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Metrics to evaluate post-ACDF dysphagia

The authors performed a literature review to evaluate the current classification metrics for quantifying dysphagia after anterior spine surgery and, specifically, cervical discectomy and fusion (ACDF). They selected 19 articles after reviewing literature from 2005 to 2021. The result of...

Alfred Alexander: a life in ENT, but mainly music

Your own voice clinic may be filled with teachers, elderly clergy and badly trained pub singers, but it wasn’t always like this... When I was first invited to write an article about opera and ENT for this edition of ENT...

Progress of head and neck surgery in China over the last 20 years

Although China was late to establish head and neck surgery in comparison to other areas of oncological surgery, with the persistent hard work of head and neck surgeons nationally, it has progressed significantly during the last two decades. Yueying Ma...

Practical training courses for otolaryngology trainees

In this extended Trainee Matters, it’s a pleasure to present a trio of excellent articles with a theme of practical training courses for otolaryngology trainees. Miss Rachel Edmiston, Professor Nirmal Kumar and colleagues have written a valuable guide to setting...

PuroPro headphones review

The PuroPro is the latest product from Puro Sound Labs, a family-run business focusing on high quality, sound limiting headphones. For this family business, it’s personal. The company founder’s son has a noise-induced hearing loss attributed to headphone use. With...

What’s new in the cochlea?

Prof Furness in this article rounds up the steps and leaps being made by the scientific community to develop therapies to support, rejuvenate and / or replace the cochlear structures. David’s electron microscope images of the cochlear structures are world...

Untangling the emotional and physiological aspects of hyperacusis

In hyperacusis, the physiological and the emotional aspects can become deeply entwined. Dr Sarah Theodoroff draws us into her perspectives on this important aspect of the condition. Background Sounds and Emotions The basic act of hearing sounds triggers an emotional...

A funny thing happened on the way to a conference – and other stories

This series of stories is dedicated to those of you with whom some of these moments were shared (or endured) and, above all, to my amazing and long-suffering husband, David Howard. Most of you know him as an exceptional head...

Medical training initiative (MTI): stepping outside the box

Medical training initiative (MTI) scheme in the UK are becoming increasingly available and are actively supported by ENT UK. Despite this, knowledge of them is limited and there can be a mismatch between supervisors and potential candidates. Our authors, Manuela...

Labour rights violations in the manufacture of healthcare goods

Every year trillions of dollars are spent on medical supplies globally. The operating theatre is a significant proportion of this spend, typically accounting for a third of a hospital’s supply costs. When making purchasing decisions consideration is given to value...

CO2 Laser Dohlmans: Does It Still Have A Role In Pharyngeal Pouch Management?

Background The commonest active management of a pharyngeal pouch is the division of the “interparty” wall using a stapling device [1, 2]. The technique is relatively straight forward to perform and theoretically should have less complications than other techniques such...

Diagnosing and managing somatic tinnitus

Interactions between auditory and somatosensory pathways can lead to interesting tinnitus experiences which can be very bothersome. Dr Sarah Michiels describes her pioneering work in this area, and the possibilities of physiotherapy based therapy. Background Somatic (also called somatosensory) tinnitus...