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Update on the development of an implantable vestibular prosthesis

Cochlear implants have revolutionised the management of profound hearing loss. Might vestibular implants be the future for the treatment of bilateral vestibular failure? James Johnston and Neil Donnelly explore. The vestibular system is highly complex, integrating visual, labyrinthine and proprioceptive...

The ear-brain connection in cochlear implant users: learning to listen again

While the cochlear implant (CI) has been a tremendous success in restoring hearing to deaf individuals, the implantation outcome still varies across CI users [1]. Some demographic factors, such as duration of deafness, and peripheral factors, such as electrode placement,...

The ‘umbrella furling’ deflation technique for cuffed tracheostomy tube - a useful tip for an easier tracheostomy insertion

In this article, the authors describe a quick and effective technique to assist with the maximal deflation of a tracheostomy tube cuff prior to insertion, thus making the process easier with less chance of damage to the cuff and a...

Targeted focal parathyroidectomy

Leanne Hamilton and Louise Clark describe their technique for helping to localise parathyoid adenomas. Surgically this can be difficult, so careful preoperative evaluation using imaging as described can help minimise difficulties intraoperatively when identifying the parathyroid adenoma. Preoperative imaging has...

Liquid gold – platelet-rich plasma glottic injections in vocal pathology

Platelet-rich plasma (PRP) is being used in an increasing number of ENT conditions, with particular promise in the larynx. Voice is a defining human characteristic. The ability to communicate with one another and to use the vocal folds (VFs) for...

Green hearing services: sustainable care for people and the planet

Environmental resource depletion is no longer a distant threat; it is a current health emergency. Sustainable hearing services are kind to both people and the planet. In January 2026, the International Society of Audiology hosted a webinar bringing together those...

Observations and ruminations - a week of collaboration and learning in Ghana

A week of surgical exchange in Ghana reveals the power of collaboration, resilience and mutual learning in advancing global ENT care. Isabelle JM Williams. Isabelle’s perspective It was a Saturday lunchtime at Heathrow airport, terminal 3. Professor David Howard, Miss...

Beyond blocked noses: paediatric olfactory dysfunction for the ENT surgeon

Smell loss in children often goes unnoticed. Recognising the signs, understanding the causes and improving access to assessment could transform care. The hidden epidemic: why smell matters in children When a child presents with nasal obstruction, we instinctively look for...

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...

Stricture after total laryngectomy: what are the risk factors?

Stricture after total laryngectomy is common but not inevitable. New insights into risk factors could help clinicians anticipate problems and improve swallowing outcomes. Why this complication deserves renewed attention Total laryngectomy remains one of the defining operations in head and...

Civility saves lives: in conversation with Andrea Burgess

Following her presentation on civility at this year’s AOT Annual Conference, Andrea Burgess speaks to AOT treasurer Callum Findlay about why civility is a surgical skill, not simply a matter of manners. Andrea Burgess. Abrasiveness in surgery has long been...

Civility saves lives: in conversation with Andrea Burgess

Following her presentation on civility at this year’s AOT Annual Conference, Andrea Burgess speaks to AOT treasurer Callum Findlay about why civility is a surgical skill, not simply a matter of manners. Andrea Burgess. Abrasiveness in surgery has long been...