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Is canal wall down with obliteration a useful compromise between canal wall up procedure and open mastoid cavities?

Controversy has raged for many years between open mastoid cavity procedures and canal wall up techniques in terms of postoperative recidivism and ear discharge. It is generally believed that canal wall up procedures can miss hidden cholesteatoma but preserve useful...

Patient positioning for transnasal flexible laryngoscopy

The position of a patient’s head during flexible nasendoscopy to visualise the larynx does not usually require much consideration – adequate views are almost always obtained with a patient sitting in a neutral position. Occasionally however, there will be patients...

CI outcome measures and different languages

Outcome measures for hearing rehabilitation strategies in children are the subject of endless debate. The underlying problem with measuring outcomes in this population is delineating the extent to which development (which is in itself variable) and hearing ability (usually the...

How to manage the cheek in gender affirming surgery

This publication discusses cheek augmentation surgery related to gender-affirming facial surgery. The publication describes the difference between the common male cheek anatomy and the desired ideal feminine appearance and how to achieve it. In the author’s experience, gender-affirming surgery patients...

Chin up, doc! A few simple manoeuvres could make all the difference in FNE

Flexible nasendoscopy (FNE) is an ENT surgeon’s bread and butter. It is integral and often considered superior to conventional radiography in the assessment of laryngeal and pharyngeal cancers. However, it is not as simple as sticking the camera in and...

Hot off the press: new clinically relevant research methodologies for speech and language therapy

Interpretive Description (ID) is a qualitative research framework developed to address the limitations in other qualitative methods that are not epistemologically able to take applied fields, such as clinical professions, into consideration. This framework, often described as a method, has...

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...

Medical and surgical management of performing vocalists

Dr Steven Zeitels is widely recognised as the foremost laryngologist of his generation. He has been at the forefront of innovation for 25 years, and has treated innumerable high-profile singers, most recently Sam Smith and Adele. Here, he gives us...

Speech Testing

Gareth Smith, MSc, AuD,Consultant Clinical Scientist (Audiology), Mid and South Essex NHS Foundation Trust, UK. gareth.smith8@nhs.net@garethlsmith How often do patients come to hearing healthcare professionals having noted a difficulty hearing quiet beeps in a silent environment? Rarely? Never? Yet they...

Livio™ AI: In Conversation with Achin Bhowmik

A hearing aid? A Fitbit? A falls alert device? A ‘Healthable’? Achin Bhowmik discusses how Starkey’s Livio AI came to market and what it means for the future of amplification devices. Achin Bhowmik. Achin, you have an interesting background in...

IFOS 2026 bid cities

As Dubai prepares to host IFOS 2023, the next IFOS congress in 2026 is already being planned. The competition to host the meeting is certain to be fierce – we hear from the organisers around the world bidding to bring...

In conversation with Miss Sujata De: Chair of the ESPO 2023 Local Programme Committee

Su De is one of the UK’s most prominent paediatric ORL surgeons, and has a leading role in planning ESPO 2023. Hannah Emerson caught up with Su recently to explore some of her thoughts and her plans for ESPO. You’ve...