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Upper airway endoscopy: achieving a balanced service whilst minimising the conflict of sustainability

Nasal endoscopes present a unique challenge in balancing sustainability and practicality. Both disposable and reusable scopes may have distinct roles in modern practice. Flexible endoscopy of the upper aerodigestive tract is an essential technique that facilitates detailed assessment of the...

‘Drop-in’ nasendoscopy – a decade of development to find head and neck cancer early

A decade of innovation in digital, remote endoscopy is paving the way for ‘drop-in’ nasendoscopy, improving early head and neck cancer diagnosis in high-risk communities. In May 2026, the University Hospitals North Midlands (UHNM) will inaugurate its newly established clinical...

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...

The common frontal sinusotomy (Lothrop) and chronic rhinosinusitis

As our understanding of the pathophysiology of CRS evolves, so do our treatment strategies. It is accepted that in many cases, the main role of surgery is to allow better penetration of topical therapies to the sinus cavities. What, then,...

Quick & Painless Treatment with Sterile Single-use Clearway Suction Handle

Ideal for use in A&E, ENT, and Audiology treatment rooms, DTR Medical’s Clearway Suction Handle has a soft malleable suctioning cap that effectively latches onto the surface of uneven objects and removes them, such as foreign bodies and plugs of dead skin and wax.

Facial reanimation

Non-conservative surgery in the parotid region results in a devastating complete facial paralysis (as with other causes of persistent facial palsy). Lengthening temporalis myoplasty is one of the available rehabilitating techniques. This is a series of 15 patients who had...

The effect of cocaine or adrenaline dressing during endoscopic sinus surgery

A randomised controlled study of 37 patients took place that underwent endoscopic sinus surgery for chronic rhinosinusitis and received adrenaline or cocaine-soaked patties. The study showed no difference in the mean surgical field scores between adrenaline and cocaine sides. Adequate...

Clinical management: 
a personal view

When Nigel Beasley approached me to write on my experience of clinical management, I was a little surprised. I see myself as primarily a clinician, but have had increasing involvement with clinical management within my Trust. I am now in...

Laryngeal endoscopies

Here, the authors provide some great tips for performing a successful microlaryngoscopy which should be of benefit to those learning this very common procedure. In this article, we will discuss tips for performing a microlaryngoscopy, and different laryngoscopes used to...

From the editor Nov/Dec 2025

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTW / X: @Voicedoctor_uk For ENT&A Nov/Dec2025, we are delighted to celebrate the remarkable educational institution ENT Masterclass®, which marks its 20th anniversary...

Could OtoRecall transform ENT learning?

Training continues to change and evolve in the face of changing working practices and, of course, the impact of unprecedented events like the pandemic. The basics remain important for safe practice as training and work continue to evolve; innovative tools...

Cambodian otology service – a fellowship with a difference

Cambodia is a country of 15 million people, still recovering from a chequered past. In the 1970s, under the Khmer Rouge, most of the medical profession, together with the rest of the educated population, was executed – the fortunate few...