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Background: Rhinological procedures demand a high degree of technical expertise and anatomical knowledge. Because of limited surgical opportunities, ethical considerations and the complexity of these procedures, simulation-based training has become increasingly important. This review aimed to evaluate the effectiveness of simulation models used in rhinology training. Methods: Searches were conducted on PubMed, Embase, Cochrane and Google Scholar for studies conducted between July 2012 and July 2022. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis ('PRISMA') protocol defined a final list of articles. Each validated study was assigned a level of evidence and a level of recommendation based on the Oxford Centre of Evidence-Based Medicine classification. Results: Following exclusions, 42 articles were identified which encompassed six types of simulation models and 26 studies evaluated validity. The rhinological skills assessed included endoscopic sinus surgery (n = 28), skull base/cerebrospinal fluid leak repair (n = 14), management of epistaxis and/or sphenopalatine artery ligation (n = 8), and septoplasty and septorhinoplasty (n = 6). All studies reported the beneficial impact of their simulation models on trainee development. Conclusion: Simulation training in rhinology is a valuable adjunct to traditional surgical education. Although evidence is of moderate quality, the findings highlight the importance of simulation-based training in rhinology training. [ABSTRACT FROM AUTHOR]

An editorial is presented on broad range of UK professionals involved in the care of patients with head and neck cancer. Topics include underpinning the basis of care of patients with head and neck cancer, which apply across the spectrum of management; and guidelines can be also used as an educational resource for clinicians, and for insight into head and neck cancer care for non-clinicians.

An introduction to articles in the issue is presented on topics including the development of standardised diagnostic criteria and a core outcome set for necrotising otitis externa, assessment of nasal septoplasty using the Nasal Obstruction Symptom Evaluation instrument, and the rate of contralateral nodal metastasis in human papillomavirus (HPV)-positive oropharyngeal squamous cell carcinoma.

The article highlights key findings in this month's issue of The Journal of Laryngology & Otology.

The authors discuss a study published in the issue which assessed the impact of primary care triage using the Head and Neck Cancer Risk Calculator version 2 on tertiary head and neck services in the post-coronavirus disease.

The article delves into the challenges faced by junior doctors in otolaryngology, highlighting a study from Cardiff revealing a lack of preparedness among new ENT juniors. It also discusses a study on vestibular schwannoma patients' handicaps over time and compares two nasal packs for epistaxis control, along with a recommendation for rigid endoscopy in young children with obstructive sleep apnoea.

The article highlights several medical research papers, covering topics such as Balloon Eustachian tuboplasty, revision sinus surgery, and mental health in pediatric cochlear implant patients. The focus includes the evolving consent process in surgery post-Montgomery case, risk factors for revision sinus surgery, and mental health assessment in pediatric cochlear implant recipients.

The article informs about the shift in the treatment of chronic rhinosinusitis with nasal polyps from surgical to medical interventions, including the consideration of expensive biological agents for difficult-to-control polyps. Topics include the review of endoscopic sinus surgery versus biological agents, trends in ENT education with a focus on simulation-based training, and the concept of the 'fragility index' in randomized controlled trials, particularly in head and neck cancer research.

An editorial is presented on the resource for ENT surgeons and physicians with responsibility for the care of older adults. It expresses the view that demographics of the developed world have changed during the late twentieth and early twenty-first centuries such that the care of older adults has assumed ever more importance. An overview of the Hearing loss in older adults is multifactorial, with the legacy of occupational hearing loss is presented.

An editorial is presented on the Duplex Theory of Hearing has presented with uncanny accuracy, a complete set of previously unthought-of factors essential in effecting the clarity of hearing and stubborn preoccupation with the basic concept of a Fourier analysis of the travelling wave.

An introduction is presented in which the editor discusses various articles on topics including ENT specialist training in the United Kingdom, providing valuable insights for aspiring ENT surgeons regarding portfolio building, competitiveness of the process, and strategies for success.

An introduction is presented in which the editor discusses articles in the issue on topics including A study from the Manchester (UK) group on therapy and outcomes for necrotising otitis externa (NOE), Analysis of YouTube Videos, Editorial Acknowledgment, and other related topics.

The article highlights the essential contributions of assistant editors, reviewers, video producers, and sponsors to The Journal of Laryngology & Otology in 2023, acknowledging their dedicated and unpaid work, which often impacts their work-life balance. It mentions the efforts of the team in video recordings of operative procedures, appreciating the contributions made by various individuals and sponsors, emphasizing the valuable educational resources created for trainees and clinicians.

