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Cognitive spare capacity: what is it and why does it matter?

Cognition refers to thinking and memory. So why would cognition be a useful concept for ENTs and audiologists? Audition provides our main channel of communication and when we speak to each other, we want to exchange thoughts and remember what...

Impact of outer ear problems in Northern Ethiopia: experiences of a global outreach clinic

Outer ear disease is one of the commonest reasons for attending the ENT clinic in Ethiopia, just as in the UK. Very little has been published on the experiences of ENT clinics in Ethiopia. Here Yilkal Tassew, Seid Temam and...

Endoscopic ‘syringe and cutdown’ technique for nasolacrimal duct obstruction in children

This article presents a novel yet simple technique to help in the management of congenital NLDO. The authors propose it as a valuable addition to existing standard procedures. Congenital nasolacrimal duct obstruction (NLDO) is a condition encountered within the first...

Aspirin desensitisation for aspirin-exacerbated respiratory disease (AERD)

In this article, the authors describe the importance of identifying aspirin-exacerbated respiratory disease in patients with chronic rhinosinusitis refractory to standard medical treatment. This can then open the door to considering aspirin desensitisation treatment which, in their hands, has proven...

Finding the right balance: remote dizzy patient consultation during a pandemic

During the COVID pandemic, all our working patterns have changed. One significant impact had been on the management of outpatient consultations and the increase in telephone consultations and enhanced vetting. In this article the authors share their experience of managing...

Aboriginal and Torres Strait Islander ear health in the 2020s

The world is in the midst of a pandemic, and global health is severely threatened by this novel coronavirus which has caused over three million infections of COVID-19 and claimed more than 228,000 lives to date*. Societies and health systems...

How sight shapes sound: cross-modal plasticity and cochlear implantation

Visual cues support auditory recovery after cochlear implantation, with evidence showing cross-modal plasticity enhances speech perception and rehabilitation outcomes. Traditionally, clinical guidance around cochlear implantation has been shaped by a key concern: that reliance on visual communication, particularly speechreading, might...

When everyday sounds are unbearable: understanding pain and loudness hyperacusis

Everyday sounds can feel unbearably loud or physically painful for people with hyperacusis, a complex disorder that may require tailored, cautious care. Hyperacusis is a disorder in which everyday sounds are experienced as uncomfortable or intolerable. For some people, sounds...

Symposium ORL 75

Therese Schembri, Higher specialist trainee in ENTA highly successful French-Maltese ORL symposium hosted by Professor Adrian Agius was held in Malta in November 2025. ORL-75 refers to the post code of Paris. Forty Parisian ORL specialists and head and neck...

3rd Irish Head and Neck Society Annual Meeting

Nadia Van Den Berg, ST3 Otolaryngology, South Infirmary Victoria University Hospital, Cork. Set in the picturesque grounds of the Lyrath Hotel, the third IHNS conference was a huge success, welcoming over 200 delegates and talks from 12 world-renowned international faculty....

Tonsillitis and tonsillectomies: where do we go from Paradise?

Landmark Paper: Paradise JL, Bluestone CD, Bachman RZ, et al. Efficacy of tonsillectomy for recurrent throat infection in severely affected children – results of parallel randomized and nonrandomized clinical trials. N Engl J Med 1984;310(11):674-83. The Paradise paper on tonsillectomy...

Prudent audiology

Introduction In January 2014, Professor Mark Drakeford, Minister for Health and Social Services, defined Prudent Healthcare as, “Healthcare that fits the needs and circumstances of patients and actively avoids wasteful care that is not to the patient’s benefit.” ‘Prudent’ healthcare...