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Anaesthesia for sleep nasendoscopy and snoring / obstructive sleep apnoea surgery

Surgery for sleep disordered breathing inevitably requires surgeon and anaesthetist to share the airway. Here, Edward Bick gives us the anaesthetic viewpoint, reiterating that communication is the key. A specific note is made of the anaesthetic technique for sleep nasendoscopy,...

Coblation tongue channelling

After uvulopalatoplasty, the tendency is to focus on the tongue base as the next anatomical area to address in the management of snoring and sleep-disordered breathing. In this article, Glen Burgess describes the technique of tongue channelling, to reduce the...

Advances in vestibular function testing

Vestibular function testing has historically been limited by difficulties in testing individual parts of the vestibular apparatus. Jas Sandhu describes new tests available to clinicians that address this problem. Advances in vestibular function testing Vestibular function testing has historically been...

Recalcitrant chronic rhinosinusitis: What to do next?

Whilst the majority of patients with chronic rhinosinusitis (CRS) will significantly improve with treatment, we are sometimes left with a ‘hard-core’ of nasal cripples who fail to improve despite our best efforts. How can we deal with these patients? Valerie...

In conversation with Shelly Chadha 2019

Shelly Chadha works at the World Health Organisation as the Medical Officer for ear and hearing care. Here, Alex Griffiths-Brown interviews her to find out more about her career, challenges she’s faced and her ambitions for the future. Shelly Chadha....

Prof Tanon of the Côte d’Ivoire and Stephanie Unterrieder of MED-EL: challenges and successes of a public-private partnership

The Côte d’Ivoire (RCI) is a large country on the West African coast. It has recently launched a pioneering neonatal hearing screening programme. Dr Cheka Spencer caught up with Prof Marie-Josée Tanon to discuss this and other recent developments which...

In conversation with Dr John Woo and Mr Derek Skinner

Dr John Woo and Mr Derek Skinner have between them an absolute wealth of experience and expertise in the fields of surgical training and specialist examinations. Here, they tell us about their involvement in surgical education, and explain some of...

In conversation with Shelly Chadha 2019

Shelly Chadha works at the World Health Organisation as the Medical Officer for ear and hearing care. Here, Alex Griffiths-Brown interviews her to find out more about her career, challenges she’s faced and her ambitions for the future. Shelly Chadha....

The use of THRIVE in laryngology and phonosurgery

The team in Lewisham has been using THRIVE for our phonosurgical cases for about a year. Here, we discuss the pros, cons and potential pitfalls of setting up and using THRIVE as ventilation during anaesthesia rather than using an ML...

Skull bone reconstruction using 3D-printed titanium implant

ENT surgeons’ role in advanced skull base resection and reconstruction continues to grow; this article explores how 3D printing aids planning and repair of complex defects. The integrity of the craniofacial skeleton is essential for both functional and aesthetic reasons....

Olfaction in CRS

Conventional teaching tells us that hyposmia in chronic rhinosinusitis is due to mechanical obstruction of the olfactory cleft. But it might be that the story is slightly more complicated than that. Olfactory dysfunction is a common feature of chronic rhinosinusitis...

A guided tour of the new thyroid nodule guidelines

The 2026 consensus updates thyroid nodule management with clearer risk assessment, tailored biopsy decisions and more consistent follow-up strategies. Setting off: why do we need new signposts? The management of thyroid nodules is familiar territory for many clinicians, but the...