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Alfred Alexander: a life in ENT, but mainly music

Your own voice clinic may be filled with teachers, elderly clergy and badly trained pub singers, but it wasn’t always like this... When I was first invited to write an article about opera and ENT for this edition of ENT...

The evolution and advancements in radiological imaging of the sinuses

Computed tomography (CT) imaging is crucial in the planning of any endoscopic sinus operation; we hear from one of the pioneers of CT scanning who worked with Stammberger and Messerklinger in developing many of the technologies that we now take...

Implant now, or wait? Cochlear implantation’ in the age of gene and cell therapy

Gene and cell therapies for hearing loss are advancing fast, but cochlear implantation remains the proven, time-critical intervention for most children with deafness today. Families of babies newly diagnosed with severe to profound hearing loss are already processing an enormous...

Reducing hierarchy for individuals and teams across ENT

Alexander Pope said that “to err is human”, but medical errors can have serious consequences. How can better communication minimise the risk of them occurring in the first place? Allowing all members of the surgical team to feel empowered to...

CEORL-HNS Academy

The CEORL-HNS Academy exists to improve and update knowledge and skills among ORL-HNS residents and young specialists, aiding in their preparation for national and international exams. Exam preparation is sweeter if it can be done in the beautiful surroundings of...

JLO surgical video: right selective neck dissection levels 2-5

Surgical training has become more challenging following the introduction of the European Working Time Directive. The consequences of reducing the amount of time we operate has driven us to look for other resources to fill this gap. These initially began...

Comparing AutoREM accuracy to NAL-NL2 targets: real patient data and simulator verification

A new study examines how accurately AutoREMs from four major brands hit NAL-NL2 targets, revealing strengths, limits and clinical implications. Automatic real ear measurements (AutoREMs) have emerged as a promising way to make hearing aid fittings faster and more consistent....

Method of delivery: all topical nasal corticosteroids are not made equal

There is an increasing body of evidence that the role of surgery for chronic rhinosinusitis is to facilitate the delivery of topical medical treatment – most notably, topical corticosteroids. Two recent studies, one using flow dynamics and another one examining...

Semicircular canal dehiscence and cochlear implantation

Semicircular canal dehiscence (SCD) is thought to occur in 3% of the population, it is mostly asymptomatic, but patients may present with sound-induced vestibular symptoms, low-frequency conductive hearing loss, autophony, hyperacusis and aural fulness. With the increasing utilisation of cochlear...

Management of postoperative cholesteatoma

This prospective longitudinal observational study compared the ability of second-look surgery with that of surveillance using serial non-echo-planar diffusion-weighted imaging to detect residual cholesteatoma after canal wall-up mastoidectomy. A total of 34 patients were included in the study who underwent...

Transmastoid facial nerve decompression for persistent traumatic facial nerve paralysis

Facial nerve paralysis (FNP) can occur following trauma, with a small number of these patients requiring facial nerve decompression (FND) to aid recovery. The authors shared their experience in decompressing the facial nerve for persistent severe FNP via a transmastoid...

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...