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General overview of endoscopic ear surgery: advantages and principles

The philosophy of endoscopic ear surgery presents surgeons with a tricky concept – does the magnificent view make up for the fact I need to operate with one hand? In this article, Jane Lea discusses the advantages of operating transcanal...

Recalcitrant chronic rhinosinusitis: What to do next?

Whilst the majority of patients with chronic rhinosinusitis (CRS) will significantly improve with treatment, we are sometimes left with a ‘hard-core’ of nasal cripples who fail to improve despite our best efforts. How can we deal with these patients? Valerie...

Sialendoscopy

Recent advances in endoscopic technology allow the ENT surgeon to access the salivary gland ductal system for both diagnostic and therapeutic reasons. In this article the authors share their experiences with using this technology, both as a standalone procedure and...

Management considerations for limited usable hearing unilaterally in the paediatric population

How can we best support children with limited usable hearing in one ear? This article discusses the latest approaches. Limited usable hearing unilaterally (LUHU) is an emerging term and has been suggested to replace the historical term ‘single-sided deafness (SSD)’....

Skull bone reconstruction using 3D-printed titanium implant

ENT surgeons’ role in advanced skull base resection and reconstruction continues to grow; this article explores how 3D printing aids planning and repair of complex defects. The integrity of the craniofacial skeleton is essential for both functional and aesthetic reasons....

Rhinoplasty: state-of-the-art

Rhinoplasty surgery has evolved over the years, and Pietro Palma introduces a further new concept. When flicking through the topics of major rhinoplasty meetings, the astute observer will realise that, at present, there are two mainstream schools of rhinoplasty, which...

FESSing up

This story is dedicated to my dear friend and much-missed colleague, Heinz Stammberger, with whom some of these moments were shared (or endured). Having used a rigid endoscope in my postgrad thesis in the early 1980s to show that the...

Nasal sidewall reconstruction

Expert reconstruction of nasal sidewall defects requires careful selection of techniques across nasal layers, balancing aesthetics, structural support and patient needs. When reconstructing a nasal skin defect, a variety of factors should be taken into account in order to achieve...

A comparison of two different audiology roles in Denmark and the United Kingdom

The World Health Organisation (WHO) estimates that there are over 360 million people with a disabling hearing loss in the world. Disabling hearing loss is considered to be a loss of greater than 40 decibels (dB) in the better hearing...

COVID-19 in China: the experience of an ENT team

In January, we first heard of COVID-19. As we currently do battle with it on our own shores, colleagues in China share their story with us as life there slowly and cautiously begins to return to normal and the country...

In conversation with Professor Paul J Donald

Prof Paul J Donald has recently stepped down as Chairman of the ORL-HN Department at UC Davis in Sacramento and is winding down to retirement. In this interview with Prof Pat Bradley, Prof Donald explains some of the highlights of...

Between sirens and silence: the burden on otorhinolaryngologists in wartime Ukraine

Ukrainian ENT teams continue life-saving and routine care under air raid alerts, with staff shortages, strained resources and the long psychological toll of war. War reshapes medicine long before it destroys hospitals. It alters the rhythm of clinical work, the...