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MRI scanning patients with cochlear implants and auditory brainstem implants

In the last five to six decades, MRI scanning has gone from physics experiments in Nottingham University through to Nobel prize-winning work by Sir Peter Mansfield and Paul Lauterbur, to a ‘routine’ imaging modality with an estimated 60 million MRI...

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...

Balloon dilatation of the eustachian tube - largely very safe but not entirely without risk

Consent is a fundamental part of our daily working lives. This is something as simple as consent to examine a patient, consent to undertake a procedure as minor as taking blood, through to consent for a major operation. Whatever the...

Poking the bear: learning to drain quinsy on a mannequin head

Simulation in medicine has gained significant traction in both undergraduate and postgraduate training over the last couple of decades or so – the benefits to all involved are clear. The airline industry models for human factors and crew resource management...

A faster way to manage patients with swallowing disorders with enhanced role of speech and language therapists

Allied health professionals (AHPs) make up the third largest clinical workforce in the NHS. They represent a diverse group of registered professions who play a vital role in the health service, working across various settings and with all age groups....

The risks of misjudging African American dialects as lesser!

Healthcare inequalities in multicultural societies, such as the UK, are becoming increasingly apparent. They arise via a complex interplay of factors, with socioeconomic deprivation, structural biases and specific cultural and biological risk factors all contributing to disparities. There is ample...

The first compact auriscope: the 1865 speculum auris of Dr Brunton

Bringing light into darkness can also be a task for the physician. With the advent of endoscopy (initially by reflecting light into body cavities), new methods of diagnosis and treatment became available to the otologist. In 1865, the Scotsman John...

Swallowing assessments of the future: the role of artificial intelligence

The future’s bright, the future’s Orange AI… If you Google ‘how much is AI worth?’, the AI overview tells you “The global artificial intelligence (AI) market size is estimated at approximately $244 billion to $391 billion in 2025 and is...

From the editor Mar/Apr 2026

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. TW / X: @Voicedoctor_uk This year’s calendar is chock full of conferences and meetings, so there will be a lot to cover in the...

Muscle tension dysphagia: an underdiagnosed problem

In this article, the authors introduce the description of swallowing problems which have been recently attributed to muscle tension dysphagia (MTDg). The authors are clear that this is a diagnosis of exclusion, and it is important to rule out other...

Scientific advances in mapping syndromic hearing loss

From more than 22000 genes that we humans have, approximately 3000 genes are associated with human communication. There are tens of syndromes which have been identified to be accompanied by hearing loss. Disorders of almost every organ of the body...

A soprano’s demise: a cautionary tale for the thyroid surgeon

Prior to the mid-19th century, thyroid surgery was considered excessively dangerous. The emergence of anaesthetic, antisepsis and improved instrumentation, however, increased its feasibility and frequency in Europe. The unhurried, judiciously antiseptic and haemostatic approach, advocated by Kocher, was popularised and...