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Are upper respiratory symptoms and macroscopic changes in children always due to gastro-oesphageal reflux?
In children, symptoms such as chronic cough, wheezing, stridor, voice changes, persistent asthma and dental erosion are often presumed to be due to gastro-oesophageal reflux and empirical treatment with PPIs is offered. Usual investigations, such as a barium meal, gastroscopy...
Update on cholesteatoma
Surgery for cholesteatoma should be tailored to individual patients, considering patient and disease factors, to obtain a dry, safe and functional ear. In this article, the authors discuss the current definitions and classification system of middle ear cholesteatoma, as well...Mastoid surgery for cholesteatoma
Landmark Paper: Toner JG, Smyth GDL. Surgical Treatment of Cholesteatoma: a comparison of three techniques. Am J Otol 1990;11(4):247-9. Canal wall up or canal wall down? Chris Aldren discusses the landmark paper that attempted to provide a definitive answer for...What’s new in auditory processing?
Auditory processing disorder (APD) has had a controversial history, stemming mainly from lack of scientific rigor and accepted clinical definition. That situation is now changing. Driven by the huge number of people with unaddressed listening difficulties, basic discoveries in neuroscience,...
Heard That: does the app live up to its name?
Ever find yourself in a noisy restaurant, barely following conversation yet nodding in clueless agreement? Considering how loud social settings can be, this is likely a familiar scenario. As gatherings become a regular part of our lives again, so do...Triple semicircular canal occlusion and Meniere’s disease: a rising alternative treatment?
Patients with dizziness form a large part of the workload for ENT surgeons. In the overwhelming majority of cases, management will be medical and successful. However, occasionally some patients present a challenge when they have not responded to conventional treatments....
How should one care for the operated nose?
Although the past decade has brought advances in rhinoplasty techniques, postoperative care continues to be an area marked by notable variation among surgeons. The authors of this study sought to document contemporary postoperative practices for primary and revision rhinoplasty through...
Hearing Science Fundamentals – Third Edition
The third edition of Lass and Donai’s Hearing Science Fundamentals is a comprehensive, teaching-focused textbook spanning 17 chapters organised into four major sections. These sections guide the reader through a logical progression from basic acoustics, through the structure and function...Microneedles enable inner ear precision medicine
Developing safe, reliable and efficient ways to deliver therapeutics into the cochlea is a key challenge. In this article, the authors share their work to develop microneedles to address this challenge. The era of precision medicine of the inner ear...Adult hearing screening: consideration for a holistic model
Background Adult-onset hearing impairment is a highly prevalent and undertreated chronic problem that poses a significant burden of disease worldwide [1]. It is usually gradual and diagnosed and managed approximately 10 years after adults have first experienced hearing difficulties [2]....From the editor May/Jun 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 May/Jun 2025, we look both forward and back. We celebrate the 100th birthday of Jean-Marc Sterkers, a pioneer...
