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Anaesthesia for free-flap surgery

Adel Hutchinson is one of those calm and controlled anaesthetists for whom nothing seems too difficult. In this article, she describes the key perioperative factors for one of the highest complexity operations in ENT; free-flap surgery. It makes good reading...

Middle ear reconstruction in children: why, when and how

Every ear in every child is different. Rob Nash discusses the rationale behind reconstructive ear surgery in children and his philosophy on timing and techniques of reconstruction. It is rare for middle ear pathologies to be life threatening. Indeed, it...

Translanguaging: an integrated and culturally valid approach for speech and language therapy practice

This study advocates the need for speech and language therapists to understand and advocate for translanguaging practices within their day-to-day clinical work with children with communication difficulties. Translanguaging derives from the Welsh term ‘trawsiethu’, which was first introduced in 1994...

Adjuvant radiotherapy for locally advanced (T3–4) major salivary gland cancer – survival benefits quantified

Complete surgical excision of major salivary gland cancers (MSGCs) is the current mainstay of curative treatment for this disease. Indications for postoperative radiotherapy according to current UK national guidelines include high-grade tumours, advanced-stage (stage 3–4) tumours, involved resection margins, perineural...

ENT Vivas: A Guide to Passing the Intercollegiate FRCS (ORL HNS) Viva Examination

ENT Vivas is a clear and well-structured guide for trainees preparing for the FRCS (ORL HNS) viva examination. The exam demands not only knowledge but the ability to think aloud, justify decisions and stay composed under pressure; this book supports...

Predicting aspiration pneumonia in adults

Aspiration occurs when oropharyngeal or gastric contents are inhaled into the larynx and lower respiratory tract. When the aspirated material is colonised by pathogenic microorganisms, this may result in aspiration pneumonia. In contrast, aspiration of sterile gastric contents may lead...

Environmental sounds matter too

Individuals with auditory neuropathy spectrum disorder (ANSD) frequently report major listening difficulties despite hearing thresholds that may not fully explain their functional impairment. Most audiological assessment batteries focus heavily on speech perception, yet this paper argues that environmental sound perception...

Baltic Ear, Nose and Throat Conference 2026

A landmark gathering for regional and global otolaryngology The 9th Baltic ENT Congress promises to be one of the most comprehensive and dynamic meetings in the region’s otolaryngology calendar. Bringing together leading clinicians, researchers and surgeons from Europe and beyond,...

Rethinking tinnitus ‘care’: the role of digital solutions

Experiencing tinnitus can be very distressing and accessible care is limited. Digital therapeutics is one way of addressing these concerns, as described by Dr Bardy. Tinnitus presents a significant clinical challenge for various healthcare professionals, including general practitioners (GPs), ENTs...

Environmental sounds and hearing disability in auditory neuropathy

This cross-sectional study examined whether environmental sound perception contributes to self-perceived hearing abilities in individuals with auditory neuropathy spectrum disorder (ANSD). In total, 42 participants with ANSD completed the Speech, Spatial and Qualities of Hearing Scale (SSQ), alongside measures of...

Do in-office steroid injections help for idiopathic subglottic stenosis?

Idiopathic subglottic stenosis (iSGS) is a narrowing of the trachea of unknown cause, usually affecting middle-aged Caucasian women. In-office intralesional steroid injection (SILSI) is a recent advance in minimally invasive treatment aiming to reduce inflammation and scarring. The authors of...

Transnasal oesophagoscopy in head and neck cancer: an update

The role of transnasal oesophagoscopy (TNE) in the management of head and neck cancer patients is evolving. Until 1990, oesphagoscopy required specialist endoscopists, general anaesthesia or sedation. This review succinctly summarises updates in the evidence for TNE in: i) Screening...