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Vocal cord dysfunction and dysfunctional breathing: an evolving clinical paradigm

Patients frequently present to the ENT department with breathing difficulties. The entity of ‘vocal cord dysfunction’ (also known as paradoxical vocal cord movement, inducible laryngeal obstruction, and many other names) is increasingly well recognised. Ravi Thevasagayam gives us an overview....

TWJ Fellowship – Toronto 2015: Endoscopic Ear Surgery

The Thomas Wickham Jones (TWJ) Foundation is a charitable trust with the aim of helping patients with deafness overcome their disability. Striving to achieve this goal they provide educational grants to otolaryngologists and other related audiological professionals working within the...

Endoscopic excision of cholesteatoma

In this article Vikranth Visvanathan describes an exciting development on the use of endoscopic technology in complex otological practice. Transcanal endoscopic ear surgery (TEES) is rapidly evolving as a recognised method of addressing middle ear and mastoid pathology. Since its...

When dinosaurs ruled the earth

Optimism is abundant in medical research, but frequently ends up being tempered with reality. In his inimitable style, Chris Potter looks back over his career – starting with his medical school memories of Bentley-driving ENT consultants, and moving forward through...

Virtual reality: the future of surgical training

The evolution of surgical education Surgical training has traditionally been rooted in cadaveric dissection, hands-on apprenticeships and theoretical learning through lectures and textbooks. For centuries, aspiring surgeons refined their skills through a structured process of observation, practice and mentorship. The...

HPV – why equitable protection matters

Human papillomavirus (HPV) is one of the most common viruses in the world, with most people acquiring it during adolescence or early adulthood, often without ever knowing it [1]. HPV lives in the skin and the mucosal linings of the...

Hypoglossal nerve stimulation for OSA: current experience with unilateral versus bilateral systems

Hypoglossal nerve stimulation (HNS) has emerged as an established treatment option for selected patients with obstructive sleep apnoea (OSA) who are intolerant to continuous positive airway pressure (CPAP). Over the past decade, technological developments have expanded the field from unilateral...

Advances in speech testing for improved diagnosis and rehabilitation

Measuring an individual’s ability to hear speech in quiet or in the presence of background noise has long been a key component of a comprehensive audiological assessment. Moving beyond the pure-tone audiogram allows us to gain insights that extend far...

Multidisciplinary airway simulation workshops: ‘preparing your team for the difficult airway’

Can human factor issues be better addressed within a multidisciplinary learning environment? Would this improve team working and patient outcomes? Are these important training considerations? Mona Thornton discusses the experience of a multidisciplinary simulation airway workshop in the unit she...

Wideband tympanometry: translating complexity into clinical clarity

Clinicians often encounter patients with a Type A tympanogram who still present with conductive hearing loss. Traditional 226 Hz tympanometry has served as a reliable tool in audiology and otolaryngology practices since the 1970s, yet it often misses subtle variations...

Making the most of your surgical rotations as a medical student in theatres

This article provides practical tips for medical students to navigate theatre etiquette, engage with teams and gain valuable surgical experience. I am the kind of person who needs a set of alarms ringing every two minutes just to get out...

Rebuilding faces and restoring dignity for Ukraine’s wounded defenders

Four years of war have transformed nasal reconstruction in Kyiv, where surgeons are treating complex combat injuries with the paramedian forehead flap. I am a first-year resident in otorhinolaryngology, sharing how, over four years of Russia’s full-scale invasion of Ukraine,...