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Superstructure-preserving stapes surgery in otosclerosis

Stapedectomy is a well-established procedure for otosclerosis but it has a small risk of a non-hearing ear, which can be devastating for patients. The development of a procedure which is safer and with a less steep learning curve for junior...

The National Bone Conducting Hearing Implant Registry

Are you an otologist with an interest in implant surgery? Is your unit on the registry? If not, you’d better have a good excuse after reading this… What is the National BCHI Registry? The National Bone Conducting Hearing Implant (BCHI)...

Reflected glory: the race to claim the laryngeal mirror

“None of today’s young doctors can start to imagine the feeling of professional helplessness and despair that prevailed before the invention of the laryngeal mirror. Thousands of people died, whom we were not able to help, or even bring relief...

Managing high flow head and neck arteriovenous malformations (AVM)

Vascular malformations are lesions where the traditional network of capillaries linking arteries and veins are lacking. Patients usually present with bleeding, pain, disfigurement and tissue expansion and destruction. High flow lesions can be challenging to manage in the head and...

Extranodal extension following surgical resection of HPV-positive oropharyngeal cancer – is adjuvant radiotherapy alone sufficient?

Human papillomavirus (HPV) is a known aetiological factor in oropharyngeal squamous cell carcinoma (OPSCC). HPV-positive OPSCC is recognised to have a more favourable prognosis than HPV-negative disease. Treatment deintensification for HPV+ OPSCC has therefore been an area of research focus...

Random-pattern skin flaps: part 1 – advancement flaps

In the first of a short series covering random pattern skin flaps and their use in clinical practice (see Part 2 here, Part 3 here and Part 4 here), Christopher Thompson and Miles Bannister describe in some detail their techniques...

A bittersweet finding

This is an elegant study, documenting the role of, and activation of, nitrous oxide in chronic sinusitis. Bitter taste receptors (TR2) have recently been identified as novel ‘players’ in sinonasal innate immunity and in chronic rhinosinusitis. The receptors are triggered...

Skull bone reconstruction using 3D-printed titanium implant

ENT surgeons’ role in advanced skull base resection and reconstruction continues to grow; this article explores how 3D printing aids planning and repair of complex defects. The integrity of the craniofacial skeleton is essential for both functional and aesthetic reasons....

Laryngology: past, present and future

Two laryngological authorities trace the history of laryngology, from ancient Rome to the modern day. The structure of the vocal folds was a matter of conjecture until the renaissance when anatomists such as Andreas Vesalius and Julius Casserius demonstrated the...

British Tinnitus Association: a site to add to your bookmarks

What is your reaction when a patient reports having tinnitus? With the exception of audiologists and otolaryngologists who have developed expertise in the area of tinnitus, many of us feel ill-equipped to provide our patients with appropriate guidance. Trying to...

Listening differently: my path into tinnitus and hyperacusis research

From lived experience to PhD research, Nic Wray explores how tinnitus and hyperacusis are understood in primary care, and why listening better could improve support. My working life has taken many turns, but becoming a researcher was never part of...

Physiological mechanisms of hyperacusis: an update

Hyperacusis is a heterogeneous and complex clinical entity, and proposals about physiological mechanisms should reflect these issues. Ben Auerbach helps us navigate through present knowledge in this area, and proposes future directions for research. Hyperacusis is a debilitating hearing disorder...