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Spotlight on Africa: paediatric ENT focus

Sub-Saharan Africa (SSA) carries 24% of the global disease burden but employs only 3% of the world’s health workers [1]. Unique workforce considerations exist in SSA including a paucity of skilled health professionals and fluctuant political climates [1,2]. Shazia Peer...

Virtual educational outreach in the COVID-19 era

Existing surgical outreach programmes to developing countries have been severely curtailed by the COVID-19 pandemic. This has impacted on opportunities for otolaryngologists from the USA and from other developed countries to contribute to education and training of otolaryngologists in developing...

Head and neck cancer deaths to cost $535 billion by 2030

More than 500,000 people across the globe will die this year from head and neck cancer, which is the sixth most common cancer in the world and comprises malignancies of the nose, mouth, throat, larynx, and neck. Assuming current trends...

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...

Hypoglossal nerve stimulation for OSA: current experience with unilateral versus bilateral systems

Hypoglossal nerve stimulation (HNS) has emerged as an established treatment option for selected patients with obstructive sleep apnoea (OSA) who are intolerant to continuous positive airway pressure (CPAP). Over the past decade, technological developments have expanded the field from unilateral...

Video-augmented consent in thyroid surgery

Short, procedure-specific thyroid surgery videos improve patient understanding, standardise risk discussions and support informed consent. Background Informed consent is an important principle which underpins modern surgical practice. Patients are given information regarding their medical condition, discussion of the proposed treatment,...

Task shifting in public hospital rhinology new patient assessment

Nurse-led rhinology clinics and CBCT imaging streamline assessment, improve equity and expand capacity in a resource-constrained public hospital setting. In the ENT department at Waikato Hospital, New Zealand, we have faced problems that are no doubt well known to many...

Ida Institute’s legacy and the future of person-centred care

Professor Kris English reflects on the IDA Institute’s closure, celebrating its legacy of advancing patient-centred care and reshaping audiological counselling worldwide. In September 2008, the Ida Institute’s Director, Lise Lotte Bundesen, and her team held its inaugural ‘Defining Hearing Seminar’...

Rethinking tinnitus ‘care’: the role of digital solutions

Experiencing tinnitus can be very distressing and accessible care is limited. Digital therapeutics is one way of addressing these concerns, as described by Dr Bardy. Tinnitus presents a significant clinical challenge for various healthcare professionals, including general practitioners (GPs), ENTs...

How neuroimaging has changed our understanding of tinnitus

Brain imaging advances are revealing tinnitus-related neural networks, shedding light on its pathophysiology, heterogeneity and potential therapeutic targets. Tinnitus is a highly common but poorly understood disorder [1]. Its subjective nature and the fact that its treatment may span multiple...

Intratympanic steroids in Ménière's disease: what’s the evidence?

The days of drastic surgery for Ménière's disease are long gone. We know that intratympanic injections can deliver high doses of medication to the inner ear with minimal discomfort and minimal risk. But how do we choose from the myriad...

Gender-affirming voice surgery

Professor Ahmed Geneid is a laryngologist and phoniatrician at Helsinki University Hospital and a founding member of the International Association of TransVoice Surgeons. Here, he presents the intricacies and nuances of gender-affirming voice surgery after own hospital’s 30 years of...