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When should that child’s wet ear be operated on?

The team from Birmingham have provided a meta-analysis to answer the question of when to perform a type 1 tympanoplasty on chronic paediatric perforations (under 18 year olds). Forty-five studies were included which resulted in 2609 cases. Closure rate at...

50 Landmark Papers Every Thyroid and Parathyroid Surgeon Should Know

The motto ‘publish or perish’ has never been more fervently adopted globally than in the present age. Indeed, the preface of this book observes that between 2016 and 2019, “approximately one paper [was published] every 4 minutes”. In this ocean...

Microsurgical Management of Middle Ear and Petrous Bone Cholesteatoma

Several years ago, after being appointed as a consultant, my esteemed senior colleague entered my office and questioned why I was reading a textbook at that stage of my career, suggesting that I should be focusing solely on journals. Whilst...

Atlas of the Facial Nerve and Related Structures

Although we all know the course of the facial nerve is pretty complex, I was surprised that a whole book and 104 pages had been dedicated to describing it. However, on reading through the book, it is apparent that although...

Vascularised tissue in salvage total laryngectomy

Chemoradiation (CRT) has become the mainstay for locally advanced laryngeal cancer since the RTOG 91-11 trial. Unfortunately there is still a substantial demand for salvage laryngectomies, which have a higher complication rate, the most notable being pharyngocutaneous fistula (PCF). Several...

Modified subciliary approach to the orbital floor

Fractures involving the lateral midface and orbital floor are routinely treated by maxillofacial surgeons. The surgical management requires access to the facial skeleton to reposition and free the soft tissues. There are three main approaches to the orbital floor: infraorbital;...

Continuous Ambulatory Vestibular Assessment (CAVA)

This article presents initial test findings using a novel system called CAVA - Continuous Ambulatory Vestibular Assessment. Akin to the 24-hour ECG tape to identify cardiac arrhythmias, this system aims to continuously monitor the presence of a nystagmus pattern in...

3D-printed temporal bone models - how good can they be?

In the era of increasingly difficult and expensive-to-come-by cadaveric temporal bones with which to practise drilling and learn the complex 3D anatomy of the temporal bone, decent alternatives would be welcome. McMillan et al report a prospective comparison study in...

National selection: is the research section of the portfolio fit for purpose?

Applications for ENT training roles in every country require certain criteria to be met. In the UK, ST3 recruitment applications have scores allocated to research experience. In this opinion piece, the authors share their assessment of the potential issues around...

From the editor JanFeb 2022

The start of a new year is always an opportunity to look forward with a renewed sense of hope and optimism. It is also a chance to look back at the previous 12 months and, looking back to early 2021, we were just at the dawn of the COVID vaccination programme – this had developed at an unprecedented pace, and gave us all huge cause for excitement and hope.

ENT in this issue...BACO 2023

Declan Costello, MA, MBBS, FRCS(ORL-HNS), Editor, ENT & Audiology News; Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.net BACO (the British Academic Conference of Otolaryngology) has been running regularly since its inception in Oxford...

Neuromod publishes results of second large-scale clinical trial for tinnitus, shows greater improvement of symptoms

Neuromod Devices, the medical device company specialising in tinnitus, has published the results of its TENT-A2 (Treatment Evaluation of Neuromodulation for Tinnitus – Stage A2) clinical trial in the scientific journal, Nature – Scientific Reports in a paper titled ‘Different bimodal neuromodulation settings reduce tinnitus symptoms in a large randomized trial’.