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Reflux – diagnostic tools and special considerations in singers

Depending on your point of view, laryngopharyngeal reflux (LPR) is either ubiquitous or is over-diagnosed. Are singers more prone to LPR? What are the best tests? Mark Watson and Jane Shaw tell us more. Laryngopharyngeal reflux (LPR: the backflow of...

The cochlear implant clinic multidisciplinary team meeting

The world’s first cochlear implant clinic was in Melbourne, where multichannel devices were designed by Graeme Clark at the beginning of the cochlear implant era. We are fortunate to hear from Claire Iseli and Rob Briggs, surgeon members of this...

Brussels, a multicultural city with varied ENT practice

Brussels has a proud history in the world of ENT. Jérome Lechien, who is on the Communications Committee for the CEORL-HNS 2019 Congress, and Daniele de Siati, a member of the international Scientific Committee, give us a history lesson and...

The CEORL-HNS and its role in international collaboration

‘Together we are strong’ just about sums up the nature of the CEORL-HNS, with international and interdisciplinary collaboration at the forefront of its mission. We hear more from two of the leading lights of the organisation. The Confederation of European...

Seven things ENT surgeons can learn from the hairdressers

In a nod to our origins as barber surgeons, Australian ENT surgeon and blogger Eric Levi gives us an entertaining insight into what he has learned from his hairdresser that makes him a better doctor. I’ve been to the hairdressers...

Vocal cord dysfunction and dysfunctional breathing: an evolving clinical paradigm

Patients frequently present to the ENT department with breathing difficulties. The entity of ‘vocal cord dysfunction’ (also known as paradoxical vocal cord movement, inducible laryngeal obstruction, and many other names) is increasingly well recognised. Ravi Thevasagayam gives us an overview....

The modern management of Ménière's disease

In this article, John Phillips considers the evolution of management options for Ménière’s disease. Treatment options past and present are discussed, together with an insight into future developments regarding the role of intratympanic steroids. Ménière's disease can be the source...

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...

Papzimeos: a major advance in treating adult recurrent respiratory papillomatosis

Since the beginning of our specialty, generations of patients and surgeons have faced the challenging clinical problem of recurrent respiratory papillomatosis (RRP). Driven by a persistent and chronic infection with low-risk human papillomavirus (HPV) types 6 or 11, it is...

IFOS 2030 – the city bids

The World Congress of ORL is organised by IFOS every four years and preparations are already underway for 2030. Voting to select the final destination for the 2030 congress will take place at IFOS 2026 in Istanbul in September. Yokohama,...

Cocaine-induced ENT pseudo-GPA (CIEpGPA): an underdiagnosed entity

Cocaine-induced ENT pseudo-GPA is increasingly seen in our ENT clinics. The authors of a new ENT UK guideline offer a concise overview for day-to-day recognition and management. Use of cocaine has steadily increased in Europe since 2010 and now represents...

Independent lab tests and rates hearing aids

HearAdvisor is a new audio testing lab designed to understand how the performance of hearing aids differs.