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The emergence of in-office ventilation tubes for the treatment of otitis media in children

In-office tympanostomy tube systems offer a quicker, anaesthesia-free alternative to traditional surgery for children, with promising outcomes and reduced costs. Tympanostomy tube or grommet insertion is the most common surgery performed on children worldwide. Whilst a relatively short and straightforward...

Diagnostic Audiology Pocket Guide: Evaluation of Hearing, Tinnitus, and Middle Ear Function

The Diagnostic Audiology Pocket Guide, as advertised, fits into a pocket. Albeit a larger one. This textbook takes the reader on a brief journey through routine diagnostic audiology testing procedures, including some less performed tests such as wide-band acoustic immittance...

From the editor May/June 2023

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTw: @Voicedoctor_uk The management of swallowing disorders is often seen as a ‘Cinderella’ field, so it is a real pleasure to be able...

The mounting burden of hearing loss worldwide: gearing up global collaboration

As audiology and ENT professionals we all have an inkling about the prevalence and impact of hearing loss, but the true gravity of the situation is even greater than previously thought… It may seem hard to believe, but in the...

Anaesthesia for free-flap surgery

Adel Hutchinson is one of those calm and controlled anaesthetists for whom nothing seems too difficult. In this article, she describes the key perioperative factors for one of the highest complexity operations in ENT; free-flap surgery. It makes good reading...

The future role of technology in rhinology

Technology is moving our speciality forward very rapidly in all domains, but none more so than in rhinology. David Whitehead looks at current and future trends. How will a surgeon justify their position in a team where artificial intelligence (AI)...

In conversation with Professor Kelvin Kong

Professor Kelvin Kong is a proud Worimi man, the first Aboriginal surgeon in Australia, an otolaryngologist, head and neck surgeon, and an amazing advocate for equality in health delivery in Australia. He holds professorial positions at Macquarie University, the University...

Hearing aid outcomes in older adults: what and when to measure

What matters to older adults when purchasing a hearing aid? Larry Humes explores the domains that should be measured for this key group. This article identifies key domains of hearing aid outcome in older adults. Increasingly, third-party payers and private-pay...

Anaesthesia for excision of vestibular schwannomas

The ‘shared airway’ relationship between ENT surgeons and anaesthetists is well documented. But ENT surgery and anaesthesia interact in numerous other ways, particularly in complex skull base surgery. What do our anaesthetic colleagues want us to know about vestibular schwannoma...

Which da Vinci surgical system? Novel flexible, single-port versus current multiport, rigid-arm robotic surgical system

The da Vinci robotic surgical system has transformed how oropharyngeal head and neck surgery can be delivered. The existing da Vinci Si model has challenges: the dimensions of this are larger than would be ideal for head and neck surgery...

Cadaveric variation of nasolacrimal duct lateral nasal wall landmarks

Twenty mid-sagittal head sections of 10 fresh frozen cadavers were studied after removal of the nasal septum. This study showed that the most anterior projection of the middle turbinate head was noted to be anterior to the nasolacrimal duct in...

Importance of nasal septal cartilage perichondrium for septum strength mechanics: a cadaveric study

This experimental cadaver study aimed to investigate the biomechanical qualities of the perichondrium and cartilage, and to determine the strength of the septal cartilage against bending forces. The nasal septal cartilages of 14 fresh cadavers (eight hours post-mortem) without nasal...