Charlotte Arnold, Megan Gurney, Simon Morris, Heikki Whittet
{"title":"Novel use of Lieberman self-retainers for nasal alar retraction.","authors":"Charlotte Arnold, Megan Gurney, Simon Morris, Heikki Whittet","doi":"10.1017/S0022215126105222","DOIUrl":"10.1017/S0022215126105222","url":null,"abstract":"<p><strong>Background: </strong>Nasal specula such as Thudichum and Killian have been in use in rhinology for over 100 years. They serve to widen the nasal alar and retract nasal hairs when performing rhinoscopy.</p><p><strong>Methods: </strong>We describe a novel nasal speculum: the repurposing of the Lieberman eye speculum for use in rhinological procedures. This speculum is adjusted to fit the individual and is self-retaining, achieving equivalent retraction to traditional specula and enabling use of a second hand for intra-nasal surgery.</p><p><strong>Results: </strong>The Lieberman speculum can reach a maximal diameter of 14mm and has successfully been utilised in over 50 rhinological procedures to facilitate bimanual operating. No complications or side effects have occured with use.</p><p><strong>Conclusion: </strong>Our approach has been successfully trialled under local and general anaesthesia for a range of procedures at similar cost to current practice.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1004-1006"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148368731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francesco Chiari, Carlo Carosi, Matteo Fermi, Livio Presutti, Giuseppe Mercante, Giovanni Motta, Claudio Donadio Caporale, Pierre Guarino
{"title":"Surgical management of parapharyngeal vagal schwannomas: a systematic review and practical considerations for approach selection.","authors":"Francesco Chiari, Carlo Carosi, Matteo Fermi, Livio Presutti, Giuseppe Mercante, Giovanni Motta, Claudio Donadio Caporale, Pierre Guarino","doi":"10.1017/S0022215126105325","DOIUrl":"10.1017/S0022215126105325","url":null,"abstract":"<p><strong>Objective: </strong>Vagal schwannomas of the parapharyngeal space are rare benign tumours and the optimal surgical approach remains debated. This study aimed to identify clinical and tumour-related factors associated with different surgical strategies.</p><p><strong>Methods: </strong>A systematic review was conducted in accordance with Preferred Reporting Items for Systematic Review and Meta-Analyses ('PRISMA') 2020 guidelines. Studies published between January 1997 and March 2026 were identified, and analyses were restricted to surgically treated patients.</p><p><strong>Results: </strong>Twenty-five studies including 87 patients were analysed. The transcervical approach was most frequently used, followed by transoral and combined approaches. Tumour size was not associated with surgical approach selection. Pre-operative hoarseness and oropharyngeal bulging were more common in transoral cases, whereas cervical mass predominated in transcervical and combined approaches. Overall, complications were infrequent and recurrence was rare.</p><p><strong>Conclusion: </strong>Selection of the surgical approach appeared to be influenced by anatomical considerations rather than tumour size. These findings describe contemporary surgical decision-making patterns without demonstrating superiority between approaches.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"954-962"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148368722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Developmental mentoring in otolaryngology: a qualitative study highlighting gaps in understanding and implementation.","authors":"Emma Stapleton, Rohma Abrar, Sirat Lodhi","doi":"10.1017/S0022215126105428","DOIUrl":"10.1017/S0022215126105428","url":null,"abstract":"<p><strong>Introduction: </strong>Developmental mentoring is widely advocated within Otolaryngology training, yet programmes are often poorly defined and may not reflect its intended distinction from traditional hierarchical models. This study explored participant understanding of mentoring within a national Otolaryngology mentoring programme.</p><p><strong>Methods: </strong>Prospective participants completed open-ended questionnaires prior to mentor training. Responses were analysed using grounded theory with iterative coding and constant comparison.</p><p><strong>Results: </strong>Twenty-seven participants responded. Many identified features consistent with developmental mentoring, including empowerment, goal exploration, reflection and psychological safety. However, there was notable variability in interpretation; some uncertain of the concept, others describing supervision or patronage. Broader personal, professional and value-based elements relevant to Otolaryngology training were also emphasised.</p><p><strong>Conclusion: </strong>Understanding of developmental mentoring is heterogeneous and often diverges from its intended model. This lack of shared understanding may undermine programme effectiveness and efforts to support the Otolaryngology workforce. Clear definition and participant training are essential for successful implementation.