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American Journal of Otolarygology - Head and Neck cover image.

Dysplasia at the margins of laryngeal cancer specimens following laser resection – is conservative management appropriate?

2 July 2025 |
Transoral laser microsurgery (TOLM) remains the cornerstone of treatment for early laryngeal squamous cell carcinomas. Whilst the hope is always to achieve a complete surgical excision with clear margins, it is sometimes the case that on histological analysis, disease is...

From aaargh to zzzzz: the ABC of paediatric anaesthesia

1 November 2019 | | ENTA - Paediatrics
Andrew McTavish is one of those special breeds who not only relishes complex anaesthesia, but also does so in paediatric patients. Dealing with this group of patients requires careful planning according to accepted practice, and here he discusses some recent...
Photo showing virtual reality in surgical training.

Virtual reality: the future of surgical training

4 September 2025 | | ENTA - Head & Neck
The evolution of surgical education Surgical training has traditionally been rooted in cadaveric dissection, hands-on apprenticeships and theoretical learning through lectures and textbooks. For centuries, aspiring surgeons refined their skills through a structured process of observation, practice and mentorship. The...

The emergence of in-office ventilation tubes for the treatment of otitis media in children

7 January 2025 | | ENTA - Otology
In-office tympanostomy tube systems offer a quicker, anaesthesia-free alternative to traditional surgery for children, with promising outcomes and reduced costs. Tympanostomy tube or grommet insertion is the most common surgery performed on children worldwide. Whilst a relatively short and straightforward...

Developing outcome measures for research

1 January 2018 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic
There are challenges in developing outcomes measures; Professor Hall presents five top pointers for making rapid progress in developing outcome measures for research purposes. Anyone who has worked clinically with hearing loss will appreciate that every patient’s experience is personal....

Developments in diagnostic approaches for acutely dizzy patients

27 February 2020 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Otology, ENTA - Vestibular Disorders
The acutely dizzy patient can be a diagnostic and management dilemma for emergency departments and general practitioners, with many patients consequently having delayed access to specialised assessment and treatment. David Jay tells us about HINTS, a bedside test that can...

Optimising hearing aid processing for music appreciation

1 September 2016 | | ENTA - Audiology - Adult, ENTA - Audiology - Paediatric, ENTA - Audiology - Diagnostic
Hearing aid manufacturers’ main focus has, up until recently, been improvement of speech intelligibility. Today’s hearing aid users have much broader demands however and often cite improved music perception as a key outcome or goal. Drs Tish Ramirez and Rebecca...

Effects of air pollution and climate change on the upper airways

10 March 2023 | | ENTA - Rhinology / Sinus
Dr Alexander Simidchiev is a specialist in internal medicine, pulmonary medicine and public health. He is the Co-Founder and President of Air for Health, a non-profit organisation aimed at educating medical professionals about the impact of air pollution and climate...

Ear wax: the good, the bad, and the ugly

2 March 2022 | | ENTA - Audiology - Adult, ENTA - Otology
With ear wax removal being a core part of ENT and audiology services, Seth Schwartz gives us his dos and don’ts. We have all seen cartoons where a character pulls enough wax out of their ears to make a candle....

Otorhinolaryngology training in Haiti: a call for accompaniment

25 April 2023 | | ENTA - Head & Neck
Haiti is a small Caribbean country in which a group of freedom fighters successfully defied Napoleon and the French military. It has faced embargoes, economic isolation, political crises and devastating natural disasters since its independence. Its GDP is 0.01% of...

IFOS 2030 – the city bids

15 July 2026 | | ENTA - General
The World Congress of ORL is organised by IFOS every four years and preparations are already underway for 2030. Voting to select the final destination for the 2030 congress will take place at IFOS 2026 in Istanbul in September. Yokohama,...

Making the most of your surgical rotations as a medical student in theatres

7 January 2026 | | EYE - General
This article provides practical tips for medical students to navigate theatre etiquette, engage with teams and gain valuable surgical experience. I am the kind of person who needs a set of alarms ringing every two minutes just to get out...