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Have we reached our limits in endoscopic skull base surgery?

As being an anterior skull base surgeon becomes the aspiration of many ENT trainees, Professor Nicolai gives his personal insights into the future for this exciting subspeciality. Having been directly involved in the evolution of transnasal endscopic surgery (TES) since...

Bilateral medialisation thyroplasty for presbylaryngis

This retrospective case series explores the voice outcomes for 21 patients diagnosed with presbylaryngis who underwent bilateral medialisation thyroplasty at a university medical centre in Portland, Oregon, USA. Silastic was implanted in 17 patients; hydroxyapatite in four. Significant improvements were...

Tinnitus apps (revisited)

If you’ve experienced an uptick in the number of your patients complaining of tinnitus lately, you are not alone. In fact, there is some evidence that the social and emotional strain of the ongoing pandemic many exacerbate tinnitus for existing...

Does trainee participation in cochlear implant surgery affect operative times?

The role of surgical education is a very sensitive issue in spite of the obvious need and the obligation of doctors to pass on their knowledge and experience to the next generation. This study is very interesting as it assesses...

Infection in prosthetic temporomandibular joints

This is an overview from an internationally recognised TMJ surgeon. It is a comprehensive article highlighting the incidence is likely to be underestimated and prevention the main objective. Eradication is very difficult. Not surprisingly, a lot of the conclusions are...

AAA 2025 + Hear TECH Expo

Lilian Felipe, Associate Chair for the Doctor of Audiology Program, Lamar University, USABringing together over 3,000 professionals in hearing and balance healthcare, the highly anticipated annual conference from the American Academy of Audiology (AAA) served as a dynamic hub for...

Spasmodic dysphonia – is greater awareness needed?

Spasmodic dysphonia (SD) is a focal dystonia of the laryngeal musculature. Previously considered to be a rare disorder, it has more recently been suggested that SD is in fact not rare but is frequently misdiagnosed or undiagnosed. This paper would...

Thyroid cancer – the last decade

Professor Ashok Shaha describes the evolution in the treatment of thyroid cancer that he has witnessed over the last decade and the invaluable progress made by himself and others, from their contributions to staging systems and guidelines. Nuances and paradigm...

Office-based intralesional corticosteroids injections for subglottic stenosis. Is it effective?

Subglottic and proximal tracheal stenosis in adults has three main aetiologies: (a) prolonged endotracheal intubation; (b) idiopathic; (C) rheumatologic related. Endoscopic dilation is the mainstay treatment strategy for subglottic and proximal tracheal stenosis. Its major limitation is restenosis requiring repeated...

New ventilation technique FCV: improvement for patient, anaesthetist/intensivist and surgeon

Per-oral surgical access to the larynx can be hampered by the presence of an endotracheal tube. Various systems have been developed for tubeless ventilation, but these all carry a risk of aerosolisation of secretions with obvious inherent risks. We hear...

Cochlear implantation in children with congenital long QT syndrome

Jervell and Lange-Neilsen syndrome is a condition where sensorineural deafness coincides with inherited abnormalities of the heart, resulting in prolonged ventricular repolarisation, frequently shown on an ECG with a prolonged QT interval. These children can present at implant centres for...

Endoscope assisted removal of jugular foramen schwannomas

This article, written by a renowned surgeon with extensive experience in removal of jugular foramen and skull base lesions, describes a new classification for jugular foramen schwannomas (JFS) and a template for selection of surgical approach for endoscope assisted removal....