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Endoscopic stapes surgery

Traditionally middle ear surgery, including stapes surgery, has been performed using the operating microscope. In this article the authors describe their experience with endoscopic middle surgery and share some of its advantages. Trans-canal endoscopic ear surgery (TEES) is now a...

ENTelligence: driving safe and transparent AI innovation in ENT

AI is seemingly going to be ubiquitous. How do we as ENT clinicians help to shape its direction? Artificial Intelligence (AI) is reshaping modern medicine. Algorithmic analysis is now influencing decisions once made solely by clinicians. Yet, in surgical specialties...

Fibre-delivered transoral laser surgery – description of a novel technique

Transoral flexible laser surgery refers to the use of a fibre-delivered laser for laryngeal procedures via direct laryngoscopy. We hear of a novel innovation. The continuous development of instruments to perform endoscopic procedures for treatment of laryngotracheal pathology – among...

An audiologist abroad

Ever thought of working abroad? In this issue we hear from Caroline Hudson, International Audiologist with special interest in paediatrics and research, who took the leap to work in Canada after qualifying and working in the UK. She will provide...

Centenary birthday of Jean-Marc Sterkers: pioneer of vestibular schwannoma surgery

Professor Jean-Marc Sterkers has been a leading figure in the field of otology and neurotology for several decades. On the verge of his 100th birthday, we celebrate an exceptional career through the memories of his son and colleagues. Prof Olivier...

Temporal bone trauma

Introduction Temporal bone injuries represent one of the more complex management problems presenting to the otolaryngologist. This is largely due to difficulties in assessment and the frequent delays in referral, often as a result of other injuries demanding more immediate...

Superior semicircular canal dehiscence: transmastoid obliteration

Sometimes patients with dizziness turn out to have slightly more unusual causes of their problem. Thomas Milner and Georgios Kontorinis describe their technique for managing patients who have a diagnosis of superior canal dehiscence as an identified cause of their...

Paranasal sinus osteoma management

The authors aimed to determine the best approach to paranasal osteoma excision. They conducted a retrospective study of 41 patients with paranasal sinus osteoma (PNSO) at a tertiary centre in Turkey. PNSO was present in: the frontal sinus in 26...

Is there a ‘best’ ventilation tube?

Studies on grommet materials and sizes are not exactly new but this was a well-designed randomized study in Sweden with some useful findings. The extrusion rate and complications associated with four different ventilation tubes (grommets) were assessed prospectively in 400...

3D endoscopy in pituitary adenoma surgery

Endoscopic approach for pituitary adenoma surgery is well recognised. There has been recent refinement of 3D endoscopy technology which improves on the depth of vision offered and more compact delivery. This may improve visualisation of the critical structures involved in...

Endoscopic stapes surgery - pearls and pitfalls

Endoscopic ear surgery has gained popularity in recent years with wide panoramic visualisation of the operative field one of its key strengths. This article summarises the approach, set-up and outcomes of patients undergoing endoscopic stapes surgery. A key step during...

Navigate me there, to my new CAT

Transcanal endoscopic ear surgery (TEES) has gained momentum with its close-up high definition wide-angled views. Skeptics point out single-handed operating in a 2D view. The authors made use of navigation and augmented reality (AR) to present an additional minimal access...