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When you regret an implant!

Cochlear implants (CIs) offer a solution to hearing loss not helped by conventional hearing aids. CIs help in improving speech recognition scores. While significant, it is not sufficient to provide satisfaction in some implantees. Alignment between expectations and realistic outcomes...

Quality of life after cochlear implantation in the older population

Cochlear implants (CI) have been increasingly adopted in older adults with severe to profound hearing loss as a result of the growing and ageing world population. There is much interest in the cost-effectiveness and quality of life in CI users....

Effect of COVID-19 on hearing and balance

Rhinological symptoms are cardinal features of COVID-19. However there have only been anecdotal reports on the involvement of the ear, the closest neighbour to the nose and throat. The aim of this study was ‘to assess the presence of persistent...

Surgical options for children with OSA

This paper looks at the surgical management of OSA in children and approaches the method of patient selection initially. They discuss the role of polysomnography in that it is part of the AAOHNS criteria in those patients with OSA symptoms...

Novel balloon device to control cavernous sinus bleeding

In their Letter to the Editor, the authors suggest a draft for a novel balloon catheter device for sinus haemostasis during trans-sphenoidal surgery which is associated with uncontrollable sinus bleeding in 1-8% cases. Their proposed device has a single lumen...

One anastomosis or two

This is a cumulative meta-analysis from Hong Kong reviewing 27 articles and a total of 7,389 flaps. The authors, at the outset, acknowledge that the number of anastomoses is not the only factor of venous compromise and flap failure. Nonetheless...

Storytelling is good for your memory

Mild cognitive impairment (MCI) presents a challenging frontier in healthcare due to the limited availability of effective drugs. Despite its prevalence and potential progression to dementia, there remains a notable gap in pharmacological interventions targeting MCI. This month’s Editors’ Choice...

Otology training in low- and middle-income countries: a view from within

It is recognised that hearing loss and ear disease are far more common in less affluent parts of the world, and that those countries are often least able to provide treatment; so how can we prioritise care for these patients?...

Nasal septal perforation repair

Nasal septal perforation repair has traditionally been a great challenge. Many surgical techniques are described, however the success rate of closure has often been poor. Experience from the use of pedicled vascularised mucosal flaps in skull base surgery has been...

OBITUARY: Randall Payne Morton (1948 - 2025)

Randall Payne Morton. Sadly I report the recent death of Randall Payne Morton, Professor of ORL-HNS in Auckland, New Zealand, on the 11 September 2025, after a long and protracted illness. I first met and worked with Randall during his...

From technology to humanity: a conversation on person-centred hearing care

With a career that has spanned continents and disciplines – clinical audiology, cochlear implant technology and global leadership – Mei Dingxiang Feng is now leading a movement to bring person-centred care (PCC) to the forefront of hearing healthcare. In this...

From technology to humanity: a conversation on person-centred hearing care

With a career that has spanned continents and disciplines – clinical audiology, cochlear implant technology and global leadership – Mei Dingxiang Feng is now leading a movement to bring person-centred care (PCC) to the forefront of hearing healthcare. In this...