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Helping provide hearing happiness in Malawi

Children with hearing loss in low-income countries face many obstacles. UK-trained audiologist Chikondi Kuthyola shares her story and Malawi’s strides in cochlear implantation. Malawi is one of the poorest countries in the world. In developing countries, deaf children and adolescents...

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...

Transnasal oesophagoscopy (TNO)-guided secondary tracheoesophageal puncture (TEP) under local anaesthesia

Here, the authors describe a convenient use of the transnasal oesophagoscope to create a new tracheoesophageal puncture in the outpatient clinic setting. Tracheoesophageal puncture (TEP) with voice prosthesis insertion is a reliable and effective technique for surgical voice restoration (SVR)...

Transnasal oesphagoscopy

In this useful and practical article, the authors describe their use of transnasal oesophagoscopy, including the range of clinical scenarios in which it is used. What is TNO? Transnasal oesphagoscopy (TNO) is a technique that can be used in the...

In conversation with Muaaz Tarabichi

Guest Editor, Chris Coulson, speaks to Dr Muaaz Tarabichi, a pioneer of endoscopic ear surgery, about how he has seen the technique evolve during his career, what challenges early EES practitioners have faced and his predictions for the future of...

In conversation with Professor Wolfgang Pirsig

Professor Wolfgang Pirsig is a key figure in the field of ENT history and is known for his fascinating discoveries of ENT features in art and historical objects. He kindly agreed to be interviewed for this special history focus by...

In conversation with Professor Manuel Bernal-Sprekelsen

Friends for a quarter of a century, Ricard Simo and Manuel Bernal-Sprekelsen caught up for a distanced chat about conferences, COVID and collaborations. Manuel Bernal-Sprekelsen. I remember meeting you for the first time in Budapest at the 1995 EUFOS Meeting....

Lies, damned lies and relative risk reduction

Chris Potter has a thing or two to say about the use of statistics and, in doing so, he takes us to a Friday night steak house that is prone to airway disasters and on a short tour of his...

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...

Fifth Sense James Lind Alliance Priority Setting Partnership for smell and taste disorders

Research priorities in the past have been dominated by the quixotic curiosity of individual academics and the capricious generosity of funding organisations. There must be a better way... At Fifth Sense, research is fundamental to the work we do. Above...

Innovation in medical product technologies

There is a point in all innovation projects where the clinician has exhausted their knowledge and needs expert help to create a prototype. Mark Prince, Design Engineer, discusses this phase of the project and how engineers’ analytical thinking brings a...

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...