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Silent crisis: the exodus of hearing healthcare professionals from the Philippines

The migration of Filipino audiologists and otolaryngologists abroad is worsening the shortage of hearing specialists. Improving local conditions is vital to retaining talent. As ear and hearing healthcare professionals practising in the Philippines, we have seen the struggle in keeping...

‘Drop-in’ nasendoscopy – a decade of development to find head and neck cancer early

A decade of innovation in digital, remote endoscopy is paving the way for ‘drop-in’ nasendoscopy, improving early head and neck cancer diagnosis in high-risk communities. In May 2026, the University Hospitals North Midlands (UHNM) will inaugurate its newly established clinical...

Leadership: In conversation with Dr Joyce Aswani

In certain cultures, it is even more difficult for women to establish roles in leadership due to the pressures put upon them by society to take care of the home and family, often in lieu of furthering their education and...

Leadership: in conversation with Dr Joyce Aswani

In certain cultures, it is even more difficult for women to establish roles in leadership due to the pressures put upon them by society to take care of the home and family, often in lieu of furthering their education and...

Transoral endoscopic thyroidectomy / parathyroidectomy – a new approach

Historically, scarless surgery has been popular in certain cultures. But is it gaining traction around the world? A UK team tell us more. Background Alternative, remote access approaches to thyroidectomy and parathyroidectomy are increasing in popularity, the newest of these...

Direct-to-consumer hearing devices: a need to combine cosmetic appeal with device capabilities

How safe and desirable are direct-to-consumer amplification devices? A team has put a range of devices through their paces and compared them to a standard NHS hearing device. Why do most individuals who would benefit from hearing aids not try...

Triple semicircular canal occlusion and Meniere’s disease: a rising alternative treatment?

Patients with dizziness form a large part of the workload for ENT surgeons. In the overwhelming majority of cases, management will be medical and successful. However, occasionally some patients present a challenge when they have not responded to conventional treatments....

Migration adventures

One of the most inspiring stories in this issue comes from our very own Shahed Quraishi, OBE. His first mentor in the UK, Pat Bradley, spoke with him about his fascinating journey. Professor M Shahed Quraishi, OBE. Shahed, by way...

Endoscopic ‘syringe and cutdown’ technique for nasolacrimal duct obstruction in children

This article presents a novel yet simple technique to help in the management of congenital NLDO. The authors propose it as a valuable addition to existing standard procedures. Congenital nasolacrimal duct obstruction (NLDO) is a condition encountered within the first...

Quo vadis FESS? Future directions in functional endoscopic sinus surgery

Endoscopic sinus surgery is now so ubiquitous that it is hard to imagine a time when it was not part of our clinical practice. Valentin Tomazic takes a look at its early development and looks ahead to endoscopic sinus surgery...

What is Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE)?

THRIVE is a physiological mechanism for oxygenating and ventilating patients who are under general anaesthesia and who have diminished or absent respiratory effort [1]. Classical ventilation requires bulk flow of gases into and out of the lungs driven by chest...

Rotational chair testing: “To rotate, or not to rotate, that is the real question”

Passive whole body rotation tests are widely considered to be the ‘gold standard’ for the identification of bilateral peripheral vestibular disorders (bPVD), but also have a part to play in identifying unilateral disorders (uPVD). In this article Paul Radomskij discusses...