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"977-980"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148412000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evidence-based management of rhinophyma according to disease severity and clinical grade.","authors":"Nuray Bayar Muluk","doi":"10.1017/S0022215126105362","DOIUrl":"10.1017/S0022215126105362","url":null,"abstract":"<p><strong>Objectives: </strong>This review evaluates contemporary therapeutic strategies for rhinophyma, emphasising evidence-based treatment selection according to disease severity and clinical grading.</p><p><strong>Methods: </strong>A structured literature search of PubMed/Medline, Scopus, Embase and Web of Science was performed for studies published between 1990 and 2025 evaluating medical, surgical and laser-based rhinophyma treatments.</p><p><strong>Results: </strong>Medical therapy, including doxycycline and isotretinoin, is primarily beneficial in early inflammatory disease (Clark Grade I). Established fibrotic rhinophyma (Grades II-IV) generally requires surgical intervention. Current Level III-IV evidence supports partial-thickness sharp excision combined with adjunctive laser contouring using CO₂, Er:YAG and emerging blue laser technologies to improve haemostasis, tissue preservation and cosmetic outcomes. Histopathological assessment remains essential because occult malignancies may coexist within rhinophymatous tissue.</p><p><strong>Conclusion: </strong>Treatment should be individualised according to clinical severity. Combined excisional and laser-based approaches currently provide the most favourable functional and aesthetic outcomes, although prospective comparative studies remain limited.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"963-967"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148412128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jonathan Fishman, Ann-Louise McDermott, Stephen Jones
{"title":"Rhinophyma, taste disturbance after stapedectomy, and developmental mentoring in Otolaryngology.","authors":"Jonathan Fishman, Ann-Louise McDermott, Stephen Jones","doi":"10.1017/S0022215126106008","DOIUrl":"https://doi.org/10.1017/S0022215126106008","url":null,"abstract":"","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":"140 9","pages":"933-934"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bülent Ulusoy, Serhat Pazir, Bahar Çolpan, Muslu Kazım Körez
{"title":"Comparison of the connect and attract systems in implantable bone conduction hearing devices.","authors":"Bülent Ulusoy, Serhat Pazir, Bahar Çolpan, Muslu Kazım Körez","doi":"10.1017/S0022215126105246","DOIUrl":"10.1017/S0022215126105246","url":null,"abstract":"<p><strong>Background: </strong>This study presents a retrospective single-centre clinical comparison of the bone-anchored hearing aid BAHA Connect and BAHA Attract systems with long-term follow-up data spanning 12 years.</p><p><strong>Methods: </strong>The manuscript evaluates audiological outcomes, complication profiles and revision surgery rates associated with both systems in a cohort of 43 patients.</p><p><strong>Results: </strong>Our findings provide clinically relevant information regarding hearing gain relative to pre-operative bone-conduction thresholds and offer a re-evaluation of previously reported analytical approaches in the literature.</p><p><strong>Conclusion: </strong>We believe that these results may contribute to improved clinical decision-making in the selection of implantable bone-conduction hearing devices and may be of interest to clinicians involved in hearing rehabilitation.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"968-972"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephen Robertson, Holt Walters, Trung Ton, Helen Cocks
{"title":"A Novel ENT-Themed Escape Room - Innovating Medical Education.","authors":"Stephen Robertson, Holt Walters, Trung Ton, Helen Cocks","doi":"10.1017/S0022215126105908","DOIUrl":"https://doi.org/10.1017/S0022215126105908","url":null,"abstract":"","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-14"},"PeriodicalIF":1.1,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148712767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diagnostic Indicators used for Vocal Fold Paresis: A Comparative Perspective between Laryngologists and General Otorhinolaryngologists.","authors":"Nupur Kapoor Nerurkar, Bhavini Verma, Amitabha Roychoudhury, Soumitra Ghosh, Gauri Kapre, Rajesh Yadav, Mahima Luthra, Gati Shah, Pooja Nayak, Chaitali Chikhale, Aman Bansal, Elton Mendonca, Shiva Saikiran","doi":"10.1017/S0022215126105878","DOIUrl":"https://doi.org/10.1017/S0022215126105878","url":null,"abstract":"","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-35"},"PeriodicalIF":1.1,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Teaching otoscopy in low resource settings: A review of the literature and pilot simulation based training in Malawi.","authors":"Flocy Square, Nawfal Saleem, J Zachary Porterfield, Julia Toman, Jenna Vallario, Kamuzu Chiponde","doi":"10.1017/S002221512610591X","DOIUrl":"https://doi.org/10.1017/S002221512610591X","url":null,"abstract":"","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-28"},"PeriodicalIF":1.1,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148701422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}