of the transnasal oesophagoscope to create a new tracheoesophageal puncture in the outpatient clinic setting. Tracheoesophageal puncture (TEP) with voice prosthesis insertion is a reliable and effective technique for surgical voice restoration (SVR)...

Genetic foundations of Ménière’s disease: changing the game

Sydney researchers reveal genetic roots of Ménière’s disease. Familial patterns and gene discoveries highlight autosomal inheritance in rare cases, transforming molecular insights. Ménière’s disease (MD) is a chronic disorder of the inner ear defined by clinical criteria of episodic vertigo...

Being comfortable with the uncomfortable: ENT emergency simulation

When uncommon emergencies create uncertainty, simulation-based training offers a safe space to build confidence, competence and collaborative learning. ENT emergencies can be daunting to manage, especially for those who have less familiarity with their nature. Colleagues from neighbouring specialties are...

Making the most of your surgical rotations as a medical student in theatres

This article provides practical tips for medical students to navigate theatre etiquette, engage with teams and gain valuable surgical experience. I am the kind of person who needs a set of alarms ringing every two minutes just to get out...

Rebuilding faces and restoring dignity for Ukraine’s wounded defenders

Four years of war have transformed nasal reconstruction in Kyiv, where surgeons are treating complex combat injuries with the paramedian forehead flap. I am a first-year resident in otorhinolaryngology, sharing how, over four years of Russia’s full-scale invasion of Ukraine,...

Ergonomics in otorhinolaryngology

Raewyn Campbell is a rhinologist and skull base surgeon in Sydney, Australia. Prior to training in medicine, she was trained as a physiotherapist, and she brings both disciplines into her research on ergonomics in surgery. Surgeons need to look after...

Between sirens and silence: the burden on otorhinolaryngologists in wartime Ukraine

Ukrainian ENT teams continue life-saving and routine care under air raid alerts, with staff shortages, strained resources and the long psychological toll of war. War reshapes medicine long before it destroys hospitals. It alters the rhythm of clinical work, the...

ENT registrar national selection: how can we advise aspiring candidates?

With the aim of creating fair selection into the few available training numbers, ENT was one of the first surgical specialties to move to a national selection process for selecting new registrars in England. Since 2013 the selection process has...

Perspectives on audiology training and education in Canada and New Zealand

In this Trainee Matters we look at audiology training in two different locations from around the world, Canada and New Zealand. Marshall Chasin gives us an overview of the education system in Canada, while Amy Arrowsmith explains the history of...