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From the editor November/December 2023

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTw: @Voicedoctor_uk There can be no more pressing and worrying issue in the global consciousness than climate change. The alarming rise of disinformation...

Effective and profitable provision of paediatric audiology care in the private sector

Similar to other specialty areas of hearing healthcare, paediatric audiology is a potential net loss for a private-sector, for-profit, business. Given the time-intensive needs of patients with cochlear implants, tinnitus and those who are under the age of 18 years...

Helping provide hearing happiness in Malawi

Children with hearing loss in low-income countries face many obstacles. UK-trained audiologist Chikondi Kuthyola shares her story and Malawi’s strides in cochlear implantation. Malawi is one of the poorest countries in the world. In developing countries, deaf children and adolescents...

The future of audiology rehabilitation? Smartphone apps to collect real-world experiences and support clinical decision-making

Ecological momentary assessment (EMA) is gaining momentum in the world of connected hearing healthcare and real-world assessment. Barbra Timmer explains how EMA will play a key role in transforming the information that clinicians use in decision-making and measuring outcomes. Did...

History of ESPO

Martin Bailey, Secretary-General of ESPO, narrates the story of a society which has promoted and supported the development of paediatric otolaryngology in Europe. In the early 1950s, pioneers in paediatric otorhinolaryngology became active in European countries such as Poland, Hungary,...

Acupuncture for tonsillectomy pain in children

The challenge: tonsillectomy pain Tonsillectomy is a uniform surgical insult which results in a 10-day recovery for children. Severe pain can occur which can give rise to poor oral fluid intake, dehydration and potentially the need for intravenous fluid resuscitation....

Manual of Endoscopic Sinus and Skull Base Surgery

The second edition of Manual of Endoscopic Sinus and Skull Base Surgery is a comprehensive problem oriented surgical guide that is an essential read for all endoscopic sinus surgeons. Based on their clinical and considerable teaching experience, the authors have...

Stereotactic radiosurgery for pituitary adenomas

Residual and recurrent functioning pituitary adenomas can be difficult to delineate on postoperative MRI scans, making them difficult targets for stereotactic radio surgery. In such cases radiation delivery to the entire sellar has been utilised as a radio surgical equivalent...

Balloon dilatation of the eustachian tube: An evidence based review

Eustachian tube dysfunction has long provoked debate among otolaryngologists with wide-spread variation in management. Establishing a safe and effective surgical technique to bring about resolution would be of benefit to those affected, with an estimated incidence of 0.9% in the...

Ultrasound-guided core biopsy of neck lumps as first-line investigative modality supersedes fine needle aspiration cytology in the diagnosis of neck lumps

Ultrasound-guided fine needle aspiration cytology (USFNAC) when applied as initial investigation often proves non-diagnostic, the incidence being as high as 50% in a recent audit. In this study, the authors applied ultrasound-guided core biopsy (USCB) to neck lumps over 1cm...

Postoperative bleeding rates after inferior turbinate reduction using three different techniques

The most serious complication of inferior turbinate reduction surgery is postoperative bleeding, soon after the operation or later on. In this study comprising 751 patients, the authors have compared three common methods. Partial turbinectomy involved resection of the inferior turbinate,...

Chorda tympani in middle ear surgery

This was a prospective study at a single Belgian centre that aimed to monitor postoperative taste problems after middle ear surgery. The authors also looked at the influence of pathology and manipulation of chorda tympani (CT) on its function. Taste...