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Endolymphatic sac surgery: controversial procedure for the treatment of Ménière’s disease

Landmark Paper: Thomsen J, Bretlau P, Tos M, Johnsen NJ. Ménière’s disease: endolymphatic sac decompression compared with sham (placebo) decompression. Ann N Y Acad Sci 1981;374:820-30. Of all of the chapters in the Landmark Papers book, the chapter that discussed...

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,...

In conversation with Prof Metin Önerci

Prof Valerie Lund caught up with friend and colleague, Prof Dr Metin Önerci, to discuss his various positions in rhinology, the FOAM programme with which he is involved, and rhinology in Turkey and the Balkan and the Central Asian region....

Transnasal endoscopic orbital decompression

Surgery for the eye complications of Grave’s disease is an area that, over the years, ENT has become more and more involved in due to our ability to access the orbit endoscopically. In this article, the authors describe their technique...

Ethics, conduct and sinonasal surgery

For the three plenary sessions at ERS 2023, we asked top leaders in the field to enlighten us in the general aspects of our profession that need attention. Prof Gil Siegal will discuss the ethical questions we encounter in our...

Building low-cost high-fidelity simulation for ENT

In this article, the authors describe their ingenious technique to produce affordable yet realistic simulation models for some common ENT procedures. The use of surgical simulation in otolaryngology training has significantly increased in recent years. This is most likely due...

Biologics for deafness

Cochlear implants and hearing aids are inherently limited in their ability to restore ‘natural’ hearing. Biological therapy to treat inner ear pathology still is evolving rapidly with several ongoing clinical trials, though none are available for clinical practice to date....

Surgery plus radiotherapy keeps the helical keloid scar away

Keloid scars lead to significant psychological and cosmetic morbidity. As the pinna is a key component of facial cosmesis, pinna keloid scar formation can be aesthetically displeasing. Their stubbornness and high recurrence rate can be challenging to treat. This department,...

IV dexamethasone versus LA infiltration during paediatric tonsillectomy

Postoperative nausea and vomiting following tonsillectomy is important to control for improved oral intake and satisfaction following surgery. Optimal management is still debated. This team from Beirut conducted a randomised double blind clinical trial comparing the effect of intravenous dexamethasone...

Braci PRO – Alerts for the Hearing Impaired

The honk of a car. An ambulance siren. A fire alarm. The ring of a doorbell. These alerting sounds are used to communicate information of varying levels of importance to us in our homes on a daily basis. Unfortunately this...

The future of fall detection

Falls are a major global health burden. According to the World Health Organization, they are the second leading cause of unintentional injury deaths worldwide, with adults older than 65 at the greatest risk of a fatal fall. For every death...

Tinnitus apps (revisited)

If you’ve experienced an uptick in the number of your patients complaining of tinnitus lately, you are not alone. In fact, there is some evidence that the social and emotional strain of the ongoing pandemic many exacerbate tinnitus for existing...