An editorial is presented on understanding the article's methodology, scholarly purpose, and credibility. Topics include involving a comprehensive literature search, rigorous evaluation of the quantity and quality of research evidence, and analysis of the evidence for synthesising an answer to the research question; and making the relevance to healthcare providers, policymakers, and other key stake-holders.

Objective: This study aimed to highlight the key studies that have led to the current understanding and treatment of head and neck cancer. Method: The Thomson Reuters Web of Science database was used to identify relevant manuscripts. The results were ranked according to the number of citations. The 100 most cited papers were analysed. Results: A total of 63 538 eligible papers were returned. The median number of citations was 626. The most cited paper compared radiotherapy with and without cetuximab (3205 citations). The New England Journal of Medicine had the most citations (23 514), and the USA had the greatest number of publications (n = 66). The most common topics of publication were the treatment (n = 45) and basic science (n = 19) of head and neck cancer, followed by the role of human papillomavirus (n = 16). Conclusion: This analysis highlighted key articles that influenced head and neck cancer research and treatment. It serves as a guide as to what makes a 'citable' paper in this field. [ABSTRACT FROM AUTHOR]

Objective: The ENT Scotland society (formerly known as the Scottish Otolaryngological Society) has two meetings a year and accepts oral presentations from trainees. This study aimed to identify publication rates from these meetings. Methods: Abstracts of the presentations are published in The Journal of Laryngology and Otology. A structured search on PubMed and Google Scholar was undertaken to identify which presentations from the 2005 to 2014 meetings have been published. Results: Of the 145 abstracts found, 60.7 per cent were presenting clinical research and 44.1 per cent were related to the head and neck subspecialty. Seventy-three abstracts (50.3 per cent) were associated with publication as a peer-reviewed article; otology papers were more likely to be published than those focusing on other subspecialties (64.3 per cent, p = 0.036). No correlation was found between publication and other factors. Conclusion: Presentations at the ENT Scotland meetings undergo unbiased peer review and are as likely to be published as those of other conferences. [ABSTRACT FROM AUTHOR]

The article offers information on research articles in the final issue of the year, highlighting a systematic review by Fong on probiotics' effectiveness and safety in chronic rhinosinusitis.

An editorial is presented discusses on different topics in the field of ENT surgery. Topics include information on a pilot study from Melbourne, Australia investigating the effect of probiotic gargles on post-tonsillectomy patient progress; advances in MRI for diagnosing Ménière's disease; and findings of study from Liverpool, U.K. on lateral cystic neck masses in adults, including a proposed algorithm for risk stratification in high-risk individuals.

An editorial is presented on interface between neurology, psychology, psychiatry and ENT. Topics include shortening of training hours, simulation training, introduction of information technology, deleterious effects of the coronavirus disease 2019 pandemic; and two-thirds of cases responding to medication, and discussing adjuvant treatments when cases proceed to surgery.

Background: High-quality trials have the potential to influence clinical practice. Methods: Ten otolaryngology journals with the highest 2011 impact factors were selected and publications from 2010 were extracted. From all medical journals, the 20 highest impact factor journals were selected, and publications related to otolaryngology for 2010 and 2011 were extracted. For all publications, the reporting quality and risk of bias were assessed. Results: The impact factor was 1.8-2.8 for otolaryngology journals and 6.0-101.8 for medical journals. Of 1500 otolaryngology journal articles, 262 were therapeutic studies; 94 had a high reporting quality and 5 a low risk of bias. Of 10 967 medical journal articles, 76 were therapeutic studies; 57 had a high reporting quality and 8 a low risk of bias. Conclusion: Reporting quality was high for 45 per cent of otolaryngology-related publications and 9 per cent met quality standards. General journals had higher impact factors than otolaryngology journals. Reporting quality was higher and risk of bias lower in general journals than in otolaryngology journals. Nevertheless, 76 per cent of articles in high impact factor journals carried a high risk of bias. Better reported and designed studies are the goal, with less risk of bias, especially in otolaryngology journals. [ABSTRACT FROM AUTHOR]

An editorial is presented on effectiveness of vitamin D supplementation for the treatment of smell impairment. Topics include showing the efficacy of using vitamin D for treating smell impairment, alongside an association of vitamin D deficiency and smell impairment; and placebo-controlled trials investigating the use of vitamin D totreat smell impairment.

