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Salivary pepsin – a simple test for LPR?

A diagnosis of laryngopharyngeal reflux (LPR) can be made on the basis of characteristic symptoms and nasendoscopy findings. Objective tests exist for this condition; for example, 24-hour dual-channel pH-metry which is considered to be the gold standard. Such tests are,...

Standards for Safe Listening – how they align and how some differ

The ‘Make Listening Safe workgroup’ is an initiative of The World Health Organization (WHO) in the framework of the World Hearing Forum and is committed to creating a world where nobody’s hearing is put in danger due to unsafe listening....

ENT Masterclass® China 2026

Declan Costello, Consultant ENT Surgeon As we will all remember, April 2020 was a very difficult time to organise meetings with the global pandemic taking hold. It was deeply ironic that the ENT Masterclass meeting was due to have been...

Greener pastures? Reflections from UK ENT surgeons now practising abroad

Ever considered practising ENT abroad? Here are some experiences of previously UK-based ENT surgeons who took the plunge and are now plying their trade in distant lands. Andrew McCombe ENT ConsultantDate of migration: December 2015Place of work: Mediclinic City Hospital,...

ENT Grand Rounds

A number of virtual teaching programmes have been set up across the UK. At Guy's and St. Thomas' and the Evelina London Children's hospitals, we embarked on a similar educational initiative to encourage...

Implantable devices and large magnets – do they mix well?

Although all brands are MRI safe at 1.5 T, the active middle ear implant system Vibrant Soundbridge (VSB), is special since it houses two magnets. These include a magnetic floating mass transducer (FMT) and an audioprocessor fixing receiver magnet which...

Meeting myself coming back

Sometimes, it can seem like trainers and trainees are separate entities, inhabiting separate worlds, in two separate spheres of experience. However, trainees become trainers, and there is always a period where the trainer has only just stopped being the trainee....

Cholesteatoma and Ear Surgery

The book Cholesteatoma and Ear Surgery is a selection of papers and presentations, including round tables and symposia, that constitute the proceedings of the 10th International Conference on Cholesteatoma and Ear surgery, a highly successful meeting that attracted over 1000...

A brief history of the acoustic ear trumpet and some collection favourites

If you think you know a thing or two about ear trumpets, I’d bet Michael Briggs knows more! In this fascinating article, he tells the history of the ear trumpet, as well as sharing some wonderful pictures from his Guiness...

Medical training initiative (MTI): stepping outside the box

Medical training initiative (MTI) scheme in the UK are becoming increasingly available and are actively supported by ENT UK. Despite this, knowledge of them is limited and there can be a mismatch between supervisors and potential candidates. Our authors, Manuela...

British English speech test for occupational hearing assessment

It is very important to properly assess occupational fitness for several occupations such as police officer, military personnel or fire fighter. The aim of this study was to develop a British English speech in noise (SiN) test as a tool...

How to deliver bad news better

Delivering bad news well takes experience and time. The Ida team recommend the SPIKES protocol; providing structure for relaying bad news, giving confidence to those delivering it, and leaving recipients feeling cared for and informed. It’s among the most distressing...