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Validating a new international cholesteatoma classification – a necessary but challenging task

A European and Japanese joint consensus statement was published in 2017 which proposed a new cholesteatoma staging classification (EJS), with four stages. This follow-up publication aims to assess the internal and external validity of the staging system using existing prospectively...

Launch of ENT Masterclass Cyber Textbook 6th Edition

The 6th edition of the ENT Masterclass Cyber Textbook of Operative Surgery has been published and is completely free to access online. It is a carefully curated virtual library of surgical videos from leading experts across the globe. All sections...

Middle ear muscle disorders: presentation, diagnosis and management

Patients often report symptoms relating to disorders of the middle ear muscles. Prof Bance gives us an overview of the anatomy and function, as well as guides our diagnosis and management. The middle ear muscles (MEMs) are a mystery, both...

From the editor SepOct 2020

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Editor, ENT & Audiology News; Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.net As the world takes stock of the coronavirus situation, we find ourselves in uncertain times. Nobody knows...

Job Ahead: understanding the business and financial aspects of US practice

Dr Christiansen brings over 30 years of experience as a practising otolaryngologist both in private practice and in academic medicine as Associate Professor of Clinical Otolaryngology at the University of Missouri School of Medicine. Dr Christiansen started his career in...

Practice and pregnancy during COVID-19

The global COVID-19 pandemic has had a significant impact on each of us, both personally and professionally. We have had to adapt the way we live and work and find our ‘new normal’. Francesca Lynch, Senior Paediatric Audiologist at Guy’s...

In conversation with Arup Senapati – the dancing doctor

When Arup Senapati broke out a cheery dance at work, he had little idea it would go viral on social media. Sunil Dutt caught up with him to talk about life, dance, and COVID-19 Click below to see the video...

Staying safe during endoscopic ear surgery

There is growing interest in using rigid endoscopes rather than traditional operative microscopes to perform transcanal middle ear surgery. Rigid endoscopy provides a high resolution, wide-angle view of the tympanic cavity through minimally invasive surgical portals. In this article, Elliott...

Impact of outer ear problems in Northern Ethiopia: experiences of a global outreach clinic

Outer ear disease is one of the commonest reasons for attending the ENT clinic in Ethiopia, just as in the UK. Very little has been published on the experiences of ENT clinics in Ethiopia. Here Yilkal Tassew, Seid Temam and...

Endoscopic stapes surgery

Traditionally middle ear surgery, including stapes surgery, has been performed using the operating microscope. In this article the authors describe their experience with endoscopic middle surgery and share some of its advantages. Trans-canal endoscopic ear surgery (TEES) is now a...

Non-absorbable synthetic material for middle fossa repair using a combined transmastoid/middle fossa approach

Repair of CSF leaks can be a challenging technical undertaking. In this article, the authors describe their use of a synthetic material to help with the successful repair of these leaks from the middle cranial fossa. Erosion of the middle...

TORS for patients with sleep-disordered breathing

Transoral robotic surgery is now a well-accepted technique in malignant tumours of the tongue base. Here the team from St Mary’s and the Royal National Throat Nose & Ear Hospital in London describe its use in carefully selected patients with...