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Table of Contents
EDITORIAL
Year : 2011  |  Volume : 1  |  Issue : 1  |  Page : 2-3

Your journal, your pride


Emeritus Consultant Ear Nose Throat and H&N Surgeon, James Cook University Hospital, Middlesbrough, United Kingdom

Date of Web Publication7-Feb-2011

Correspondence Address:
Vasant Oswal
Far Shirby, Upleatham, Redcar
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2230-9748.76128

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How to cite this article:
Oswal V. Your journal, your pride. J Laryngol Voice 2011;1:2-3

How to cite this URL:
Oswal V. Your journal, your pride. J Laryngol Voice [serial online] 2011 [cited 2022 Jan 21];1:2-3. Available from: https://www.laryngologyandvoice.org/text.asp?2011/1/1/2/76128




Welcome to the first number of the 'Journal of Laryngology and Voice', an official journal of the Laryngology and Voice Association. This journal, based in India, aims to have an appeal and impact in the Indian subcontinent, as well as further afield across the world in this rapidly changing field, which encompasses not only voice and swallowing disorders, but also an array of upper airway disorders such as obstructive sleep disturbances, cancers and so on. I personally believe India is on the move to claim its rightful place in the world order in the twenty-first century. What better time can there be to launch a journal to bring together a large number of clinicians and other professional groups involved in the care of an organ, which is constantly in use to cope with the modern lifestyle, with extraordinary demands on its function?

Until the recent past, transoral endoscopy of the larynx was mainly undertaken for diagnostics and biopsy. Microlayryngoscopic techniques added a useful dimension to undertake therapeutic procedures. The progress in anesthetic techniques and the availability of high-quality instrumentation have contributed much to establish microlaryngoscopic surgery as gold standard to remove disease and preserve or improve function.

The 1980s saw a unique addition to instrumentation. For the first time, a lesion could be removed bloodlessly with the CO 2 laser delivered coaxially. Lack of per-operative bleeding offered unobstructed view of the disease process and the normal structures, so that the pathology could be removed precisely, optimally preserving the remaining functional part of the larynx. Lack of edema, even with prolonged surgery was another unique feature of the CO 2 laser. Patients treated with endoscopic laser procedure, lasting even a couple of hours, did not require tracheostomy and they were able to go home the same, or at most the next day. The emerging role of laser technology in oncological resections is changing the way we address these common cancers. These unique properties of the CO 2 laser assured its place as workhorse laser for ENT. However, lack of fiber transmissibility was one drawback that enabled other fiber-based lasers to enter the arena. However, this aspect has also been addressed and it is remarkable that as this journal goes to print, we are yet again witnessing a milestone in the delivery of the CO 2 laser once the US FDA approves the flexible waveguide for CO 2 laser, enabling delivery of this wavelength through fiberoptic scope. Many laryngeal procedures may thus be undertaken as office-based procedure, thus reducing the costs and patient morbidity.

Advances in laryngeal framework surgery have enabled us to manage various voice disorders hitherto considered untreatable. Better understanding of physiology of voice production and the disease processes affecting it, along with innovations in surgical techniques has ensured phonosurgery as an emerging sub-specialty with increasing dedicated practitioners from various professionals. Similarly, the challenge posed by upper airway obstructive lesions such as laryngotracheal stenosis and obstructive sleep apnea have widened the scope and variety in these sub-specialties.

In a populous subcontinent, there is a vast range of socio-economic strata of people. The distances are huge and the infrastructure inadequate. Modern dedicated laryngology centers are sparse. The hi-tech equipment still remains beyond the reach of most individual practices. While remaining sensitive to tomorrows' world, this journal aims to provide a forum which will enhance the patient management within the resources available locally, so that they are used optimally with enhanced knowledge base. We intend to exploit the World Wide Web fully for this purpose. The journal will be available online, free of cost. Similarly, a journal support is also planned whereby an instant interaction for everyday problems is possible within the profession. A digest section will provide world literature review and the book section will appraise publications.

We have constituted an editorial board with experts considered authoritative, with members from wider global locations, and with young enthusiastic dedicated supportive members who are prepared to give their time and efforts irrespective of other equally pressing professional and family and friends' demands. They will ensure that the publication will soon reach the international status and will have a high citation rate and impact factor.

The field of laryngology and voice is no longer a premise limited to the ENT surgeon. There has been a gratifying involvement of other specialties, especially the speech and language pathologists in developing this field. We have acknowledged their contributions by inviting them as members of the editorial team and beacon their full participation in securing this journal's place as an authoritative organ of this wider readership.

In this era of globalization, the people are much more knowledgeable and well-informed; and medical field is no exception. Hi-tech medicine is not cheap, and inevitably, results and value for money have crept in the medical field. The practice of medicine has become more rational and 'evidence-based'. We acknowledge this and have introduced a feature entitled 'Evidence-based Laryngology' to encourage articles that would present the current state of evidence available on contemporary topics to help the readers make informed decisions in the management of their patients.

Any surgical field is incomplete without discussion of the skill and techniques required to practice it. A section headed 'How I do it?' would attempt to showcase these skills to enable our readers to disseminate their methods to their professional colleagues. It is also our aim to add high-quality web-based videos in the future to cover the surgical techniques.

Courses and conferences contribute much by providing a large amount of knowledge base from the experts, in a condensed form over a limited number of learning hours. We will promote such courses (but not implying endorsement), by listing them in the journal with no charge. They of course can take a paid space if they so wish.

However, even the best bunch of people in the Editorial Board cannot do all this without the active participation of the readership by contributing original, educational or review material of high quality. It is YOUR journal and it is YOUR pride. So we look forward to receiving submissions from you, the readers.

We have every confidence in our dynamic publishers - Medknow Publications - to play their role by publishing a high-quality journal on time and ensuring its prompt distribution.

Well, this is it. I, as President of the Board, have said my piece, based on half a century of professional and academic role in the ENT community the world over. Now, it is 'over to you'.

Best wishes




 

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