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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...

Scarless thyroidectomy: the RABIT journey in robotic innovation

Surgeons in Bangalore share how a novel robotic approach enables scar-sparing thyroid surgery for large nodules and cancer, while reshaping global training. Can an 8 cm benign thyroid cystic nodule be removed without a big scar in the neck? Can...

Monstrous craws and horrid butchery: a concise history of thyroid surgery

Prior to the foundation of our speciality, thyroid surgery had a dubious reputation and universally dismal outcomes. Jenny Walton casts a critical eye over this dark chapter. Diseases of the thyroid gland have been referenced in historic texts for well...

Endoscopic ‘syringe and cutdown’ technique for nasolacrimal duct obstruction in children

This article presents a novel yet simple technique to help in the management of congenital NLDO. The authors propose it as a valuable addition to existing standard procedures. Congenital nasolacrimal duct obstruction (NLDO) is a condition encountered within the first...

The role of artificial intelligence and applications in ENT surgery

AI is progressing apace. If you’re wondering how it might affect our working lives in ENT, read on for insights and a pilot study that show us what may be possible. The recent launch of ChatGPT, an open access artificial...

GORD and CRS – is there an association?

This international collaboration assessed 32 papers which had published original data on the experimental, diagnostic, treatment or prognostic association between GORD and CRS. The study aims to systematically review the evidence for a role of GORD in CRS. Case control,...

Rhino Refresher – a virtual course

Overall, I thought it was a great initiative, well-organised and I hope that we will copy the idea to other subspecialties. Such revision days are an excellent opportunity to refresh our pre-existing knowledge and to point out areas for further reading.

Celebrating CIICA's first anniversary

It was cause for a double celebration: not only was 25 February named as International Cochlear Implant Day, but it was the first anniversary of the CI International Community of Action (CIICA).

Nasal septoplasty: is it more effective than medical management?

Question1. How do we know that undertaking an operation will benefit a patient? Question 2. How do policy makers / health systems know an operation is effective and ‘good value for money’? As trained professionals, we spend our careers seeking...

JORL-HNS 2025

The 126th Annual Meeting of the Japanese Society of Otorhinolaryngology – Head and Neck Surgery (JORL-HNS 2025) was held at Pacifico Yokohama in May. The event brought experts together from across Japan and further afield. Professor Shigeharu Fujieda from University...

Developmental stuttering: a speech-motor impairment with sensory aspects

In treating patients who stutter, understanding the effects of sensory input (i.e. auditory input) can help to direct therapeutic approaches. Sensory processing has been identified as a contributory factor in several diagnoses, notably autism and ADHD [1], however it has...

Intratympanic treatments for subjective idiopathic tinnitus

Direct application of medication into the ear is long established, going back as far as written records. In the modern era, greater understanding of aural anatomy revealed that drugs instilled in the middle ear could potentially diffuse into the cochlea...