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Postop follow up of oral squamous cell carcinoma: a new protocol

1 January 2016 | | CT, Follow-up, MRI, OSCC, PET, Ultrasound
Oral and oropharyngeal cancers together are the sixth most common malignancy in the world, with an increasing incidence of oral squamous cell carcinoma (OSCC). The recurrence rate of OSCC is reported to be approximately 10-26%. About two-thirds of all recurrent...

CSF leak – endoscopic or open repair?

1 January 2016 | | Cerebrospinal fluid, Endoscopic endonasal approach, Paranasal sinuses, Rhinorrhea
Cerebrospinal fluid (CSF) rhinorrhoea is well known to the ENT surgeon. It commonly occurs secondary to a predisposing event such as accidental or iatrogenic trauma. When it occurs spontaneously, it can be associated with benign intracranial hypertension. The commonest CSF...

Clinical assessment in OSA

1 January 2016 | | airway evaluation, airway classification, Müller maneuver, pharyngometry
This paper divides the assessment up into anatomical (nasal and oropharyngeal), endoscopic and imaging. It points out the salient features to look out for in OSA patients with regards the nasal valve and also oropharyngeal anatomy, with tonsil hypertrophy grading...

Approaching a ranula

1 September 2015 | | ranula, mucocele, plunging ranula, sublingual gland, floor of mouth, neck mass, pediatric
The March issue of Operative Techniques in Otolaryngology is the first of two concentrating on oral surgery within the paediatric setting. It sets the scene with a paper on the anatomy of the paediatric oral cavity and the associated surgical...

Treatment algorithm for olfactory disorders

1 May 2015 |
The purpose of this paper is to review the current evidence in diagnosing olfactory disorders and suggest an algorithmic approach to patients with relevant complaints. Age-associated olfactory loss is often multifactorial and requires a careful history and physical exam. A...

Systemic agents in thyroid cancer

1 July 2017 | | ENT, Head and Neck, Thyroid / Parathyroid Surgery
For those patients who have disseminated or unresectable thyroid cancer, Dr Arabella Hunt and Dr Kate Newbold review systemic treatments, their differences, toxicities and outcomes. Thyroid cancer is the most common endocrine malignancy. It is subdivided into differentiated (papillary, follicular...

Lies, damned lies and relative risk reduction

4 September 2023 | | ENT
Chris Potter has a thing or two to say about the use of statistics and, in doing so, he takes us to a Friday night steak house that is prone to airway disasters and on a short tour of his...

Database WG2. The Tinnitus Patient Database in the TINNET COST Action BM1306

1 January 2016 | | Audiology - Adult, Tinnitus
Berthold Langguth describes an innovative project that is creating the world’s largest multi-national patient database containing standardised information on tinnitus and medical history, otological examination and psycho-acoustic measures of tinnitus. A challenge for tinnitus treatment and tinnitus research is the...

What do animal models tell us about tinnitus and hyperacusis?

23 May 2017 | | Audiology - Diagnostic, Tinnitus
Do animals have tinnitus? The obvious question to ask is: do animals have tinnitus? It is known that tinnitus is a conscious percept and as such affected by attention and not audible during sleep. For it to be demonstrated that...

Facial pain: the differential diagnosis in an ENT clinic

1 July 2016 | | ENT, Rhinology / Sinus
The patient presenting with facial pain can be a heartsink. Fear not – Bhaskar Ram and Sangeeta Maini are here with a succinct overview of the common non-sinogenic causes of facial pain and headache, and how to manage them. Facial...

Imaging in hyperparathyroidism

1 May 2014 | | ENT, Head and Neck, Thyroid / Parathyroid Surgery
Following their caudal migration at eight weeks of development, the parathyroid glands normally locate posterolaterally to the upper pole of the thyroid gland at the level of the cricoid cartilage (superior parathyroid glands arising from the fourth branchial pouch and...

Nuclear heads – and necks

1 May 2014 | | ENT, Head and Neck
Imaging of the extra-cranial head and neck is challenging due to the anatomic complexity of the region. CT, MRI and ultrasonography (US) are amongst the most frequently utilised radiological modalities in head and neck imaging but do not always provide...