The article discusses the management of mild obstructive sleep apnoea (OSA) and questions the need for extensive treatment & evidence of its impact on patient morbidity and mortality. It discussed that untreated mild OSA does not significantly progress into moderate or severe OSA; leading to the conclusion that treatment for mild OSA may not be justified in terms of disease progression; and importance of including hearing evaluations in cognitive assessments for individuals with hearing loss.

An editorial is presented recent tonsillectomy developments, it focus on the National Randomised Controlled experiment of Tonsillectomy IN Adults (NATTINA) experiment, reveal that urgent tonsillectomy is clinically useful and cost-efficient for adults with recurrent acute tonsillitis. It highlights the need of researching post-tonsillectomy hemorrhage and the risk of various procedures in respiratory virus infections.

An introduction is presented in which the author discusses articles within the issue on topics including diagnosis and management of necrotising otitis externa, effects of telephone consultations as a method of service delivery, and efficacy and safety of pimecrolimus as treatment for eczematous external otitis.

The article provides information on several topics related to ENT disorders and head and neck cancer. It discusses the subgroups of Ménière's syndrome/disease based on features and outcomes, the quality of life and employment challenges faced by head and neck cancer survivors, and a prospective study on functional outcomes after radiotherapy for glottic carcinoma patients.

An introduction is presented in which the editor discusses articles in the issue on topics including, the use of online learning and simulation as mitigation measures; and the assessment of trainee progress and the importance of non-technical factors in the operating theatre environment.

An editorial is presented on topics including necrotising otitis externa, epistaxis education, and aerosol generation in coughing, which include a study identifies common themes based on interviews with patients with necrotising otitis externa, including quality of life, and diagnostic delays.

An editorial is presented on common otological problem in primary and secondary care is otitis externa, and it is remarkable with problems in management and discusses ‘price' paid for the misuse of oral antibiotic therapy for difficulties with the antimicrobial management of infections.

An editorial is presented on necrotising otitis externa increase. Topics include scoring system using inherent patient factors rather than the usual disease severity related assessments helping in raising vigilance in patients; and elderly population growing world-wide and patients being very elderly with head and neck cancer often receiving different care than younger patients.

An editorial is presented on highlighting major change in patient illness related behaviour forming part of the hidden cost of the pandemic. Topics include cholesteatoma diagnosis by special sequences of magnetic resonance imaging (MRI) allowing many patients avoiding costly and inconvenient second- or third-look tympanoplasty operations; and primarily sexually-transmitted disease strengthening the push for HPV vaccination prior to the age of sexual activity.

The editor explores how tympanic membrane disorder can results in hearing loss and dementia, vestibular neuronitis, salivary carcinoma.

An editorial is presented on the effects of pandemic on patients suffering from infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Topics include topical nasal corticosteroids being a mainstay in the management of rhinitis patients presenting to ENT clinics; and fearfulness, sickness incidence and mortality among the ENT community at the start of the pandemic reflecting the vulnerability to infection.

An introduction is presented in which author discusses articles on topics including focuses on evaluating primary Sjögren' syndrome in terms of vestibular involvement using vestibular-evoked myogenic potentials and video head impulse tests.

An editorial is presented on the plethora of advantages, such as ambidextrous hand mobility and stereopsis. It outlines improved visualization of the surgical field provided by the endoscope enables less bony auditory canal drilling and less post-operative pain, as well as limited manipulation of the chorda tympani, leading to better rates regarding post-operative dysgeusia. An overview of the studies endoscopic stapes surgery is presented.

An introduction is presented in which the author discusses articles within the issue on topics including magnetic resonance imaging (MRI) of the internal auditory meatus (IAM), pathology in patients presenting with benign-appearing unilateral nasal polyps, and biopsies on head and neck tumours.

An editorial is presented on highlighting the importance of ongoing risk reduction measures including optimal PPE and vaccination. Topics include examining the role of otorhinolaryngologists in the management of the pandemic and assessing the impact of the pandemic on practice and training in the specialty; and associated with social withdrawal, isolation, anxiety and depression.

