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Nothing about us without us: a how-to guide

Participatory design is an approach that is built around collaboration with users through a process of coproduction, design and creation. Most interventions are designed with the expert clinician researcher as the starting point, who looks at theory, evidence and their...

In conversation with Joana Araújo – Chair of the ESPO Junior Board

In the lead-up to the ESPO (European Society of Pediatric Otorhinolaryngology) Virtual Conference on 20 Feb 2021, Ray Clarke (President, ESPO 2023) interviewed Joana Araújo (Chair, ESPO Juniors Board) to find out a bit more about ESPO Juniors and their...

Recovery room cortisol to predict long-term glucocorticoid supplementation

The authors report the results of using recovery room (RR) cortisol to predict the need for long-term glucocorticoids in patients who underwent transsphenoidal surgery (TSS). They conducted a retrospective study of preoperative morning serum cortisol (MSC), RR cortisol and day...

Enhancing the pure-tone average calculation method for reporting hearing outcomes: the need for a transition to the logarithmic mean

Comparing studies requires common approaches. Ali Faramarzi takes a moment to consider how to tackle the presentation of audiometric data in publications. Uniformity in reporting hearing outcomes is paramount for accurate evaluation and comparison of hearing-related research. Standardised guidelines are...

In conversation with Professor John Fenton

John Fenton, Republic of Ireland, has recently been appointed President of the Union Européene Des Médicins Spécialistes (UEMS) ORL or European Union of Medical Specialists ORL Section. We caught up with him to find out a little more about his...

Acoustic shock: definitions and clinical aspects

Acoustic shock, a previously little-known and poorly understood clinical entity, came to the public’s attention in 2019 due to a high-profile legal case of a musician at the Royal Opera House. In this fascinating article, Andrew Parker and William Parker...

Heard it all? Why leadership takes ENT training beyond the scalpel

Leadership in ENT training shapes registrars into team leaders in wards and theatres. It’s not just a CV point; it’s essential for effective patient care and team management. Leadership is a term that is present throughout ENT training. Even before...

How useful is AHI?

There is a growing unease in the sleep medicine world about the usefulness of the apnoea-hypopnoea index (AHI). Most of our objective evidence about obstructive sleep apnoea (OSA) is in some way related to the AHI, and the respiratory physicians...

Effectiveness of oral pressure therapy in obstructive sleep apnoea: a systematic analysis

Oral pressure therapy (OPT) is a relatively new form of therapy for obstructive sleep apnoea (OSA). Paradoxically it seems to work even though it creates a vacuum in the oral cavity as opposed to the gold standard of continuous positive...

The need for pre-operative overnight pulse oximetry in children undergoing surgery for obstructive sleep apnoea syndrome

Snoring is a common occurrence in children listed for adenotonsillectomy. This may be associated with obstructive sleep apnoea syndrome, in which case the post-operative recovery of these children needs to be closely monitored. This study undertakes to assess whether an...

Double suspension sutures for obstructive sleep apnoea

This study examines the benefit of an operation that targets the lateral pharyngeal wall. The double suspension sutures are, in essence, a suture through the palatopharyngeus muscle which is then tied around the hamulus in the retro molar area. This...

Viral induced hearing loss

Viruses are a common cause of hearing loss both in children and adults. This article provides a good review of the viral causes of hearing loss and can be regarded as an essential read. The authors divide the viruses into...