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Resection margins in head and neck surgery

Although an increasing proportion of head and neck malignancies are treated with non-surgical modalities, when surgery is undertaken an incomplete clearance results in significantly worse prognosis. However, the intraoperative assessment of an adequate margin is difficult. The personal practice of...

Treatments for hyperacusis

Centred on a patient’s experience, this article provides a brief summary of the condition of hyperacusis as an introduction to the treatments that are currently available. It is enhanced by the fact that the individual mentioned is a musician by...

What do we put in our nasal douches? Anything?

The rise of the popularity of saline nasal douches, with several commercial preparations available, may be a rediscovery of an age-old tradition, but it has been shown to benefit patients. The question then arises as to whether this can be...

Facial paralysis risk factors in benign parotid surgery

The literature shows that the risk of facial paralysis following benign parotid surgery can be as high as 57% for temporary weakness and 7% for permanent facial nerve damage. It is generally thought that the factors involved may be related...

Coblation for lingual haemangiomas

Haemangiomas are benign vascular tumours characterised histologically by a marked proliferation of blood vessels. They can be either congenital or acquired, and can affect the tongue, both within the oral cavity and the oropharynx. A variety of interventions exist for...

All you need to know about childhood hearing loss - an update

This is an excellent update on childhood hearing loss. It is a comprehensive collection of five chapters, providing a summary of a broad range of practice guidelines to inform screening, diagnosis, and management of hearing loss in children. It has...

Effect of age-related changes in voice production and hearing on Voice Handicap Index and Geriatric Depression Scores

The ageing process affects hearing and production of voice. It is not unknown that impairment of these faculties can affect quality of life and also cause depression. The authors have presented an array of actual anatomical and functional changes that...

How to manage the cheek in gender affirming surgery

This publication discusses cheek augmentation surgery related to gender-affirming facial surgery. The publication describes the difference between the common male cheek anatomy and the desired ideal feminine appearance and how to achieve it. In the author’s experience, gender-affirming surgery patients...

Sing it, say it, sort it: singing for Parkinson’s disease

Parkinson’s disease (PD) occurs in 1% of the population aged over 60. Changes in voice and speech are among the earliest and most prevalent symptoms of PD; reduced vocal intensity, monopitch, monoloudness, breathy and hoarse voice quality, imprecise articulation, vocal...