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Neonatal nasal stenosis - conservative approach

The authors retrospectively evaluated the efficacy of heated humidified high-flow nasal cannula (HFNC) in neonates with nasal stenosis for this study. Of the six infants included in the study, five had congenital pyriform aperture stenosis. Three of these five also...

mAXIS stapes prosthesis

Since Shea’s first description of stapes mobilisation procedure, improvements in the technique have resulted in the development of alloplastic stapes prosthesis. The authors prospectively conducted a single-centre study to determine the safety and efficacy of the MED-EL mAXIS stapes prosthesis...

One-stage laryngotracheal reconstruction in young infants

Airway inadequacy is a significant problem in young infants and may go undetected until inflammatory conditions trigger acute episodes, some of which require a tracheostomy. In addition to breathing difficulties, feeding problems are also common. This study involves 11 children...

Clinical leadership and management: developing world ENT

I have been asked to share some of the initiatives I have been involved with to address ENT-related challenges in Africa and the developing world. Developing countries constitute the majority of the world’s landmass (Figure 1), are home to >50%...

Sustainability guidelines to reduce single-use items in ENT outpatients

ENT surgery generates significant waste, with single-use instruments and packaging as key contributors. This article outlines recommendations on sustainable practice that can be adopted into ENT departments. Climate change is one of the greatest threats to human health in the...

Global health missions – not just for consultants. A guide for trainees.

Lulu Ritchie is a courageous and driven trainee in London, inspired by humanitarian missions but conscious of the usual requests for consultant level doctors. Lulu didn’t let that hold her back. She found a way and has kindly summarised her...

Hearing loss and cognition: something to think about

Irace, Chern and Golub propose causal and non-causal mechanisms for the links between hearing loss and dementia, concluding with a discussion of several proactive measures available to help preserve neurocognitive health in older adults with hearing loss. What is age-related...

Transnasal oesophagoscopy (TNO) and balloon dilatation under a local anaesthesia

Many of us are becoming more and more familiar with the use of transnasal oesophagoscopy. It has a number of well-described uses in the outpatient setting and is well tolerated by our patients. Yakubu Karagama describes taking this technique a...

Recurrent respiratory papilloma treatment in the office

In this interesting new article, Markus Hess and Susanne Fleischer describe their technique for managing recurrent laryngeal papillomatosis in an outpatient setting using channelled endoscopes. The recurrent respiratory papillomatosis (RRP) of the larynx is a chronic HPV-associated viral disease. Clinical...

Portable otoscopy image capture devices – a comparative review

The use of photo documentation in ENT clinics is becoming more common as technological advances have made the hardware required more accessible. There is significant variation in the price of products. Daniel Moualed, Olivia Whiteside and Chris Aldren review the...

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...

From the editor MarApr 2020

Declan Costello, MA, MBBS, FRCS(ORL-HNS), Editor, ENT & Audiology News; Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.net As I write this editorial, the world is holding its breath while it follows the coronavirus...