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Patients with severe uncontrolled CRSwNP respond to biologics in the real world

Clinical trials have demonstrated that biologics are effective in treating patients with chronic rhinosinusitis with nasal polyps (CRSwNP). This multicentre (15 tertiary care centres in France) observational prospective cohort study aims to examine the effectiveness of biologics in treating CRSwNP...

Audiological testing strategies for children and young people with ASD

In 2014 the Hummingbird Clinic was opened, offering a bespoke clinic for children with complex needs or autism. In this article Keiran Joseph shares the wealth of knowledge gained in this clinic over the years and offers some top tips...

Current management of facial fractures in the preadolescent

This article reviews the trends in management of preadolescent facial fractures – a challenging population due to the need to consider growth, dynamic changes in dentition, and evolving fracture patterns. In summary, conservative management is preferred in all fractures in...

History of ESPO

Martin Bailey, Secretary-General of ESPO, narrates the story of a society which has promoted and supported the development of paediatric otolaryngology in Europe. In the early 1950s, pioneers in paediatric otorhinolaryngology became active in European countries such as Poland, Hungary,...

Minimise waiting times with Peptest!

In laryngopharyngeal reflux (LPR), refluxed stomach contents travel up the oesophagus and reach the larynx, causing chronic extra-gastrointestinal symptoms such as a persistent cough, hoarseness or difficulty swallowing, meaning it is often attributed to ENT problems.

Intratympanic steroids in Ménière's disease: what’s the evidence?

The days of drastic surgery for Ménière's disease are long gone. We know that intratympanic injections can deliver high doses of medication to the inner ear with minimal discomfort and minimal risk. But how do we choose from the myriad...

AI in ENT practice

Artificial intelligence (AI) technologies are becoming increasingly prevalent in our lives and there has been both enthusiasm and caution for using AI in healthcare. A recent article in the Journal of the American Medical Association reported on a trial examining...

Diana Deutsch

Audiologists think about sound a lot. In fact, it is a bit of an occupational hazard. The majority of that time is usually devoted to thinking about sound in a purely functional sense (for example, adjusting a hearing aid to...

From Hippocrates to COVID-19: sniffing out the disease

The ancient Greek physician, Hippocrates, used the ‘art of smell’ to diagnose diseases around 400BC. He also formulated miasmatic theory, which posited that disease is caused by bad smells. Bad air was strongly believed by many physicians to be the...

Cochlear implant and age

In an American ageing society with more prevalent hearing loss, fewer geriatric patients are opting for cochlear implants (CI). This is mainly due to comorbidities and potential complications. Authors conducted a retrospective review of CI patients from 2015 till 2021....

Lateral wall augmentation for patulous eustachian tube

The problem more commonly attributed to the eustachian tube is lack of its patency rather than it being unduly patulous. This lesser recognised condition is due to loss of peritubal fat volume resulting in concavity of the lateral wall and...

From the editor Jan/Feb 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 As we slip seamlessly into the new year, I hope you have all had a good break and that...