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Redefining alar retraction: can hyaluronic acid replace the scalpel?

Alar retraction is a common challenging nasal deformity and requires precise structural correction to achieve both functional and aesthetic harmony. Traditionally correction of alar retraction has relied on open rhinoplasty with various techniques including cartilage grafting, suturing techniques and advancement...

The keystone island perforator flap – expanding the toolbox for aesthetic nasal reconstruction

The complexity of nasal reconstruction lies in its dual objective: restoring structural integrity while preserving subtle contours and symmetry that define facial aesthetics. This retrospective cohort study from a single centre in the United States evaluated the effectiveness of the...

Standardising outcome measures in chronic rhinosinusitis

This international paper, involving the foremost rhinology departments worldwide aims to provide a standardised, agreed core outcome set for chronic rhinosinusitis, which has been designed to facilitate future meta analyses of published work in systematic reviews. Stakeholders included patients, ENT...

Hearwell Medical Philippines supports World Hearing Day 2026

Our global distribution partner, Hearwell Medical Philippines, recently joined the World Hearing Day 2026 celebration at Bicol Medical Center, led by the Newborn Hearing Screening Reference Center – Region V. Themed ‘From Communities to Classroom – Hearing Care for All...

Have we reached our limits in endoscopic skull base surgery?

As being an anterior skull base surgeon becomes the aspiration of many ENT trainees, Professor Nicolai gives his personal insights into the future for this exciting subspeciality. Having been directly involved in the evolution of transnasal endscopic surgery (TES) since...

In conversation with David Stockdale

David Stockdale is stepping away from the British Tinnitus Association (BTA) after 12 years, during which time the organisation has become transformed. Prof David Baguley met with David in the spring sunshine to reflect on past, present and future of...

Treatment regret in head and neck cancer – trading function for survival

Treatment for H&N cancer can be extremely tough for patients. How do we explain the likely impact as they try to make decisions? And what happens when they regret their choice? Treatment regret is a form of decision regret, involving...

Surgical management of sleep disordered breathing

Snoring and sleep-disordered breathing are often described as multi-level problems, and different surgical procedures are required to treat the various sites of airway narrowing and/or collapse. Jonathan Hobson gives us an eloquent run-through the various options available to the ENT...

EU petition on patient safety

Professors Adrian Agius of Malta and John Fenton of Ireland have brought a petition on patient safety to the European Union. “Are European patients fully informed and protected when they consult a specialist in ORL?,” they ask, “And will specialists practicing outside their area of competence be legally liable for their surgical outcomes?”

Quality in Audiology: Design and Implementation of the Patient Experience

In Quality in Audiology, Dr Brian Taylor has grappled with an aspect of audiology about which I am passionate, and in doing this he has covered a lot of ground. He starts by trying to define quality – which in...

A guide to managing atypical communication in healthcare

This book provides the background theory as well as practical tips for communicating with different patient populations and varying conditions. Published in 2023, it is a recent book with a great deal of research and practice guidance embedded from various...

Objective testing for Eustachian tube dysfunction

Eustachian tube dysfunction (ETD) is typically diagnosed based on subjective symptoms and examination leading to wide variation in its diagnosis and management. The search for an objective test has looked at ways of measuring the passage of air through the...