Submission form

Thank you for your interest in publishing with us – please ensure you have read our Author Guidelines before submitting. All videos and figures must be uploaded to a Drive system or online transfer (ie: https://fromsmash.com/) with the download link supplied in the form below (set link expiry to ≥ 7 days).

"*" indicates required fields

Contact details

Please provide the email address of the person submitting this form so we can contact you if we need further information.

Video & Compliance

Provide download links, thumbnail and confirm patient consent and video format.

Video Download Link*

IMPORTANTLY, set your link expiry to at least 14 days, and supply the download link to the video here (MP4 format):

Video Thumbnail*

Include a video thumbnail that is representative of your video, in JPG or PNG format. The thumbnail must use the official Video Atlas branding template, which can be downloaded from the Author Guidelines page.

Max. file size: 200 MB.

Have you obtained patient consent?*

For publication you must have obtained the patient’s consent to have their video published on this website

Yes

Awaiting consent

Not applicable

Is the patient recognizable in the video?

For publication you must not show patient’s faces, names or any identifying features

Yes

How is the video narration provided?*

Narration is compulsory and must be in English. Please indicate whether the video includes vocal narration or captions/written text.

Vocal recording

Captions / written text

Consent*

Please confirm that you have followed the author guidelines and met the requirements.*

Previously Published?*

If you have previously submitted to CEORL-HNS Video atlas please indicate this below.

Yes

Has your submission been published previously?*

Yes

Classification & Abstract

Descrive the type of video, its domain, keyowrds and abstract.

Select your video type*

Tutorial

Case report

Title*

Brief and descriptive - no abbreviations, even if well known. (Max 100 characters)

Skill Level*

Please select the skill level.

Core Skills

Advanced

Innovation

Domain/s*

Otology

Pediatrics

Rhinology

Skull base

Head & Neck

Laryngology

Sleep

Facial plastics

Other

Please select one or many domains. If your submission is not accurately represented, please select 'Other'.

Primary Domain

Keywords*

Choose up to 5 keywords from list or add below if not found

Select between 1 and 5 choices.

Otoendoscope

Endoscope

Microscope

Exoscope

Robotics

Laser

Coblation

Balloon dilation

Radiofrequency

Powered instrumentation

Microdebrider

Indocyanine green

Augmented reality

3D endoscopy

Other

Other*

If your keyword is not listed above, please enter your proposed keyword(s) here. Separate multiple keywords with commas.

Abstract*

Brief but complete description of the surgical procedure presented in your submission. Do not use abbreviations or reference citations. (Max 500 words)

Surgical Steps & Declarations

Identify the surgical steps in the video.

Procedure Step 1 – Title*

Procedure Step 2 – Title*

Procedure Step 3 – Title

Procedure Step 4 – Title

Procedure Step 5 – Title

Funding Statement*

Authors are required to name their funding sources, or state if there are none here.

Acknowledgements

If you would like to acknowledge the special contribution of a non-author, please do so here.

Conflicts of Interest*

Declarations of conflicts of interest must be included here. If none are declared, please use the following format: Conflict of interest: none declared.

References

References Up to 5 references relevant to the video can be listed here. Citations should be made using Vancouver style.

Reference 1:

Reference 2:

Reference 3:

Reference 4:

Reference 5:

Authors & Final Declarations

Full Authors & Affiliations List Authors and their affiliations should be listed as shown in this example: Please note that this is exactly how the author list will appear in your publication.

Authors

First Name	Last Name	Author Email address	Actions

There are no Entries.

Maximum number of entries reached.

Additional Comments

Please use this space to add any comments to our editors. This text will not be published in your tutorial.

Author Details*

I confirm that I have provide full names, affiliation and contact details for each of my co-authors. All co-authors have reviewed the video.

Submission Requirements*

Please confirm that you have read the Author Guidelines and downloaded the required video resources before submitting your video.

Information collected from you may be added to our database. We may use this for administrative purposes in conducting our work, and for communication with you. In compliance with the EU GDPR all information will be treated confidentially and will not be shared with any other organisation without your explicit and informed consent.