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In-office management of subglottic and tracheal stenosis: balloon dilation, laser treatment and steroid injection

Laryngology continues to advance since its development as a subspecialty at the turn of the century. Rarely performed operations restricted to the surgical theatre can now be undertaken in the outpatient / office environment. This detailed article demonstrates, in a...

Adolescence, drug use and body image

Teenagers are notoriously conscious of how they are perceived by others. Dr Saraiva and colleagues explain how this can lead to problems with substance abuse for both boys and girls, and discuss the different substances they may encounter. Adolescence is...

Understanding osseointegration for the otologist

Bone conduction implants are hearing devices that require osseointegration to create a stable and reliable interface between the hearing device and the skull to deliver sound to the cochlea. This article reviews the physiology of osseointegration, factors that may lead...

The golden nose – reshaping the nose 100 years ago

Wolf Lűbbers (with the golden nose). Who with a crooked nose would not embrace the chance to go to bed in the evening wearing a surgical device and wake up the following morning with a straight one? And all this...

Why, and how, audiologists should measure language ability: introducing AudiCloze

A cloze test uses missing ______ to assess language ability.How can audiologists measure ______ to help assess listening difficulties? Language ability and listening difficulties While it seems like stepping onto someone else’s turf, there is a strong need for audiologists...

Circular economy approach to reducing your carbon footprint in your ENT operating room

Although our operating rooms consume significant resources, some simple changes can have considerable impact in reducing greenhouse gas emissions. Here are 10 such simple things we can do. Waste is one of the largest contributors to a hospital’s carbon footprint,...

Ida Institute tackles clinician burn-out

Founded in 2007, Denmark’s Ida Institute is dedicated to the health of people with hearing loss. Its new four-part course, however, is aimed at another group: the medical professionals whose jobs can compromise their own health.

Random-pattern skin flaps: part 3 - Z-plasty flaps

In this third (see Part 1 here, Part 2 here and Part 4 here) of four articles outlining, in some detail, the practical steps for some important local skin flaps, Christopher Thompson and Miles Bannister describe the Z-plasty; a very...

OBITUARY: Professor Carel Dirk August Verwoerd (1936–2026): Founding father of the European Society of Paediatric Otorhinolaryngology

Professor Dr Carel Dirk August Verwoerd. Professor Dr Carel Dirk August (Carel) Verwoerd was a driving force in the development of paediatric otorhinolaryngology in Europe. As a founding member of the European Society of Paediatric Otolaryngology (ESPO) in 1994, he...

Cuff up or cuff down; to occlude or not to occlude? What effect does tracheostomy tube modification have on swallowing outcomes?

Dysphagia is commonly seen in patients with tracheostomy. The current global pandemic has increased interest in the impact of a tracheostomy on swallowing outcomes. This systematic review is therefore a timely addition to the literature and a useful read for...

Mobile apps for ENT emergencies

On-call apps have been covered in this publication before, with reference apps taking centre stage [1]. This article will focus on apps with specific functions which can be of use in frequently arising emergency scenarios. However, for reference apps I...

Random-pattern skin flaps: part 2 - rhomboid and bilobed flaps

In the second of our series on local skin flaps (see Part 1 here, Part 3 here and Part 4 here), the authors describe more techniques and examples of various skin flaps that trainees should find very interesting. Rhomboid flap...