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Salivary pepsin – a simple test for LPR?

A diagnosis of laryngopharyngeal reflux (LPR) can be made on the basis of characteristic symptoms and nasendoscopy findings. Objective tests exist for this condition; for example, 24-hour dual-channel pH-metry which is considered to be the gold standard. Such tests are,...

The effect of adenotonsillectomy on the immune system

Parents often ask about the effect of adenotonsillectomy on the immune system, with concerns that the child may be prone to more infections postoperatively due to the absence of immune tissue. This Belgian literature review looked at the local and...

The Surgical Manual of Common Otological Implants

This surgical manual provides a basic overview of the indications, devices and surgical steps for cochlear implants, vibrant soundbridge, bonebridge and bone anchored hearing aids. The text is concise and easy to follow and includes high-quality annotated clinical photographs accompanying...

Understanding osseointegration for the otologist

Bone conduction implants are hearing devices that require osseointegration to create a stable and reliable interface between the hearing device and the skull to deliver sound to the cochlea. This article reviews the physiology of osseointegration, factors that may lead...

Middle ear pressures with different anaesthetic agents

The use of appropriate anaesthetic agents is essential to avoid complications during middle ear surgery. This Turkish study attempted to identify whether intravenous (IV) anaesthetics (propofol) or inhalational agents (sevoflurane) cause more variations in middle ear pressures. The authors performed...

Evidence for balloon eustachian tuboplasty

Balloon eustachian tuboplasty is an emerging intervention aimed at the management of eustachian tube dysfunction (ETD) and its sequelae. The authors acknowledge that ETD is a common but frequently ill-defined problem, with no well-established direct treatment. They performed a systematic...

Otologic Surgery - 5th Edition

Otologic Surgery 5th Edition, edited by Derald Brackmann, Clough Shelton, Moises Arriaga and Richard Gurgel, is a textbook masterpiece. The book is written in tribute to the editors’ mentors: Drs Howard House, William House and James Sheehy, whose pioneering work...

History of innovation in ENT

Innovation seems to have been in the strapline of every meeting, conference and course for the last few years. You would be forgiven for thinking it is a new a concept, but as Neil Weir beautifully details, innovation has been...

IFOS 2026 bid cities

As Dubai prepares to host IFOS 2023, the next IFOS congress in 2026 is already being planned. The competition to host the meeting is certain to be fierce – we hear from the organisers around the world bidding to bring...

The birth of the TWJ Foundation

For nearly 50 years, the TWJ Foundation has been promoting the advancement of otology and audiology through education and research. David Wright looks back at its first half century.

Head and neck cancer multidisciplinary team

Why do we have MDTs? Do they make a difference to outcomes? Jon Bernstein explores the whys and wherefores of the head and neck cancer MDT, and wonders where things might go from here… Head and neck (upper aerodigestive tract)...

COACH calls for participants

The Nottingham Clinical Trials Unit has renewed a call for volunteers to take part in its COACH programme. The UK-wide trail aims to generate evidence about the use of hearing aids.