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Reduction in recurrent cholesteatoma rates with bony obliteration tympanoplasty technique

This large retrospective study from the Erasmus Medical Centre in Rotterdam compares outcomes in traditional canal wall up (CWU) and canal wall down (CWD +/- partial obliteration of mastoid bowl) mastoid surgery for cholesteatoma with bony obliteration tympanoplasty (BOT, which...

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....

What’s the appetite for clinical risk?

The first Professor and Chair of Medical Professionalism at RCSI and BSHS, Dubhfeasa Slattery provides an overview of how a desire for better healthcare at all levels can be harnessed and nourished, leading to a potential life-long interest in reducing...

Sylvester O’Halloran Perioperative Symposium 2025

Dr Nyamateja Kaare - SHOThe 20th anniversary meeting of the Head & Neck section of the annual Sylvester O Halloran Peri-operative Symposium was held on 1 March 2025 at the University of Limerick Medical School.An attending 'Brains Trust' of John...

Otologic Surgery 
– 4th Edition

An otology textbook dedicated to Howard House, William House and James Sheehy, and in memory of Harold Schucknecht, Mendell Robinson and Antonio De la Cruz, has an awful lot to live up to. I am very glad to say that...

Tackling equivalence in audiology

Ros Parker talks about her experience of going through the Scientist Training Programme (STP) equivalence process to register as a clinical scientist with the Health & Care Professions Council (HCPC). She also provides some tips for applying. Professional background After...

Re-establishing ENT services in Liberia after three decades

Liberia is a country located on the West African coast bordered by Guinea, Sierra Leone and the Ivory Coast. Founded in 1821, it is Africa’s oldest modern republic and was established on land acquired for freed US slaves by the...

From the editor Jul/Aug 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 Regular readers will know that we have been publishing supplements in different specialties every four months; these give us...

Outcome measurements WG5. Developing a core outcome set of measures for tinnitus

Alain Londero presents a large-scale collaboration that invites clinicians and patients to develop a minimum standard for assessing the efficacy of tinnitus treatments. This will become an international recommendation for all clinical trials of tinnitus. WG5 is working towards a...

COVID-19 and ENT training: experiences from around the world

Here, ENT trainees share their experiences of adaptations to both clinical practice and training during the COVID-19 pandemic. We welcome other colleagues from around the world to share their experiences with us via social media or the website. Australia Olivia...

Ossicular reconstruction

Ossicular reconstruction often yields disappointing results, even for the most experienced and skilled of otologists. John Dornhoffer and David Walker explain that the most important determinant of outcome is the patient’s middle ear environment, and offer some valuable words of...

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,...