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Vestibular implantation: are we there yet?

The objectives of this review article were to ascertain, through a systematic literature review, device design, surgical approaches, objective and subjective outcomes as well as limitations of vestibular implantation (VI). Following an extensive systematic search using PRISMA guidelines, 21 studies...

From the editor Nov/Dec 2025

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. TW / X: @Voicedoctor_uk For ENT&A Nov/Dec2025, we are delighted to celebrate the remarkable educational institution ENT Masterclass®, which marks its 20th anniversary with...

Minimally invasive craniotomy for middle fossa dura repair using the exoscope

A minimally invasive temporal craniotomy using an exoscope offers improved visualisation, ergonomics and recovery for middle fossa dural CSF leak repair. Cerebrospinal fluid (CSF) leak through a dural defect, regardless of the cause, typically requires surgical repair. Depending on the...

Pioneering in simulation surgery

Plastic temporal bones transformed ear surgery training, letting trainees practise complex procedures safely before operating on patients. I attended the Stell and Maran’s surgical course in the early 70s. It was superb but, with the confidence of naivety, I thought...

The EU Medical Device Regulation (MDR)

Back in May 2017, the EU Medical Device Regulation (MDR 2017/745) entered into force, replacing existing directives: Active Implantable Medical Devices (AIMD) In-vitro Diagnostic Directive (IVDD) Medical Device Directive (MDD) By 26 May 2020, the new regulation will have completed...

Winners announced for 2024 Hearing Technology Innovator Awards

Hearing Health & Technology Matters (HHTM), an online resource for hearing professionals and consumers with hearing loss, has today revealed the winners of its fifth annual Hearing Technology Innovator Awards™. Through this esteemed awards programme, HHTM continues to honour innovation...

VACANCY: Children's Health Ireland - Temporary Consultant Otolaryngologist with a special interest in Paediatric Otolaryngology

(CHI) is leading on the clinical and operational transformation of acute paediatric healthcare and consists of hospitals at Crumlin, Temple Street and Tallaght as well as an Urgent Care Centre at Connolly hospital in Blanchardstown.

The Oxford Textbook of Otolaryngology

JGG Ledingham was a famously affable man, the very epitome of the Oxford academic clinician with a legendarily unruffled bedside manner and razor-sharp intellect. He was awarded a personal Chair in Medicine in 1989 and such was his sangfroid, I...

Mobile apps for ENT emergencies

On-call apps have been covered in this publication before, with reference apps taking centre stage [1]. This article will focus on apps with specific functions which can be of use in frequently arising emergency scenarios. However, for reference apps I...

Benchmarking for innovation in healthcare ­– an approach from 
Down Under and a gap in the 
National Health Service?

Benchmarking is a process of comparison between the performance characteristics of separate, often competing, organisations intended to enable each participant to improve its own performance [1]. Often, in healthcare, benchmarking is carried out by central government departments or regional agencies...

2014: Are today’s implantable devices better than conventional solutions for patients with conductive or mixed hearing loss?

Patients with conductive or mixed hearing loss become candidates for amplification when reconstructive surgery is not viable. Three common amplification options are conventional acoustic devices, such as behind-the-ear devices (BTEs), (implantable) bone-conduction devices and active middle ear implants. The goal...

ENT Masterclass® China 2026

Declan Costello, Consultant ENT Surgeon As we will all remember, April 2020 was a very difficult time to organise meetings with the global pandemic taking hold. It was deeply ironic that the ENT Masterclass meeting was due to have been...