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‘Pen’doscope - writing in a reduction in healthcare delivery costs

Optimal management of cleft lip and palate requires a multidisciplinary team approach to treatment, with the goal being maintenance of facial growth and improvement in speech and hearing, in addition to closure of the cleft. This can be especially challenging...

Does minimally invasive surgery under local anaesthesia have a role in the management of chronic rhinusinusitis?

A formal FESS procedure usually done under local anaesthesia is considered as gold standard in the management of chronic rhinusinusitis. However, success is hampered by a significant recurrence rate of polyps requiring revision surgery, long waiting lists, reluctance of elderly...

Exciting advances in facial reanimation

Despite several techniques for reanimation after facial paralysis, the management of these patients continues to challenge us. This paper reviews advances in facial reanimation surgery, provides updates on the timing of intervention, modifications to the traditional gracilis muscle transfer, other...

Assessment of audiological needs

A thorough assessment of audiological needs is crucial for a successful audiological rehabilitation. This study concentrated on creating the Québec Audiological Assessment Protocol for Younger and Older Adults (QAAP-YOA) that could be easily adopted in audiological clinics. The authors used...

Update on cholesteatoma

Surgery for cholesteatoma should be tailored to individual patients, considering patient and disease factors, to obtain a dry, safe and functional ear. In this article, the authors discuss the current definitions and classification system of middle ear cholesteatoma, as well...

Is pan-endoscopy necessary to detect synchronous primary in upper aerodigestive tract cancer?

Diagnosis of head and neck cancer requires speed. It has also to be comprehensive in view of the possibility of synchronous primary cancer (SPC) associated with upper aerodigestive tract cancer (UADTC). Some centres still consider pan-endoscopy essential in the diagnostic...

Laryngocele: a rare but complex disease associated with laryngeal cancer

The incidence of laryngocele is very low – 2.5 per million but its occurrence can be associated with cancer of the larynx. In this retrospective study of 14 cases over 10 years, the authors have elaborated on aetio-pathology, which is...

Adult hearing screening: consideration for a holistic model

Background Adult-onset hearing impairment is a highly prevalent and undertreated chronic problem that poses a significant burden of disease worldwide [1]. It is usually gradual and diagnosed and managed approximately 10 years after adults have first experienced hearing difficulties [2]....

Inter-professional teamwork and hearing care for older adults with cognitive loss

There is growing awareness that hearing loss is linked to dementia [1]. The average first-time hearing aid user is about 70 years old. By this age, approximately 1 in 2 people have hearing loss and 1 in 7 have cognitive...

The UK otolaryngology trainees’ lived experience during the COVID-19 pandemic

Much has been published on the concerns and real impact of the pandemic on surgical training. In this article, colleagues from the Association of Otorhinolaryngologists in Training (AOT) in the UK share the experiences of their membership. We invite our...

Destination unknown

We as doctors do not always know the answer. Associate Professor Jacqueline Allen guides us through the importance of acceptance of this uncertainty and its complex mental journey. She highlights that, as clinicians, we must embrace the unknown and be...

How good ideas become great products: in conversation with three medical innovators

Ever had a great idea for an innovation that would significantly improve your practice, but wondered how to go about developing it? Lucy Dalton interviewed three consultant ENT surgeons-come-successful innovators (one international, one novice and one experienced) who explain what...