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Challenging steps of virtual cortical mastoidectomy

This prospective study investigated which steps of cortical mastoidectomy were challenging for 10 medical students and 10 intermediate surgeons (surgical trainees) compared to 10 experienced expert surgeons. Each participant performed cortical mastoidectomy on eight different virtual temporal bone models. The...

Conductive hearing loss – when and why to scan

Ossicular fixation or discontinuity can occur at any point along the ossicular chain and is estimated to cause conductive hearing loss (CHL) in approximately 55% of patients. Computed tomography (CT) imaging of the temporal bone identifies bony pathologies that contribute...

An analysis of laryngeal dysplasia cases in terms of progression to invasive cancer

In this retrospective study, authors assess the rate of dysplasia progression to invasive cancer in a cohort of 221 patients presenting with primary laryngeal dysplasia, followed over a period of over 13 years. Patient demographics and independent risk factors for...

Profiling features of dysphagia in people with moderate to severe Covid-19

Dysphagia arose as a serious concern for many people affected by Covid-19, especially those who required intubation. The authors of this paper used data from an institutional database of 3660 patients (Jan 2020 – March 2022) who presented with moderate...

Early hearing loss detection in low-resource school settings

This review summarises a narrative article examining why childhood hearing loss in low- and middle-income nations remains widely undiagnosed, and outlines strategies to improve detection. The authors highlight that although childhood hearing loss is highly prevalent and clinically significant, many...

Are you a man or a mouse?

Ok so the phrase is about bravery – however, this paper considers the differences in auditory cortex connectivity, cognition and emotion between humans and mice. The study began with 21 mice, but usable data were obtained from only 16. Notably,...

Can laryngopharyngeal reflux initiate middle ear dysfunction?

The prevalence of laryngopharyngeal reflux disorder (LPRD) varies widely and can affect a third of the population, especially in middle ages and, more commonly, females are involved. There is not much in the literature about the association of this condition...

How are clinicians assessing suitability for voice feminisation surgery?

Voice is a key aspect of gender transition for many gender diverse individuals. Transfeminine people are offered hormone therapies, such as oestrogen to support their transition, however these do not impact laryngeal anatomy. This means that specific voice interventions are...

The UK otolaryngology trainees’ lived experience during the COVID-19 pandemic

Much has been published on the concerns and real impact of the pandemic on surgical training. In this article, colleagues from the Association of Otorhinolaryngologists in Training (AOT) in the UK share the experiences of their membership. We invite our...

Commentary: dementia, hearing loss, and the danger of professional rabbit holes

The Lancet, a world-leading general medical journal, has a global impact. Its commissioned report into dementia prevention, intervention and care has been cited over 6000 times and has further been reviewed and updated in 2020 and now 2024. Here, Profs...

Developing ENT services in Zambia

Lufunda Lukama and Matthew Clark. Lufunda Lukama is an ENT surgeon in Zambia. In a country of 19.6 million, he is one of five such specialists. It is not difficult to see the problem that he, and the country as...

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...