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Mastoid surgery for cholesteatoma
Landmark Paper: Toner JG, Smyth GDL. Surgical Treatment of Cholesteatoma: a comparison of three techniques. Am J Otol 1990;11(4):247-9. Canal wall up or canal wall down? Chris Aldren discusses the landmark paper that attempted to provide a definitive answer for...Observations and ruminations - a week of collaboration and learning in Ghana
A week of surgical exchange in Ghana reveals the power of collaboration, resilience and mutual learning in advancing global ENT care. Isabelle JM Williams. Isabelle’s perspective It was a Saturday lunchtime at Heathrow airport, terminal 3. Professor David Howard, Miss...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....Leadership and maximising resources: the view from Brazil and Venezuela
Norma de Oliveira Penido, Priscila Bogar from Brazil and Sajidxa Mariño from Venezuela, leaders in otolaryngology, discuss their career journeys, the advantages and disadvantages they exerienced along the way, and the current state of ENT practice for women in South...Why is a Raven like a writing desk? Some reflections on countertenors and castrati
The countertenor voice has seen a resurgence in popularity in the last 50 years. Nicholas Clapton is one of the foremost performers and teachers of his generation, and he tells us here about the link between countertenors and the (fortunately...
Post tonsillectomy recovery in thermal welding method compared with recovery in cold steel method
Many different methods for tonsillectomy have emerged but whether they provide an improvement over the traditional cold steel tonsillectomy is another matter. Thermal welding is a recent method of tonsillectomy in which the tissues are simultaneously coagulated and divided. In...
Speech analysis via mobile phone – is there an app for that?
Experienced ENT surgeons will often be able to discern the likelihood of significant laryngeal pathology in a patient referred with dysphonia by the sound of their voice during the initial history-taking phase of a consultation. With the move earlier in...
The decision-making process by parents of children with residual hearing who receive cochlear implants
It can be a difficult decision for parents whose children have residual hearing whether or not to undergo cochlear implantation. Their children may seem to be hearing with their hearing aids, and even in some cases can hear without aids....
An otological cure for globus?
Globus pharyngeus is a common benign condition frequently encountered in ENT practice. Laryngopharyngeal reflux and psychological stressors are often considered to be contributory factors, but globus symptoms do not always respond to antacid medications. Such medications can also be limited...
