Otology & Neurotology Open (ONO) is an online, gold open-access journal, created to expand the breadth of published research within the multidisciplinary fields of otology, neurotology, cranial base surgery, neural engineering, and materials science as these relate to ear disease. ONO publishes cutting-edge research reporting on the clinical and technological advances, allows for the exploration of far forward ideas just being considered in laboratories, and provides a forum for original research with immediate access to raw data. Most importantly, ONO provides access of scientific and clinical advances to everyone in the world so that all may benefit.