Objective:This study aimed to evaluate the changes in impact factors of otorhinolaryngology journals over the past 15 years.Method:Using the online edition of Journal Citation Reports, standard (2-year) and 5-year impact factors were calculated for the leading 15 journals.Results:The results were compared with the impact factors for 1998. The average standard impact factor and 5-year impact factor increased by 2.72 and 2.05 fold respectively when compared with 1998. The average 2012 standard impact factor and 5-year impact factor were 1.82 and 1.99 respectively, reflecting a 9.3 per cent difference. The average 1998 standard impact factor and 5-year impact factor were 0.67 and 0.97 respectively, reflecting a 44.8 per cent difference. The Journal of the Association for Research in Otolaryngology had the highest standard and five-year impact factors.Conclusion:These data may indicate changing clinical and research interests within our field, as well as increased speed and ease with which the internet has allowed citation. As a result, five-year intervals may no longer be necessary to adequately gauge journal impact. [ABSTRACT FROM PUBLISHER]

An editorial is presented on the impact of coronavirus disease 2019 (Covid-19) on olfactory and taste dysfunction as a cardinal symptom of infection. Topics include patients exhibiting temporary disturbance whereas others going on to develop chronic and debilitating olfactory dysfunction; and Betnesol drops for induction treatment for nasal polyps despite having high systemic bioavailability.

The article presents several excerpts of articles from previously published issues of the journal which were concerned with Ménière’s disease, including one by D. M'Kenzie from a 1924 issue, one by J. Dundas Grant in an 1894 issue and one by M. Labit in an 1895 issue.

An introduction is presented in which the editor discusses various topics within the issue, including smell and taste in patients with severe acute respiratory distress syndrome, smell disturbance in mild Covid-19 patients, and ear, nose and throat (ENT) trainees' redeployment during Covid-19.

An introduction is presented in which the editor discusses articles in the issue on topics including anosmia prognosis, fish bones and management of ingested fish bones during the pandemic.

An editorial is presented to the article the first anniversary of the West hearing the word ‘lockdown', in relation to a large city in China. Topics include the Oxford English Dictionary notes a dramatic increase for 2020 of words such as ‘circuit breaker', ‘lockdown', ‘shelter-in-place', ‘bubbles', ‘face masks' and ‘key workers'; and the imposed unwelcome revolution in working practices has superimposed on an evolution of education and training.

Background:In the general surgical and anaesthetic literature, there has been a decline in research output originating from the UK. This study analysed the 10 globally leading and 2 UK leading otorhinolaryngology journals to determine whether this trend was also reflected within otorhinolaryngology.Methods:Citable research output was analysed from 4 individual years, over a 10-year period (2000–2010), to determine absolute output, geographical mix and article type.Results:The proportion of research output from the UK and Ireland grew 22.8 per cent among the leading global otorhinolaryngology journals, but fell 28.6 per cent among the leading two UK otorhinolaryngology journals. The converse trend was true for the USA and Canada. Output from European and the rest of the world grew among both sets of journals, while Japanese output fell. ‘Research’ articles remained the most prevalent type.Conclusion:These results are encouraging as they refute the fall in UK research output observed by other authors. In the face of growing challenges, it is important to maintain published output so that the fate that has befallen other specialties is not mirrored within UK otorhinolaryngology. [ABSTRACT FROM PUBLISHER]

The article discusses the coronavirus disease 2019 (Covid-19) pandemic has sent shock waves for the National Health Service and healthcare systems to the world. Topics include the Union of the European Phoniatricians have produced a position statement includes guidance, and an exit strategy; and the authors hypothesise that the increased risk of epistaxis result from the inflammatory impact of severe acute respiratory syndrome coronavirus-2.

The authors discuss a study that focuses on the association of an anatomical defect in the anterolateral wall of the tubal valve with the likelihood of success of conservative measures versus surgery, with topics mentioned such as transtympanic catheter placement, otitis externa, and the National Health Service.

The article offers information on the Consortium of Otolaryngology Journal Editors aimed to establish collegial, uninhibited, informative and productive meetings among editors-in-chief of otolaryngology journals.

An introduction is presented in which editor discusses various articles within the issue on topics including assessment of asymmetry in weapons noise, use of more sophisticated audiology techniques in the assessment of noise damage and low frequency deafness in noise-exposed cases.

An editorial is presented on balloon dilatation and decongestants, and novel approaches in otolaryngology education on Eustachian tube. Topics discussed include that topical nasal decongestants may not have the effect on Eustachian function; benefits of a mixed lecture and practical session for students, to supplement the undergraduate programme; and reduction of hours and reduced patient contact must not translate into poorer standards.

The authors reflect on the studies published in the journal on the incidental white matter hyperintensities on magnetic resonance imaging and their relationship to future risks of vascular events and cervical lymphadenopathy following coronavirus disease 2019 (Covid-19) vaccination.